Department of Emergency Medicine

UMEM Educational Pearls

Category: Pediatrics

Title: Cerebral Edema in Pediatric DKA

Posted: 10/14/2011 by Rose Chasm, MD (Updated: 4/25/2024)
Click here to contact Rose Chasm, MD

  • 0.3-1.5% of all pediatric DKA cases
  • 21-24% mortality rate
  • usually at 4-12 hours after therapy starts
  • risk factors:  <5years old, new onset diagnosis, increased BUN at presentation, severity of acidosis at presentation, bicarbonate use
  • have low threshold to diagnose and treat:  don't wait to treat for the CT!

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