EM Cases · Acute kidney injury
Hyperkalaemic AKI — resus station
ACEM Fellowship OSCE resus testing KDIGO framing, calcium-first hyperkalaemia care, nephrotoxin stop, and AEIOU escalation.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Septic oliguric patient with K 6.9, wide QRS, and rising creatinine.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References5ShowHide
- [1]Kellum JA, Lameire N; KDIGO AKI Guideline Work Group. Diagnosis, evaluation, and management of acute kidney injury: a KDIGO summary (Part 1). Critical Care, 2013.PMID 23394211
- [2]Ronco C, Bellomo R, Kellum JA. Acute kidney injury. Lancet, 2019.PMID 31777389
- [3]Geldermann N, Dzimiera J, Fischer H, et al. Acute hyperkalaemia in emergency care: evidence-based approaches Emerg Med J, 2026.PMID 41506858
- [4]Kidney Disease: Improving Global Outcomes (KDIGO) KDIGO 2012 Clinical Practice Guideline for Acute Kidney Injury KDIGO, 2012.Source
- [5]Lindner G, Burdmann EA, Clase CM, et al. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2020.PMID 32852924