Welcome back to the podcast and our next Roadside to Resus episode, this time we’re taking a look at Diabetic Ketoacidosis, DKA.

In this episode we’ll be getting our heads around the pathophysiology that underpins DKA, consider the clinical picture and severity of patients that present and look at both the in-hospital and pre-hospital management of these patients including topics such at fluid choice, insulin boluses and nasal ETCO2 for diagnosis of DKA.

Let us know any thought and comments you have.

Enjoy!

Simon, Rob & James

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References

LITFL; Diabetic Ketoacidosis

Joint British Diabetes Societies Inpatient Care Group; The Management of Diabetic Ketoacidosis in Adults. Second Edition Update: September 2013

NHS; Diabetic Ketoacidosis

Guidelines for management of diabetic ketoacidosis: time to revise? Dhatariya, K. The Lancet Diabetes & Endocrinology. 2017

RCEMLearning; DKA-Induction

Review of Evidence for Adult Diabetic Ketoacidosis Management Protocols.T. Tran. Endocrinol. 2017

Joint British Diabetes Societies for Inpatient Care; Intravenous Insulin Prescription and Fluid Protocol. 2018

EM Cases; DKA

Predictive Value of Capnography for Suspected Diabetic Ketoacidosis in the Emergency Department. Hassan Soleimanpour. West J Emerg Med. 2013

Diagnostic value of end tidal capnography in patients with hyperglycemia in the emergency department. Ralphe Bou Chebl. BMC Emerg Med. 2016

EMS MED;Be All End-Tidal: The Expanding Role Of Capnography In Prehospital Care

Hyperglycemic Crises: Diabetic Ketoacidosis (DKA), And Hyperglycemic Hyperosmolar State (HHS). Adair R Gosmanov. Endotext. 2018