Hyperosmolar diabetic non-ketotic coma, hyperkalaemia and an unusual near death experience

European Journal of Emergency Medicine

Volumn 8, Issue 1, 2001, Pages 57-63

  Ting, J Y S ^a  

^a Princess Alexandra Hospital   (United States)

Author keywords

Cerebrovascular accident; Diabetes mellitus; Hyperkalaemia; Hyperosmolar diabetic non ketotic coma; Keywords; Pulseless electrical activity; Transient ischaemic attack

Indexed keywords

ARTICLE; CASE REPORT; ELECTROCARDIOGRAPHY; FOLLOW UP; FORWARD HEART FAILURE; HEART ARREST; HUMAN; HYPERKALEMIA; MALE; MIDDLE AGED; NON INSULIN DEPENDENT DIABETES MELLITUS; NONKETOTIC DIABETIC COMA; RESUSCITATION;

CARDIAC OUTPUT, LOW; CARDIOPULMONARY RESUSCITATION; DIABETES MELLITUS, TYPE 2; ELECTROCARDIOGRAPHY; FOLLOW-UP STUDIES; HEART ARREST; HUMANS; HYPERGLYCEMIC HYPEROSMOLAR NONKETOTIC COMA; HYPERKALEMIA; MALE; MIDDLE AGED;

EID: 0035292732     PISSN: 09699546     EISSN: 14735695     Source Type: Journal    
DOI: 10.1097/00063110-200103000-00012     Document Type: Article

References (23)

1. Stueven, H.A., Aufderheide, T., Waite, E.M. and Mateer, J.R. (1989). Electromechanical dissociation: six years prehospital experience. Resuscitation 17:173-182.
2. Pirolo, J.S., Hutchins, G.M. and Moore, G.W. (1985). Electromechanical dissociation: pathologic explainations in 50 patients. Hum. Pathol. 16:485-487.
3. Lawton, J.M. (1990). Hyperkalemic electromechanical dissociation. Wis. Med. J. 89:459-461.
4. Montoliu, J. and Revert, L. (1985). Lethal hyperkalemia associated with severe hyperglycemia in diabetic patients with renal failure. Am. J. Kidney Dis. 5:47-48.
5. Crone, P.D. (1995). Auckland Ambulance Service cardiac arrest data 1991-3. NZ Med. J. 108:297-299.
6. Levine, S.N. and Sanson, T.H. (1989). Treatment of hyperglycaemic hyperosmolar non ketotic syndrome. Drugs 38:462-472.
7. Berger, W. and Keller, U. (1992). Treatment of diabetic ketoacidosis and non-ketotic hyperosmolar coma. Baillières Clin. Endocrinol. Metab. 6:1-21.
8. Greenberg, A. (1998). Hyperkalemia: treatment options. Semin. Nephrol. 18:46-57.
9. Dreschfeld, J. (1886). The Bradshawe Lecture on diabetic coma. Br. Med. J. 2:358-363.
10. Pope, D.W. and Dansky, D. (1989). Hyperosmolar hyperglycemic nonketotic coma. Emerg. Med. Clin. North Am. 7:849-857.
11. Small, M. and MacCuish, A.C. (1987). The hyperglycaemic, hyperosmolar non-ketotic syndrome: some aspects of management. Scott. Med. J. 32:35-37.
12. Matz, R. (1999). Management of the hyperosmolar hyperglycemic syndrome. Am. Fam. Physician 60:1468-1476.
13. Small, M., Alzaid, A. and MacCuish, A.C. (1988). Diabetic hyperosmolar non-ketotic decompensation. Q. J. Med. 66:251-257.
14. Gonzalez-Campoy, J.M. and Robertson, R.P. (1996). Diabetic ketoacidosis and hyperosmolar nonketotic state: gaining control over extreme hyperglycemic complications. Postgrad. Med. 99:143-152.
15. Umpierrez, G.E., Khajavi, M. and Kitabchi, A.E. (1996). Diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic syndrome. Am. J. Med. Sci. 311:225-233.
16. Hamblin, P.S., Topliss, D.J., Chosich, N., et al. (1989) Deaths associated with diabetic ketoacidosis and hyperosmolar coma 1973-1988. Med. J. Aust., 151, 441-2, 444
17. Ellis, E.N. (1990). Concepts of fluid therapy in diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic coma. Pediatr. Clin. North Am. 37:313-321.
18. Fulop, M. (1984). The treatment of severely uncontrolled diabetes mellitus. Adv. Intern. Med. 29:327-356.
19. Carroll, P. and Matz, R. (1983). Uncontrolled diabetes mellitus in adults: experience in treating diabetic ketoacidosis and hyperosmolar nonketotic coma with low-dose insulin and a uniform treatment regimen. Diabetes Care 6:579-585.
20. Rolfe, M., Ephraim, G.G., Lincoln, D.C. and Huddle, K.R.L. (1995). Hyperosmolar non-ketotic diabetic coma as a cause of emergency admission to Baragwanath Hospital. S. Afr. Med. J. 85:173-176.
21. Tietz, N.W., Finley, F.R., Pruden, E.L., eds. (1990) Clinical Guide to Laboratory Tests, 2nd edition. Philadelphia: W.B. Saunders. p. 512.
22. Ganong, W.F. (1995). Central regulation of visceral function. in Ganong, W.F. (Ed), Review of Medical Physiology, 17th edition, Englewood Cliffs: Prentice-Hall:221.
23. Asplund, K., Eriksson, S., Hagg, E. et al. (1982). Hyperosmolar non-ketotic coma in diabetic stroke patients. Acta Med. Scand. 212:407-411.