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Adrenal Insufficiency and Emergency Care

Adrenal Insufficiency and Emergency Care AIU is a grassroots group of affected adults and family members bridging the gap between Health Professionals and those living with Adrenal Insufficiency throu

Dedicated to all those suffering from the affects of Adrenal Insufficiency. Please help us honor them by reading and sharing this publication. Creating awareness and promoting knowledge will ensure th

SO MANY TESTS...... While on vacation my two year old son became ill. He was lethargic, refusing food and drink, had a mild fever, and diarrhea. He was tested for strep, which was negative. That eveni

After a few days my sons kidneys began to function, he became more active, and his blood counts began to improve. One evening a doctor came in and said I believe he is going to make it now. That is th

IM TOO YOUNG TO DIE My name is Caitlin and I was diagnosed with Central Adrenal Insufficiency on October 31, 2011. I had lived a symptom free life until my Gastric Bypass on June 22, 2011. After my by

Maine has a protocol for Adrenal Insufficiency, but without awareness the protocol does no good. Read Morgans story to see why. Morgan had an adrenal crisis in October 2011. He pulled into a convenien

PLEASE, JUST HELP OUR SON My daughter gave birth to a premature baby that she could not care for and my husband and I adopted him. Owen was diagnosed with Congenital Adrenal hyperplasia and we were tr

NO ONE WOULD GIVE THE INJECTION When my daughter was four years old she was very sick and went into an Adrenal Crisis. She had been vomiting and was unable to keep down her oral medicat

Adrenal Clinic Prof Peter Hindmarsh

A SCARY AMBULANCE RIDE One day, when my son Alex was two, he walked into the bathroom, turned white as a sheet, and fell to the floor. I scooped up his limp body, carried him to his changing table, an

A DIFFICULT DIAGNOSIS Since my son has numerous medical issues, it took forever to diagnose his adrenal insufficiency. The first signs showed up when he began a chemo treatment. On day two of the cycl

THANKS FOR LISTENING June 19, 2008 was one of the worst days of my life. My four year old went into adrenal crisis while at his preschool. He had been a little grumpy that morning, but by the time the

BETTER SAFE THAN SORRY It was her bedtime when my three year old daughter and walked into the living room and said Mommy, Daddy I dont feel good she spit up a little but had no temperature. We laid h

I DIDNT HAVE TIME TO WAIT I went into a crisis in January 2010. I was home alone and called my sister who is a nurse. She could tell by the confused way I was talking that I needed to go to the hospit

MY JOURNEY My experience learning to live with Addisons began with my first crisis in 1982. I passed out on the bathroom floor, my three year old found me and woke my husband. I was taken to the ER an

THE CAR ACCIDENT When my daughter was seven, our family was in a car accident. Since my daughter has Adrenal Insufficiency I was immediately worried. While we waited for paramedics to come get us out

THE BIG ONE The Big One, as my mom and I refer to it, was BAD. I was 24 years old and had been having a rash of staph infections for the previous 2 months. The oral meds were not enough. The infection

Thanks to the Office of the Medical Director of The AusitnTravis County EMS System, Austin, Texas for allowing the use of this sample protocol from their system.

Thanks to the Western Regional Emergency Advisory Committee for allowing the use of this sample protocol.

Thanks to the Bureau of Emergency Medical Services of New Hampshire for allowing the use of their sample protocol.

Thanks to the Lamar Fire and Ambulance Service in Lamar, Colorado for allowing the use of their sample protocol. Continues on the next page.

Protocol continued from Lamar Fire and Ambulance Service in Lamar, Las Vegas 3500 S. Las Vegas Blvd. Suite M3 Las Vegas, NV 89109 P 7027926888 Web Phone 702.293.6885 bootleg, 70

Thanks to the State of Maine EMS Department of Public Safety, in Augusta, Maine for allowing the use of their sample protocol. This protocol continues on the next page.

State of Maine EMS Department of Public Safety

The following 15 pages have been taken from a presentation created by MA EMS for Children. They have given AIU permission to reformat and use their information for our publication. AIU has added photo

Adrenal Anatomy Physiology The adrenals are endocrine organs that sit on top of each kidney Each adrenal gland has two parts 1. Adrenal Medulla inner area Secretes catecholamines which mediate stres

The Essential Steroids Cortisol a.k.a. hydrocortisone A glucocorticoid, frequently referred to as the stress hormone Released in response to physiological or psychological stress Examples exercise

Why we need cortisol Cortisol has a necessary effect on the vascular system blood vessels, heart and liver during episodes of physiologic stress. Vascular Reactivity In adrenallyinsufficient individu

Endocrinologist Testimony... ...In adrenal insufficiency, because of the inability to produce glucocorticoids and often mineralocorticoids from the adrenal glands, there is a risk of lifethreatening h

Who has adrenal insufficiency Anyone whose adrenal glands have stopped producing steroids as a result of Longterm administration of steroids Pituitary gland problems, including growth hormone defici

Why Adrenal glands tend to get lazy when steroids are regularly administered by mouth, I.M. injection or I.V. infusion. To illustrate how quickly...Just 4 weeks of daily oral cortisone administration

Primary Adrenal Insufficiency Addisons Disease The adrenal glands are damaged and cannot produce sufficient steroid. 80 of the time, damage is caused by an autoimmune response that destroys the adren

Presentation of Adrenal Crisis The patient may present with any illness or injury as the precipitating event. A patient history of adrenal insufficiency warrants a careful assessment under specific

Clearly, the signssymptoms of adrenal crisis are similar to other serious shocktype presentations. For these patients, standard shock management requires supplementation with corticosteroid medicati

MA EMS Protocol Updates This phrase has been added to Paramedic Standing Orders in certain ADULT treatment protocols For patients with confirmed adrenal insufficiency, give hydrocortisone 100 mg IV, I

Please define Confirmed Adrenal Insufficiency Confirmation of a pediatric patients condition is determined by the presence of a medicalert braceletnecklace, OR by the child, parent or care provider ve

Profile SoluCortef Trade name SoluCortef Generic name hydrocortisone sodium succinate Class corticosteroid, Pregnancy Class C Mechanism acts to suppress inflammation replaces absent glucocorticoids,

Using ActOVial SoluCortef and SoluMedrol Press down on plastic activator to force diluent into the lower compartment. Gently agitate to effect solution. Remove plastic tab covering center of stopper.

SoluMedrol Generic methylpredisolone sodium succinate Trade SoluMedrol Class steroid Pregnancy Class C Indications Ma EMS Protocol replacement of absent corticosteroid in identified adrenallyinsuffic

MA EMS gives their Heartfelt Appreciation...... is extended to the many people whose hard work helped make these protocol changes possible, including Alex Dubois and son James MA CAH family advocate

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Adrenal Insufficiency United and our AI Family thanks you for taking the time to read our book. Please share it We believe awareness is the key to keeping our loved ones with AI safe. If you are a hea