Sweet Dreams Aren't Made of This. When Routine Management of Patients with DKA Turns into Nightmares: A Discussion of One of the Scariest Patients That We Can Encounter in the Flight Industry

Sweet dreams aren't made of this. You are dispatched for a simple pediatric DKA. No big deal; until you walk into the hospital and find a patient in extremis and a physician mid-intubation. You can travel the world and the seven seas, but everyone knows, this is not something you are looking for. Join us as we delve into a case study of one of the scariest patient scenarios we can encounter in the flight industry: an intubated pediatric patient with severe diabetic ketoacidosis and suspected cerebral edema. We will discuss pearls of diabetic ketoacidosis management including fluid resuscitation, medication administration, and ventilator theory.