FOR EMERGENCIES/EXTREME STRESS SITUATIONS (TO AVOID OR CORRECT ADDISONIAN CRISIS) Conditions which must be treated immediately: • severe injury of any type • blood loss • fluid and/or electrolyte loss • infection • severe vomiting • diarrhea. Treatment protocol prior to Emergency Room arrival: • Give Hydrocortisone 100 mg. IM (intramuscularly) in thigh or gluteus muscle. • Patient then should be immediately admitted to the nearest Emergency Room, where adrenal crisis treatment should begin promptly. • If transportation to emergency medical facility is impossible, treat patient on site as listed below. Protocol for treatment of adrenal crisis in emergency room: 1.) I.V. hydrocortisone. 2.) Administer I.V. isotonic saline. 3.) Continue I.V. hydrocortisone until oral medication is tolerated. For further details, call Dr._______________________________________ Specialty:___________________________ Office Phone:______________________ Emergency Pager or Exchange #:_____________________________ Address_______________________________________________________ City____________________________ State________ Zip______________ Patient Name________________________Home Phone:_________________ Address_________________________________________________________ City_______________________________State____________Zip___________ MEDICAL CONDITIONS MEDICATION DOSAGES Emergency contact #1:_____________________Relationship to patient:______________ Home phone:______________ Work:______________ Cell:_______________ Emergency contact #2:_____________________Relationship to patient:______________ Home phone:______________ Work:______________ Cell:_______________ For more information, contact: National Adrenal Diseases Foundation, 505 Northern Blvd., Great Neck, NY 11021 Phone: (516) 487-4992 E-mail: nadfmail@aol.com Website: www.medhelp.org/nadf