Systematically Treating the Extra Sweet Pediatric Patient, Without Inadvertently Giving Them a Big Head

Roger L Layell; Kory A Lane

doi:10.1016/j.amj.2023.04.002

Systematically Treating the Extra Sweet Pediatric Patient, Without Inadvertently Giving Them a Big Head

Air Med J. 2023 Jul-Aug;42(4):268-270. doi: 10.1016/j.amj.2023.04.002. Epub 2023 Apr 28.

Authors

Roger L Layell¹, Kory A Lane²

Affiliations

¹ Atrium Health MedCenter Air, Charlotte, NC. Electronic address: rogerlayellmedic@gmail.com.
² Cone Health CareLink Mobile Critical Care, Greensboro, NC.

PMID: 37356888
DOI: 10.1016/j.amj.2023.04.002

Abstract

Treating pediatric patients with diabetic ketoacidosis (DKA) during transport can be complex and multifactorial. Cerebral edema is a frequent occurrence in pediatric patients with DKA; however, the signs often occur in a subtle manner. Overzealous correction of their blood glucose may result in cerebral edema as well as a cascade of electrolyte abnormalities. Pediatric patients with diabetes mellitus are prone to developing DKA. Serious complications from DKA in pediatrics often present acutely and rapidly.

Publication types

Review

MeSH terms

Blood Glucose
Brain Edema* / diagnosis
Brain Edema* / etiology
Brain Edema* / therapy
Child
Diabetes Mellitus, Type 1* / complications
Diabetes Mellitus, Type 1* / epidemiology
Diabetic Ketoacidosis* / complications
Diabetic Ketoacidosis* / diagnosis
Diabetic Ketoacidosis* / therapy
Humans

Substances

Blood Glucose