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- Toru Hifumi, Nobuaki Kiriu, Hiroshi Kato, Junichi Inoue, and Yuichi Koido.
- Department of Critical Care Medicine and Trauma, National Hospital Organization Disaster Medical Center. hifumitoru@gmail.com
- Am J Emerg Med. 2013 May 1;31(5):892.e1-2.
AbstractManagement of cardiac arrest due to severe diabetic ketoacidosis (DKA) using bicarbonate therapy and extracorporeal life support (ECLS) remains controversial. We report a case of a 24-year-old man with insulin-dependent type 1 diabetes mellitus who survived without any neurologic complications after prolonged ECLS (including fluid resuscitation and insulin but no aggressive bicarbonate) for cardiac arrest due to severe DKA. In post-DKA cardiac arrest, insulin and fluid resuscitation is the mainstay of treatment, but ECLS should be considered when prolonged cardiac arrest is expected.
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