ADRENAL INSUFFICIENCY Office of Emergency Medical Services & Trauma System. About This Presentation.
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Support letter, Dr. W. Reid Litchfield, President, Nevada Chapter of the American Association of Clinical Endocrinologists, 2/12/2009
may result from delays.
It is important to note that you are caring for a patient with multiple issues:
1. The precipitating event (a trauma/illness that may be a critical issue on its own)
2. The evolution towards adrenal crisis, which will result in organ failure/death if not reversed
Trade name: Solu-Cortef
Generic name: hydrocortisone sodium succinate
Class: corticosteroid, Pregnancy Class C
Mechanism: acts to suppress inflammation; replaces absent glucocorticoids, acts to suppress immune response
Pediatric: 2 mg/kg to a max of 100 mg, IV, IM, IO
Dr. Jon Burstein, OEMS staff, and especially:
Deborah Clapp, EMT-P, Program Manager
EMS for Children
MA Dept of Public Health
250 Washington Street 4th floor
Boston MA 02108