Clinical Disclaimer & Senior Involvement

This tool is clinical decision support only — it does not replace clinical judgement. All calculations and protocols must be verified against your local guidelines and current BNF/formulary before use. Drug doses, fluid rates, and electrolyte replacement regimens carry significant risk of harm if applied incorrectly; always confirm with a senior clinician before initiating treatment in any patient with organ dysfunction, complex comorbidities, or an atypical presentation.

🔴 Seek early senior anaesthetic / ITU involvement for: severe or rapidly deteriorating DKA (pH <7.10) · refractory hyperkalaemia (K⁺ >6.5 or ECG changes) · severe hyponatraemia with neurological compromise · haemodynamic instability unresponsive to initial resuscitation · major burns (>15% TBSA) · any patient requiring central venous access, vasopressors, or invasive monitoring · paediatric DKA with any concern for cerebral oedema.

For use by registered medical practitioners only · resusdoc.uk · JBDS 2023 · BSPED 2021 · NICE · UKKA 2020