Joseph Gladstone

Emergency Department resuscitation bay (paramedic handover; mother present)

A 16-year-old known type 1 diabetic presents to the emergency department drowsy and confused (GCS 9) after abdominal pain and vomiting, having likely missed insulin. Working diagnosis is severe diabetic ketoacidosis (pH 7.00, ketones +++, glucose markedly raised); hypoglycaemia, shock and other causes of reduced consciousness must be excluded. The station rewards a structured DRSABCDE primary survey and prompt DKA management.

Choose a focus area

Data Gathering

Take a comprehensive history, perform examinations, and order investigations.

Clinical Reasoning

Formulate a diagnosis, consider differentials, and synthesise evidence.

Clinical Decision Making

Explain your diagnosis, recommend treatment, and arrange follow-up.

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