A pre-hospital clinician is performing a primary survey on a trauma patient. During the exposure phase, they note a medical alert bracelet stating 'Ad...

Question

A pre-hospital clinician is performing a primary survey on a trauma patient. During the exposure phase, they note a medical alert bracelet stating 'Addison's disease - steroid dependent'. The patient is haemodynamically unstable with hypotension refractory to IV fluids. What must be considered?

Accepted Answer

The patient may have adrenal insufficiency contributing to the refractory hypotension - IV hydrocortisone 100 mg should be administered as an adjunct to fluid resuscitation

Answer

IV steroids will worsen the haemodynamic instability

Answer

Addison's disease has no relevance to trauma management

Answer

Only oral steroids are appropriate for Addison's disease

Answer

The medical alert bracelet is irrelevant to the primary survey

uk-dipimc MCQ (SBA): Addison's Disease in Trauma

A pre-hospital clinician is performing a primary survey on a trauma patient. During the exposure phase, they note a medical alert bracelet stating 'Addison's disease - steroid dependent'. The patient is haemodynamically unstable with hypotension refractory to IV fluids. What must be considered?