Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Pediatric Diabetic Ketoacidosis
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Author
Roberts, C.Keilman, A.
Pearce, J.
Roberts, A.
Ching, K.
Kingsley, J.
Stephan, A.
Gross, I.
Ciener, D.
Augenstein, J.
Thomas, A.
Affiliation
Clinical Assistant Professor of Child Health and Emergency Medicine, Mayo Clinic College of Medicine and Science and University of Arizona College of MedicineIssue Date
2021Keywords
Diabetic KetoacidosisPediatric Critical Care Medicine
Pediatric Emergency Medicine
Pediatric Endocrinology
Simulation
Metadata
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Association of American Medical CollegesCitation
Roberts, C., Keilman, A., Pearce, J., Roberts, A., Ching, K., Kingsley, J., ... & Thomas, A. (2021). Pediatric Emergency Medicine Didactics and Simulation (PEMDAS): Pediatric Diabetic Ketoacidosis. MedEdPORTAL, 17, 11098.Rights
Copyright © 2021 Roberts et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution license.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Introduction: Diabetic ketoacidosis (DKA) is a life-threatening illness which classically presents with polyuria, polydipsia, and polyphagia that can rapidly progress to severe dehydration and altered mental status from cerebral edema. Younger patients may present with subtle or atypical symptoms that are critical to recognize and emergently act upon. Such patients are often cared for by teams in the emergency department (ED) requiring multidisciplinary collaboration. Methods: This simulation case was designed for pediatric emergency medicine fellows and residents. The case was a 14-month-old male who presented to the ED with respiratory distress and dehydration. The team was required to perform an assessment, manage airway, breathing and circulation, and recognize and initiate treatment for DKA including judicious fluid administration and an insulin infusion. The patient developed altered mental status with signs of cerebral edema requiring the initiation of cerebral protection strategies. We created a debriefing guide and a participant evaluation form. Results: Forty-two participants completed this simulation across seven institutions including attendings, residents, fellows, and nurses. The scenario was rated by participants on a 5-point Likert scale and was generally well received (M = 5.0). Participants rated the simulation case as effective in teaching how to recognize (M = 4.8) and manage (M = 4.5) DKA with cerebral edema in a pediatric patient. Discussion: This simulation represents a resource for learners in the pediatric ED in the recognition and management of a toddler with DKA and can be adapted to learners at all levels and tailored to various learning environments. © 2021 Roberts et al.Note
Open access journalISSN
2374-8265PubMed ID
33644303Version
Final published versionae974a485f413a2113503eed53cd6c53
10.15766/mep_2374-8265.11098
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Except where otherwise noted, this item's license is described as Copyright © 2021 Roberts et al. This is an open-access publication distributed under the terms of the Creative Commons Attribution license.
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