Summary: Dr Aris Siafarikas talks about how to approach the assessment and management of a child presenting in diabetic ketoacidosis due to Type 1 diabetes. Dr Siafarikas discusses diabetic ketoacidosis, including how children might present, which Type 1 diabetic patients are prone to developing DKA, and how general practitioners can diagnose a patient presenting in DKA. Dr Siafarikas then goes on to explore the appropriate management of a patient in DKA, including resuscitation, monitoring, rehydration and electrolyte replacement, insulin therapy, and managing recovery and follow-up. He also discusses the most important complication of severe DKA, that being cerebral oedema.
