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Support Document for Emergency Assessment + Management of Diabetic Ketoacidosis (DKA) in children & young people who require transfer to: Royal Hospital for Sick Children, Edinburgh (RHSCE) or Royal Hospital for Children, Glasgow (RHCG)
Purpose of document:
To ensure that all staff have clear guidance to follow when a child or young person up to 16 years of age presents in diabetic ketoacidosis (either newly diagnosed patient or patient with known diabetes) and requires transfer to either RSHSC Edinburgh or RHC Glasgow by ScotSTAR.
Who should use this document:
All medical and nursing staff, and professionals allied to medicine within Children’s Services throughout Scotland involved in the care of diabetes patients.
All calls to go through ScotSTAR: www.snprs.scot.nhs.uk tel: 03333 990 240
ScotSTAR support is for children and young people in DKA who require transfer to RHSC, Edinburgh OR RHC Glasgow.
In certain clinical scenarios there will be a lower threshold for requiring a transfer by ScotSTAR, depending on the child’s age, clinical situation and transfer distance involved. ScotSTAR can task the paramedic team for support as appropriate.
BSPED. BSPED Interim Guideline for the Management of Children and Young People under the age of 18 years with Diabetic Ketoacidosis. April 2020.
NICE. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. 1.4 Recommendations: diabetic ketoacidosis. NG18, Last updated November 2018.
ISPAD. ISPAD Clinical Practice Consensus Guidelines 2018: Diabetic ketoacidosis and the hyperglycemic hyperosmolar state. 2018.
Last reviewed: 01 July 2020
Next review: 31 July 2023
Author(s): Review group: Dr Louise Bath, Lead Consultant in Paediatric and Adolescent Diabetes, RHSCE; Dr Ian Craigie, Associate Specialist Paediatrician, RHCG; Dr Mark Davidson, Paediatric Intensive Care & Retrieval Consultant, RHCG; Dr Lindsay Ford, Paediatric Intensive Care & Retrieval Consultant, RHSCE; Dr Kathryn Noyes, Associate Specialist Paediatrician, RHSCE; Dr Karen Whyte, Consultant Paediatrician, RHCG; Fiona Wilson, Paediatric Retrieval Nurse, ScotSTAR