TY - JOUR T1 - Fifteen-minute consultation: Emergency management of children presenting with hyperkalaemia JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed DO - 10.1136/archdischild-2021-322080 SP - edpract-2021-322080 AU - Matthew Rubens AU - Constantinos Kanaris Y1 - 2021/08/03 UR - http://ep.bmj.com/content/early/2021/08/02/archdischild-2021-322080.abstract N2 - Hyperkalaemia can lead to life-threatening cardiac arrhythmias. A good understanding of the physiological basis of management can help us rationalise treatment and reduce plasma potassium levels efficiently and effectively. Management focuses on avoidance of arrythmias, rapid intracellular movement of potassium and finally reduction of total body potassium. Fluid management in hyperkalaemia should be carefully considered, with balanced solutions providing theoretical benefits compared to 0.9% saline in certain situations. ER -