FAST Session: An Edge Case That Tests the System: Confidently Wrong

In this session, we drop into a high-stakes DKA case where the seemingly obvious next step collides with another profound metabolic derangement, and a decision that feels logical can quickly turn fatal.

We will track the case through the most consequential forks in the road and work through how to act when the usual playbook does not quite fit. Then the spotlight shifts to what might help in an edge case like this: a head-to-head look at what general tools can get confidently wrong, what evidence-grounded systems do better, and why even the best references can go quiet when the patient falls outside protocol.

The finale is a practical message for the field: edge cases are where clinicians get tested, and even in an AI-enabled era, expertise still decides how the story ends.

Speaker: Jean Francois-Couture, MD, CCFP(EM)