Hypercalcemic crisis: restore volume, bridge the delay
Educational use only. Not clinically reviewed61-year-old woman for Tailored volume support, short bridge treatment, reassessment, and continuing-care handoff. About 240 simulated minutes.
What you will practise
- Restore depleted volume while respecting cardiac and renal risk.
- Use a short calcitonin bridge while longer-acting treatment is arranged.
- Review supplied cardiorenal findings before selecting an antiresorptive pathway.
- Distinguish volume response from calcium response using fresh observations.
- Hand off persistent severe hypercalcemia and ongoing cancer-directed care.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Walsh J, Gittoes N, Selby P, Society for Endocrinology Clinical Committee. Emergency management of acute hypercalcaemia in adult patients. Endocrine Connections. 2016;5:G9–G11. doi:10.1530/EC-16-0055.
- El-Hajj Fuleihan G et al. Treatment of Hypercalcemia of Malignancy in Adults: An Endocrine Society Clinical Practice Guideline. 2023. Recommendations 1–3 and Tables 1–2. doi:10.1210/clinem/dgac621.
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.