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dc.contributor.authorBaines, Andy
dc.date.accessioned2019-10-10T07:02:29Z
dc.date.available2019-10-10T07:02:29Z
dc.date.issued2015-04
dc.identifier.citationBaines, A., 2015. Adrenal insufficiency: improving paramedic practice. Journal of Paramedic Practice, 7 (4), 192-200.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2015.7.4.192
dc.identifier.urihttp://hdl.handle.net/20.500.12417/304
dc.description.abstractAbstract published with permission. Acute adrenal insufficiency, which includes Addisonian crisis, can lead to severe morbidity and even death if ineffectively managed. Unfortunately in the pre-hospital setting patients with acute adrenal insufficiency often receive sub-optimal care. The early administration of hydrocortisone in these cases is critical and significantly improves outcomes to the extent it can be life saving. Such therapy is part of current paramedic practice; however, there is evidence that hydrocortisone is rarely used in the pre-hospital setting. Ultimately, patients with acute adrenal insufficiency may currently be sub-optimally managed by paramedics. To combat this, this article will define the current optimal practice in this area and explain how an e-learning package will be used within North West Ambulance Service NHS Trust to educate paramedics in best practice in this area.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectAddison's Diseaseen_US
dc.subjectAdrenal Insufficiencyen_US
dc.subjectHydrocortisoneen_US
dc.subjectParamedic Practiceen_US
dc.titleAdrenal insufficiency: improving paramedic practiceen_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
dcterms.dateAccepted2019-09-18
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-09-18
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2015-04
html.description.abstractAbstract published with permission. Acute adrenal insufficiency, which includes Addisonian crisis, can lead to severe morbidity and even death if ineffectively managed. Unfortunately in the pre-hospital setting patients with acute adrenal insufficiency often receive sub-optimal care. The early administration of hydrocortisone in these cases is critical and significantly improves outcomes to the extent it can be life saving. Such therapy is part of current paramedic practice; however, there is evidence that hydrocortisone is rarely used in the pre-hospital setting. Ultimately, patients with acute adrenal insufficiency may currently be sub-optimally managed by paramedics. To combat this, this article will define the current optimal practice in this area and explain how an e-learning package will be used within North West Ambulance Service NHS Trust to educate paramedics in best practice in this area.en_US


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