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Treatment of hyperkalaemia in the emergency department
  1. Stewart McMorran
  1. Department of Accident and Emergency Medicine, Northampton General Hospital
  1. Correspondence to: Dr McMorran, Milton Keynes General Hospital, Standing Way, Milton Keynes, Buckinghamshire MK6 5LD (stewart.mcmorran{at}btinternet.com)

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Editor,—I congratulate Dr Ahee and Dr Crowe on their excellent article on the treatment of hyperkalaemia in the emergency department.1 I have one query. The authors advocate the use of calcium gluconate 10% for its stabilising influence on the myocardium. The Resuscitation Council (UK) however, recommend that calcium chloride 10% be used in the treatment of electromechanical dissociation attributable to hyperkalaemia. I am under the impression that calcium chloride is preferable to calcium gluconate in the treatment of hyperkalaemia on account of its greater bioavailability.

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