C3AP4: Abnormal Blood Glucose

 

The trainee will be able to evaluate the patient who presents with hypo and hyperglycaemia, correct and establish underlying cause. Produce a valid differential diagnosis, appropriate investigation and implement a management plan.

View curriculum for C3AP4

 
Content by #EM3…
Lightning Learning: Hypoglycaemia in Adults
Lightning Learning: Hypoglycaemia in Adults

For diabetics, hypoglycaemia is defined as a CBG <4.00 mmol/L (‘four is the floor’). For non-diabetics, it is often defined as a CBG <3.3 mmol/L.

Lightning Learning: DKA in Adults
Lightning Learning: DKA in Adults

Diabetic ketoacidosis (DKA) is a medical emergency with significant morbidity and mortality. It should be diagnosed and managed promptly. DKA IS FATAL IF NOT TREATED!

Lightning Learning: Variable Rate Insulin Infusion
Lightning Learning: Variable Rate Insulin Infusion

Here’s a quick guide on the practical aspects or administering VRII. What indications to look out for, to which fluids to give and their rate of infusion.

#SimBlog: Through the Candy Cane Forest
#SimBlog: Through the Candy Cane Forest

A 2-year-old boy is brought to the ED by his mum with fast breathing and vomiting...

PEST Case 5: Patient Experience
PEST Case 5: Patient Experience

"A 15 year old girl is brought through to the triage nurse by a concerned receptionist."

#SimBlog: PEST Day 2016
#SimBlog: PEST Day 2016

It's time for more Paediatric Emergency Simulation Training (aka PEST). Five MDT cases all in one day!

#SimBlog: Simple Case, Complex Environment
#SimBlog: Simple Case, Complex Environment

Working the ED can often be complicated, there can be distractions and developments that make even a simple case more complex than it should be.

#SimBlog: When you hear hooves...
#SimBlog: When you hear hooves...

"A 2 week old baby boy is brought to the ED with concerns of poor feeding, vomiting and sleepiness."

Lightning Learning: Diabetic Sick Day Rules
Lightning Learning: Diabetic Sick Day Rules

Diabetic patients who are unwell often have a higher BM than normal. The liver releases glucose to enable the body to fight illness.

#SimBlog: Gastroenteritis
#SimBlog: Gastroenteritis

A 6-month-old child is brought to the ED by her mum with a 3-day history of diarrhoea and vomiting.

#SimBlog: Hypoglycaemia
#SimBlog: Hypoglycaemia

"19 yr old female. Found unresponsive on university campus by passer by. No evidence of trauma."

#SimBlog: Diabetic Ketoacidosis
#SimBlog: Diabetic Ketoacidosis

21-year-old male with abdominal pain and vomiting for 48 hours.

#MiniTeach: Not Keeping Anything Down
#MiniTeach: Not Keeping Anything Down

A mother brings her 2-year-old child to the Children's ED. He has been continually vomiting for the past 3 days.

Trick or Treat: Too Much Sugar (DKA Resources)
Trick or Treat: Too Much Sugar (DKA Resources)

Trick or Treat, but what about the sugar content? A helpful reminder of some diabetic emergencies.

#PEST2015: Diabetic Ketoacidosis
#PEST2015: Diabetic Ketoacidosis

15-year-old, self-presentation. 1-week history of vomiting and lethargy, feeling worse overnight, receptionist concerned patient looks unwell.

#MiniTeach: Hot And Bothered
#MiniTeach: Hot And Bothered

A 7-month-old boy is brought in by his mum who reports a history of fever over the last 24 hours.

 

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