HHS: follow the whole trajectory
Educational use only. Not clinically reviewed74-year-old woman for HHS correction and reassessment rehearsal. About 8 simulated minutes.
What you will practise
- Confirm qualified metabolic, resuscitation, renal, cardiac, and monitoring support.
- Connect glucose, sodium, osmolality, ketones, perfusion, cognition, and the whole person.
- Recognize hyperosmolar illness without glucose-, sodium-, or ketone-only closure.
- Review qualified cautious correction, monitoring, and harm-prevention boundaries.
- Review the fixed 4-hour qualified-team report.
- Hand off osmolality, cognition, fluid, electrolyte, precipitant, and outcome risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Umpierrez GE, Davis GM, ElSayed NA, et al. Hyperglycaemic crises in adults with diabetes: a consensus report. Diabetologia. 2024;67:1455-1479. doi:10.1007/s00125-024-06183-8.
- Mustafa OG, Haq M, Dashora U, Castro E, Dhatariya KK. Management of Hyperosmolar Hyperglycaemic State (HHS) in Adults: An updated guideline from the Joint British Diabetes Societies (JBDS) for Inpatient Care Group. Diabetic Medicine. 2023;40:e15005. doi:10.1111/dme.15005.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.