Tag: David Mai

HMOs: Diabetic Emergencies

Updated: May 2017




Some links and resources to look at with regard to diabetic emergencies:

EMBasic – a good overview of definitions, assessment, investigations and management

British Paeds Endocrine Guidelines – have a look at page 15 for the management flowchart

Paediatric Calculator – a useful doc for working out fluid and insulin doses in children.


For a more detailed discussion on the use of Hartmann’s vs saline, see my post on Acid-base & Fluids



Management algorithm

HMOs: Abdominal pain

Abdominal pain: Dr David Mai (34min) March 2017


Key points:

  1. become familiar with what is typical and classic for common abdominal pathologies
  2. understand that atypical presentations of common pathologies is also common, and that a cognitive / mental system of not ignoring traps / red flags is essential for safe disposition of these patients
  3. not all presentations of abdominal pain will have a clear diagnosis but this is not necessary for safe management of patients
  4. remember that the easy labels of constipation, gastritis, gastroenteritis and pyelonephritis are red flags in of themselves and can create diagnostic momentum
  5. pain out of proportion to abdominal findings is concerning and often suggests vascular pathology
  6. practice filtering the noise

Review also Dr Ben Delaney’s presentation (March 2016) on this topic below: