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WikEM is a wiki-based website and mobile application oriented towards emergency medicine clinicians. [16] It started as a database created from notes and checklists of residents at the Harbor-UCLA emergency medicine residency program, but is now open to all clinical providers. [17] [18] WikEM was launched in 2009. [17]
The treatment and recovery phases of diabetic ketoacidosis; Volume resuscitation with 0.9% normal saline provides a chloride load, so that infusing more than 3–4L can cause acidosis; Hyperalimentation (i.e., total parenteral nutrition)
A 2004 statement by the European Society for Paediatric Endocrinology and the Lawson Wilkins Pediatric Endocrine Society (for children) uses slightly different cutoffs, where mild DKA is defined by pH 7.20–7.30 (bicarbonate 10–15 mmol/L), moderate DKA by pH 7.1–7.2 (bicarbonate 5–10) and severe DKA by pH<7.1 (bicarbonate below 5).
Diabetic ketoacidosis (DKA) is one of the life-threatening severe complications of diabetes that demands immediate attention and intervention. [7] It is considered a medical emergency and can affect both patients with T1D (type 1 diabetes) and T2D (type 2 diabetes), but it is more common in T1D. [8]
WikEM is wiki-based medical website and point-of-care phone application for emergency medicine clinicians. [1] WikEM is owned by OpenEM Foundation, a 501(c)(3) nonprofit organization. [ 2 ] WikEM initially started as a database created from notes and checklists passed from resident class to subsequent resident class at the Harbor-UCLA emergency ...
The term pediatrics was first introduced in English in 1859 by Abraham Jacobi. In 1860, he became "the first dedicated professor of pediatrics in the world." [20] Jacobi is known as the father of American pediatrics because of his many contributions to the field. [21] [22] He received his medical training in Germany and later practiced in New ...
People with type 1 diabetes experience diabetic ketoacidosis 1–5 times per 100 person-years, the majority of which result in hospitalization. [ 97 ] 13–19% of type 1 diabetes-related deaths are caused by ketoacidosis, [ 94 ] making ketoacidosis the leading cause of death in people with type 1 diabetes less than 58 years old.
Blood sugar levels are often normal or only mildly increased. [2] Other conditions that may present similarly include other causes of high anion gap metabolic acidosis including diabetic ketoacidosis. [2] Treatment is generally with intravenous normal saline and intravenous sugar solution. [2]