Prehospital "Altered mental status and hypotension due to probable DKA" (everyone must know this ECG diagnosis)
Dr. Smith's ECG Blog
JUNE 9, 2024
A patient presented with hypotension and altered mental status and presumption of DKA. As the medics arrived, they handed me this ECG: What medication did I call for IMMEDIATELY when I saw this? This is obviously severe hyperkalemia and the patient is near cardiac arrest. The medics had no idea. I called for 2 grams of Calcium Chloride. There was no IV access, so we obtained intraosseous (IO) access, but she arrested before we could give her all the calcium.
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