Pediatric DKA

8 y/o girl presents with DKA and acute decline in mental status. Will require an advanced airway and optimization of peri-intubation to appropriately ventilate and allow for compensation of metabolic acidosis

  • Lindsey McMurray    
  • Mateo Orrantia   
  • May 6, 2022, 1:50 p.m.   

  • Critical Care, Pediatrics, Resuscitation   
  • Residents, Physicians   
  • Airway Equip., Manakin - LF, Manakin - HF, Rhythm Box   

  • 4   
  • 20 - 40 Min   
  • Rural Hospital   

  • PRACTISS Verified   
Pediatric DKA

An 8-year-old girl who has been tired and “unwell” for several days presents to the ED with an acute decline in her mental status. She is confused and lethargic. It becomes quickly apparent that the child is in DKA and requires immediate treatment. Due to decreasing neurologic status and vomiting, she eventually requires an advanced airway. The challenge is to optimize the peri-intubation course and to appropriately ventilate to allow for compensation of her metabolic acidosis.

Goals and Learning Objectives
Technical/Equipment Recommendations
Supporting Roles and Scripts
Moulage and Scenario Set-Up
Printable Supporting Documents (Will also be accessible at relevant Scenario Stage)

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Original Author: Lindsey McMurray
Date: 2015
Originally published on: EM Sim Cases
Most Recent Modification: July 2021
Modified by: Mateo Orrantia