Improving the prehospital safety of steroid-dependent patients in northern England: A hospital-initiated ambulance service registration pathway

Acute adrenal crisis is a life-threatening medical emergency requiring immediate recognition and treatment. Among individuals with primary adrenal insufficiency it has a frequency of 6–8 per 100 patient-years1. Unfortunately, delays in diagnosis and management of acute adrenal crisis are commonplace – even in patients with documented steroid-dependency – constituting an avoidable source of patient harm.This article is protected by copyright. All rights reserved.