Purpose: The purpose of this review is to explore recent evidence and provide best practice updates for management of mild-to-moderate diabetic ketoacidosis (DKA) within the emergency department (ED). Method: A PubMed and Cochrane Library literature search was conducted to identify recent studies and reviews detailing the nuances and controversies of DKA management. Results: A number of small sample size clinical trials were found addressing fluid and insulin management of DKA and use of DKA protocols. Two clinical review articles were also found. Conclusion: DKA incidence is increasing, and EDs are newly responsible for its management. EDs should review recent evidence and develop DKA-specific protocols for use within their facility. Further research is necessary to determine best management of this common condition.
O'Leary KL. Emergency Department Management of Diabetic Ketoacidosis. Lynchburg Journal of Medical Science. 2022; 4(2).
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