Pediatric DKA and HHS

In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, Pediatric Diabetes: Management of Acute Complications in the Emergency Department and some of the highlights from the other EB Medicine articles published in November.

Epidemiology

Differential diagnosis

Prehospital care

ED history and physical exam

Diagnostic studies

• Point of care testing
• Labs
• Imaging

Treatment

• IV fluids, the 2-bag system
• Mild DKA
• Moderate to severe DKA
• Potassium and phosphate supplementation
• Magnesium and calcium
• Sodium bicarbonate
• Hypoglycemia
• HHS
• Monitoring

Complications

• Cerebral edema
• Intubation

Insulin pumps

Disposition

Summary

Highlights

• EBUC - Management of Acute Asthma Exacerbations in Urgent Care
• EMP - Evidence-Based Emergency Department Management of Methamphetamine Toxicity
• PEMP - Trauma Extra - Blunt Thoracic Injuries (coming Nov. 15th)

Check out the clinical pathways at https://www.ebmedicine.net/pathways