The Resus Room
Simon Laing, Rob Fenwick & James Yates
Categories: Health
Listen to the last episode:
In this episode we’re going to be running through adrenal presentations; both Adrenal insufficiency and Adrenal Crisis. There are some parts of these that aren’t completely understood and a lack of a universal definition of Adrenal Crisis, but both insufficiency and a crisis are similar problems at different points on a spectrum and solid understanding of the endocrinology and physiology can really help to improve care in this area. There is huge potential for improving current morbidity and mortality.
We’ll run through both primary and central adrenal insufficiency, describe how this leads to different effects on mineralocorticoids and glucocorticoids and the signs and symptoms that will occurs as a result.
Many of the patients presenting to the department will be unknown to have adrenal insufficiency and we’ll run through those who are at higher risk, including a huge group due to ongoing medication, who may be those on steroid doses much lower than you would previously have considered as significant.
NICE published their most recent guidance on Adrenal Insufficiency in August this year and we’ll be referring to a lot of this as we run through the episode.
We’ll finish up looking at the critical presentation of Adrenal Crisis and the emergency and ongoing management, along with how we support patients with insufficiency to prevent a crisis occurring.
Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
Simon, Rob & James
Previous episodes
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247 - Adrenal Crisis; Roadside to Resus Tue, 15 Oct 2024 - 0h
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246 - October 2024; papers of the month Tue, 01 Oct 2024 - 0h
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245 - Pulmonary Embolism; Roadside to Resus Mon, 16 Sep 2024
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244 - September 2024; papers of the month Sun, 01 Sep 2024 - 0h
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243 - August 2024; papers of the month Thu, 01 Aug 2024 - 0h
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242 - Acute Kidney Injury; Roadside to Resus Tue, 16 Jul 2024 - 0h
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241 - July 2024; papers of the month Mon, 01 Jul 2024 - 0h
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240 - Major Incident Triage; Roadside to Resus Tue, 18 Jun 2024 - 0h
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239 - June 2024; papers of the month Sat, 01 Jun 2024 - 0h
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238 - Cardiac Arrest, Start With The End In Mind; Roadside to Resus Wed, 15 May 2024 - 0h
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237 - May 2024; papers of the month Wed, 01 May 2024 - 0h
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236 - Cauda Equina Syndrome; Roadside to Resus Mon, 15 Apr 2024 - 0h
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235 - April 2024; papers of the month Mon, 01 Apr 2024 - 0h
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234 - End Tidal CO2; Roadside to Resus Thu, 14 Mar 2024 - 0h
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233 - March 2024; papers of the month Fri, 01 Mar 2024 - 0h
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232 - Refractory VF; Roadside to Resus Wed, 14 Feb 2024 - 0h
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231 - February 2024; papers of the month Thu, 01 Feb 2024 - 0h
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230 - Paediatric Fever; Roadside to Resus Mon, 15 Jan 2024 - 0h
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229 - January 2024; papers of the month Mon, 01 Jan 2024 - 0h
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228 - Caring in a Broken System; Roadside to Resus Thu, 14 Dec 2023 - 0h
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227 - December 2023; papers of the month Fri, 01 Dec 2023 - 0h
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226 - Blood gases; Roadside to Resus Wed, 15 Nov 2023 - 0h
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225 - November 2023; papers of the month Wed, 01 Nov 2023 - 0h
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224 - Spontaneous Pneumothorax; Roadside to Resus Mon, 16 Oct 2023 - 0h
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223 - October 2023; papers of the month Sun, 01 Oct 2023 - 0h
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222 - End of Life Care; Roadside to Resus Tue, 19 Sep 2023
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221 - ACPIC 2023; conference episode Fri, 15 Sep 2023 - 0h
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220 - September 2023; papers of the month Fri, 01 Sep 2023 - 0h
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219 - August 2023; papers of the month Tue, 01 Aug 2023 - 0h
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218 - Trauma Primary Survey; Roadside to Resus Fri, 14 Jul 2023 - 0h
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217 - July 2023; papers of the month Sat, 01 Jul 2023 - 0h
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216 - Traumatic Pneumothorax; Roadside to Resus Wed, 14 Jun 2023 - 0h
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215 - June 2023; papers of the month Thu, 01 Jun 2023 - 0h
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214 - Head Injury Updates; Roadside to Resus Thu, 18 May 2023 - 0h
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213 - May 2023; papers of the month Mon, 01 May 2023 - 0h
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212 - Can't Intubate Can't Oxygenate; Roadside to Resus Mon, 17 Apr 2023 - 0h
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211 - April 2023; papers of the month Sat, 01 Apr 2023 - 0h
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210 - Neck of Femur Fractures; Roadside to Resus Thu, 16 Mar 2023
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209 - March 2023; papers of the month Wed, 01 Mar 2023 - 0h
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208 - Crush; Roadside to Resus Mon, 20 Feb 2023 - 0h
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207 - February 2023; papers of the month Wed, 01 Feb 2023 - 0h
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206 - COPD; Roadside to Resus Mon, 16 Jan 2023
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205 - January 2023; papers of the month Sun, 01 Jan 2023 - 0h
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204 - Pacing; Roadside to Resus Fri, 16 Dec 2022 - 0h
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203 - December 2022; papers of the month Thu, 01 Dec 2022 - 0h
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202 - Acute Behavioural Disturbance; Roadside to Resus Fri, 18 Nov 2022
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201 - November 2022; papers of the month Tue, 01 Nov 2022 - 0h
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200 - Bradycardia; Roadside to Resus Mon, 17 Oct 2022 - 0h
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199 - October 2022; papers of the month Sat, 01 Oct 2022 - 0h
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198 - Extrication; Roadside to Resus Thu, 15 Sep 2022