Category: Trauma
Keywords: Trauma, adrenal crisis, steroids, refractory hypotension. (PubMed Search)
Posted: 10/20/2024 by Robert Flint, MD
(Updated: 10/31/2024)
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This article serves as a reminder that trauma can and will precipitate adrenal insufficiency and crisis in those trauma patients who are on steroids pre-injury. Look for prednisone or hydrocortisone as well as autoimmune or rheumatologic diseases on pre-injury medication list and history. Consider the diagnosis in trauma patients with refractory hypotension not responsive to vasopressors. Replacement therapy with hydrocortisone is the therapy.
Volume 62, Issue 6, November–December 2005, Pages 633-637
Brian R. Beeman MD ?, Thomas J. Veverka MD †, Phillip Lambert MD ‡, Dennis M. Boysen Md