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Individuals with Addison's can quickly deteriorate through illness, accident or surgery into adrenal crisis and require emergency treatment or hospitalisation. This section provides guidance, developed by the ADSHG Clinical Advisory Panel (ACAP), to inform and advise both individuals and health professionals.

11 articles in this category

  1. For medical professionals

    The ADSHG is unique in bringing together patients with Addison’s disease and leading medical specialists who have a specific interest in adrenal medicine. Registering to receive ADSHG MedicNews update emails will help keep you as a medic abreast of the very latest information and medical guidance relating to the condition.

    • 4,299 views
  2. Clinical guidance publications have been developed by the ADSHG Clinical Advisory Panel to inform and advise healthcare professions. These publications are available as free downloads or can be purchased as a pack by patients and health professionals or as a bulk outpatient department pack. Read them here...

    • 1,167 views
  3. Each year, around one in ten steroid-dependent patients will experience symptoms approaching adrenal crisis, and one in twelve will present to Accident & Emergency for medical treatment. Vomiting is the single biggest factor contributing to adrenal crisis, present in around 80% of cases. Vomiting in a steroid-dependent patient should always be regarded as a medical emergency. This article outlines the core responsibilities of A & E personnel in recognising and responding to adrenal emergencies.

    • 1,410 views
  4. The paramedic first responder and ambulance personnel play a vital role in ensuring any Addison's patient at risk of adrenal crisis is assessed quickly and treated immediately in order to avoid potentially life-changing or fatal outcomes. On this page, paramedics will find a collection of our resources which may be of use to them in identifying and treating adrenal crises.

    • 1,363 views
  5. The ADSHG surgical guidelines offer illustrative guidance for major and minor dental procedures. It is important to recognise the physical stress of any invasive dental procedure and to ensure that adequate glucocorticoid cover is provided for steroid-dependent patients.

    • 1,248 views
  6. The GP's role is an important one for the early identification and diagnosis of Addison's disease as well as the ongoing patient care for those with the condition. Guidance information for GPs is available for diagnosing and caring for the person with Addison's and this is produced by the ADSHG Clinical Advisory Panel.

    • 1,201 views
  7. The ADSHG surgical guidelines offer illustrative guidance for major and minor surgery procedures with information of relevance to both surgeons and anaesthetists who are treating steroid-dependent patients. It is important to recognise the physical stress of any invasive surgical procedure and to ensure that adequate glucocorticoid cover is provided throughout.

    • 1,136 views
  8. Endocrinologists play a key role in ensuring the correct diagnosis and ongoing treatment of people with adrenal insufficiency. The ADSHG works with leading endocrinologists in the field of adrenal medicine through our Addison’s Clinical Advisory Panel to produce clinical guidelines, write medical commentaries and review our publications to ensure they are accurate and up to date with the latest medical knowledge.

     

    • 1,549 views
  9. The ADSHG gets regular approaches from researchers seeking assistance in recruiting participants for clinical trials, longitudinal or prospective studies and other forms of medical research.

    • 1,052 views
  10. In 2005, the ADSHG and the Pituitary Foundation wrote a joint letter to the Joint Royal Colleges Ambulance Liaison Committee (JRCALC) of the Royal College of Physicians requesting an improvement to our emergency treatment when severely ill with an adrenal crisis. Responding to our request, new JRCALC guidelines were introduced in 2006, to allow paramedics to give injected hydrocortisone. This is the story of a paramedic from Torbay who recently met a very ill man and dealt with an adrenal crisis for the first time. It illustrates how the JRCALC guidelines on adrenal emergencies were implemented in the South West.

    • 74 views
  11. The Addison’s Disease Self-Help Group, with the support and guidance of its Clinical Advisory Panel, publishes free education materials for people with Addison's regarding the treatment and management of Addison's. Read them here...

    • 957 views
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The Addison’s Disease Self-Help Group is the support group for people with Addison’s disease or adrenal insufficiency and their families in the UK and Ireland.The group was formed in 1984 and is a UK registered charity no. 1106791.

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