Improving the pre-hospital safety of steroid-dependent patients in northern England: a hospital-initiated ambulance service registration pathway

Abstract

Acute adrenal crisis is a life-threatening medical emergency requiring immediate recognition and treatment. Among individuals with primary adrenal insufficiency it has a frequency of 6–8 per 100 patient-years¹. Unfortunately, delays in diagnosis and management of acute adrenal crisis are commonplace – even in patients with documented steroid-dependency – constituting an avoidable source of patient harm.

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