Evidence · Research paper
Adherence to pediatric diabetic ketoacidosis guidelines by community emergency departments' providers.
- DKA
- Fluids and electrolytes
- Medical
- Nursing
- Renal and metabolic
This paper is from 2017, more than five years ago. Newer evidence may have been published since.
Summary
A retrospective chart review of 100 children admitted to a PICU with diabetic ketoacidosis, assessing how closely community emergency departments in Indiana followed paediatric DKA guidance before transfer. It examined parameters such as frequency of blood glucose monitoring and use of intravenous insulin boluses, finding that only a minority of cases met all guideline parameters. The authors call for larger studies into the causes of non-adherence and strategies to improve it. Relevant to PICU teams receiving children stabilised in non-specialist emergency settings.
Summary written for PICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
The full text of this openly licensed paper is available to PICUlearn members, and Peeky can answer questions from it.
Guidelines are shown for education. Follow your unit's own guidance and senior advice.