Episode 35 - Diabetic Hyperglycemic Emergencies: A Systematic Approach

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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