Anticipate, monitor and correct:

  • Hypoglycaemia
  • Acidosis
  • Hypokalaemia
  • Hypomagnesaemia
  • Hypocalcaemia
  • Anaemia
  • Coagulopathy
  • Raised ICP

A single retrospective study has suggested potential risk factors for death in the management of IMD to include [28]:

  • The absence of specialist paediatric care in the emergency department
  • Inadequate fluid resuscitation
  • The absence of consultant supervision within the first 24 hours
  • Failure to recognise disease severity, progression, or complications
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