 |
Pomegranate HealthAuthor: the Royal Australasian College of Physicians
Pomegranate Health is a podcast about the culture of medicine. You'll hear insights from clinicians, researchers, and advocates as they tackle important questions like how to make difficult clinical and ethical decisions without being influenced by bias, how to communicate better with patients and colleagues, and how to provide healthcare thats both efficient and fair.If you're a Fellow of the RACP, time spent listening can be counted toward your CPD hours. And if you're a Basic Physician Trainee, the [Case Report] series can help you prepare for your long case clinical exams.This is also the home of [IMJ On-Air], featuring authors from the Internal Medicine Journal sharing their latest research. The [Journal Club] episodes give RACP researchers a space to talk through their work published in other academic journals. And for Basic Trainees, the [Case Report] series can help you prepare for your long case clinical exams.Find out more at the website www.racp.edu.au/podcast and get in touch via the address podcast@racp.edu.au Language: en Genres: Health & Fitness, Medicine Contact email: Get it Feed URL: Get it iTunes ID: Get it |
Listen Now...
[IMJ On-Air] DKA and insulin infusion protocols
Episode 136
Wednesday, 3 September, 2025
Diabetic ketoacidosis can be life-threatening but there’s some variability in the way it’s managed between health settings. Intervention involves intravenous insulin administration, hydration, electrolyte replacement and treatment of the underlying precipitant. In a survey of practitioners from 31 different hospitals in Australia there was an even split between those organisations which followed a fixed rate insulin infusion protocol, usually based on bodyweight, or a variable rate infusion protocol, titrated against blood glucose concentration. Three quarters of survey respondents had worked at another hospital that had different DKA management protocols raising concerns about the cognitive load on junior health staff moving between institutions. In Europe there has been some normalisation towards fixed rate protocols, despite there being no good quality evidence for superiority. In this podcast we hear some theories from two of the authors of the study published recently in the Internal Medicine Journal.12:40 SGLT2 inhbitor-associated ketoacidosis17:26 The cognitive burden of variation across settings25:11 the challenges of researching this questionsGuestsDr Lisa Raven FRACP PhD (St Vincent's Hospital, Sydney)Dr Mahesh Umapathysivam FRACP DPhil (Southern Adelaide Diabetes and Endocrine Service; Royal Adelaide Hospital) Guest HostDr Mervyn Kyi FRACP PhD (Royal Melbourne Hospital; Northern Hospital)ProductionProduced by Dr Mervyn Kyi and Mic Cavazzini DPhil. Music licenced from Epidemic Sound ‘Tree Tops’ by Autohacker and ‘Fugent’ by Lupus Nocte. Image created and copyrighted by RACP. Editorial feedback kindly provided by RACP physicians Aidan Tan, Hugh Murray, Stephen Bacchi and Aafreen Khalid. Key Reference“Heterogeneity in the management of diabetic ketoacidosis in Australia: a national survey” [IMJ. 2025]Please visit the Pomegranate Health web page for a transcript and supporting references.Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health’ in Apple Podcasts, Spotify,Castbox or any podcasting app.
