Episode 35 - Diabetic Hyperglycemic Emergencies: A Systematic Approach

Show Notes
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Diabetic Hyperglycemic Emergencies: A Systematic Approach, by H. Evan Dingle, MD and Corey Slovis, MD, FACP, FACEP, FAAEM, FAEMS
American Diabetes Association (ADA) and International Society for Pediatric and Adolescent Diabetes (ISPAD) guidelines are reviewed in addition to the references used by each consensus statement. Also, a primary literature review was conducted with particular attention given to prospective studies.
Topics reviewed include:

Etiology and pathophysiology of DKA and HHS
Precipitating causes
Differential diagnosis
Diagnostic studies

ECG
Lab
Imaging


Treatment

IV fluids
Insulin therapy
Potassium
Sodium bicarbonate
Phosphate


Pediatrics

IVF changes
Insulin changes
Cerebral edema


Airway management
Euglycemia DKA
Thrombosis and anticoagulation.

Time stamps:

00 Introduction
1:34 Cases
21:47 Summary of key points
26:37 Closing