Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

endless charting once you become a doctor? Do you think that doctors should be spending more

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

secure, hippocompliant scribe that anybody can use.

Focus your energy on what matters, providing good patient care.

Use coupon code EM50 to save 50% the first month you try it,

and you can cancel at any time if you decide it's not right for you. You can learn more at

www.gitfreed.a.i. Hello, bed students. My name is Zach Olson and thank you for downloading

this week's episode of the EM Clerkship Podcast.

Our topic this week is dedicated to Andre out of SGU, who wrote me an email requesting an

episode on hyperglycemia in DKA a few months ago.

Sorry it took me a little bit to get to this, Andre, but this episode's for you.

Okay, everybody, it's a 32-year-old male, had a chief complaint of fever cough and diffuse

abdominal pain, emesis times two, slightly confused on scene, had poor skin

Turgar, does have a history of type 1 diabetes, has been taking his medication according

to the family.

We did give a 1-liter bolus initial on scene.

He's got a BP of 160 over 90, pulse of 110, respirations are at 40, and our glucose meter

only red high, So, unless you

have any questions, we'll leave you to it. Okay. Thank you.

D.K.A. Diabetic ketoacidosis. If you only remember one thing today, the sugar doesn't matter.

The sugar is not the problem. In fact, the blood sugar is like the least important part of DCA

...