Comprehensive analysis of adrenal crisis management: Emergency and paramedic interventions in acute endocrine emergencies

https://doi.org/10.53730/ijls.v8nS1.15478

Authors

  • Yasmeen Alhumaidi Jado Alanazi Ministry of National Guard Health Affairs
  • Mokhld Sanhat Alotaibi Ministry of National Guard Health Affairs
  • ‏Aljazi Awadh AlAnizi Ministry of National Guard Health Affairs
  • Nuri Rawafa Alanzi Ministry of National Guard Health Affairs
  • Layla Aqeel Alanizi Ministry of National Guard Health Affairs
  • Ishraq Hassan Almasoudi Ministry of National Guard Health Affairs
  • Khalid Moaed Alqahtani Ministry of National Guard Health Affairs
  • Alaa Ali Alshehri Ministry of National Guard Health Affairs
  • Naif Saad Abdullah Alqahtani Ministry of National Guard Health Affairs
  • Fouad Hamed Saeed Alamri Ministry of National Guard Health Affairs
  • Mohanad Emad K Elyas Ministry of National Guard Health Affairs
  • Mohammad Raja Aljehani Ministry of National Guard Health Affairs
  • Mohammed Menwer Alruwaili Ministry of National Guard Health Affairs
  • Abdul Rahman Saleh Muhammad Al-Nami Ministry of National Guard Health Affairs
  • Saif Sultan Alsahli Ministry of National Guard Health Affairs
  • Jumanah Mmed Al Suliman Ministry of National Guard Health Affairs
  • Nadyah Khalaf Safi Alanazi Ministry of National Guard Health Affairs
  • Mutlaq Gatar N Alruwas Ministry of National Guard Health Affairs

Keywords:

adrenal crisis, addisonian crisis, paramedic interventions, emergency medical services, glucocorticoids, hydrocortisone, prehospital care, endocrine emergencies

Abstract

Background: Adrenal crisis, also known as Addisonian crisis, is a life-threatening emergency caused by acute adrenal insufficiency, which can result from various factors including autoimmune adrenalitis, infections, physical trauma, and sudden discontinuation of glucocorticoid treatment. The condition is associated with significant mortality rates and rapid clinical deterioration if not promptly treated. Early recognition and immediate intervention are essential for improving patient outcomes. This article explores the management of adrenal crisis in emergency medical settings, focusing on paramedic interventions. Aim: This study aims to provide a comprehensive analysis of the clinical management of adrenal crisis, with a particular focus on the role of paramedics and emergency medical services (EMS) in early intervention and patient stabilization. Methods: A review of current literature on adrenal crisis was conducted, with emphasis on the pathophysiology, precipitating factors, clinical features, and emergency management strategies. Key interventions by paramedics, including fluid resuscitation, administration of hydrocortisone, and supportive care, were examined. Results: The study found that prompt administration of parenteral glucocorticoids, particularly hydrocortisone, significantly improves survival rates. Paramedics play a crucial role in early diagnosis, stabilization, and rapid transportation to healthcare facilities. 

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References

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Published

2024-01-15

How to Cite

Jado Alanazi, Y. A., Alotaibi, M. S., AlAnizi, ‏Aljazi A., Alanzi, N. . R., Alanizi, L. A., Almasoudi, I. H., Alqahtani, K. M., Alshehri, A. A., Abdullah Alqahtani, N. S., Saeed Alamri, F. H., K Elyas, M. E., Aljehani, M. R., Alruwaili, M. M., Muhammad Al-Nami, A. R. S., Alsahli, S. S., Al Suliman, J. . M., Safi Alanazi, N. K., & N Alruwas, M. G. (2024). Comprehensive analysis of adrenal crisis management: Emergency and paramedic interventions in acute endocrine emergencies. International Journal of Life Sciences, 8(S1), 1–20. https://doi.org/10.53730/ijls.v8nS1.15478

Issue

Vol. 8 No. S1 (2024)

Section

Research Articles
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