Aggressive management of diabetic ketoacidosis in the emergency department (ED) can quickly correct associated hyperglycaemia and metabolic acidosis, according to a study presented here at the Scientific Assembly 2002 American College of Emergency Physicians (ACEP)
. The finding suggests that aggressive ED management is paramount to recovery, the researchers say. Lala Dunbar, MD, PhD, and colleagues from Louisiana State University Health Services Center, in New Orleans, Louisiana, United States, conducted a retrospective review of all patients with diabetic ketoacidosis treated in the ED from January 1994 to March 1995. They identified 40 men and 20 women, mean age 34.5 years, and measured initial serum pH, PCO2, HCO3, and glucose as well as final emergency department HCO3, glucose, and disposition to intensive care unit (ICU) or medical unit.
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