Pediatric DKA and HHS

<p>In this episode, Sam Ashoo, MD, and TR Eckler, MD, discuss the November 2023 Pediatric Emergency Medicine Practice article, <a href="https://www.ebmedicine.net/topics/endocrine/pediatric-emergency-medicine-diabetes">Pediatric Diabetes: Management of Acute Complications in the Emergency Department</a> and some of the highlights from the other EB Medicine articles published in November.</p><p></p><p>Epidemiology</p><p></p><p>Differential diagnosis</p><p></p><p>Prehospital care</p><p></p><p>ED history and physical exam</p><p></p><p>Diagnostic studies</p><ul><li>Point of care testing</li><li> Labs</li><li> Imaging</li></ul><p></p><p>Treatment</p><ul><li>IV fluids, the 2-bag system</li><li> Mild DKA</li><li> Moderate to severe DKA</li><li> Potassium and phosphate supplementation</li><li> Magnesium and calcium</li><li> Sodium bicarbonate</li><li> Hypoglycemia</li><li> HHS</li><li> Monitoring</li></ul><p></p><p>Complications</p><ul><li>Cerebral edema</li><li> Intubation</li></ul><p></p><p>Insulin pumps</p><p></p><p>Disposition</p><p></p><p>Summary</p><p></p><p>Highlights</p><ul><li>EBUC - <a href="https://www.ebmedicine.net/topics/airway-respiratory/urgent-care-asthma">Management of Acute Asthma Exacerbations in Urgent Care</a></li><li>EMP - <a href="https://www.ebmedicine.net/topics/neurologic/emergency-medicine-methamphetamine">Evidence-Based Emergency Department Management of Methamphetamine Toxicity</a></li><li>PEMP - Trauma Extra - Blunt Thoracic Injuries (coming Nov. 15th)</li></ul><p></p><p>Check out the clinical pathways at <a href="https://www.ebmedicine.net/pathways">https://www.ebmedicine.net/pathways</a></p>