A patient has been extricated from a vehicle after a prolonged entrapment (2 hours). His right leg was trapped. Prior to extrication, the team commenc...

Question

A patient has been extricated from a vehicle after a prolonged entrapment (2 hours). His right leg was trapped. Prior to extrication, the team commenced IV fluids and cardiac monitoring. Upon release, the patient's cardiac monitor shows tall peaked T-waves and widened QRS complexes. What immediate treatment is required?

Accepted Answer

Calcium chloride 10% 10 mL IV immediately to stabilise the myocardium against hyperkalaemia

Answer

IV sodium bicarbonate 50 mL of 8.4%

Answer

Insulin 10 units with 25 mL of 50% glucose IV

Answer

IV fluids only

Answer

Nebulised salbutamol 10 mg

uk-dipimc MCQ (SBA): Post-Extrication Hyperkalaemia