EM Cases · Electrolyte emergencies — potassium and sodium
Hyperkalaemic cardiotoxicity — resus ladder station
ACEM Fellowship OSCE resus station testing calcium-first hyperkalaemia care with full ladder doses and safe sodium correction principles.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A dialysis-delayed patient with a sine-wave-threatening ECG and a second patient scenario cue about hyponatraemic seizure correction limits.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References2ShowHide
- [1]Geldermann N, Dzimiera J, Fischer H, et al. Acute hyperkalaemia in emergency care: evidence-based approaches. Emergency Medicine Journal, 2026.PMID 41506858
- [2]Lemoine L, Le Bastard Q, Batard E, et al. An evidence-based narrative review of the emergency department management of acute hyperkalaemia. The Journal of Emergency Medicine, 2021.PMID 33423833