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Adrenal crisis – pre-hospital — RACP Paediatrics MCQ

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ModerateEndocrineAdrenal crisis – pre-hospitalRACP Paediatrics

A child with known adrenal insufficiency is found collapsed at home by parents. He is unresponsive and hypoglycaemic. Parents have an emergency hydrocortisone kit. Paramedics are en route. What should parents administer immediately?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — IM hydrocortisone 100 mg

In an emergency situation where IV access is unavailable, IM hydrocortisone should be administered immediately by trained parents. All families of children with adrenal insufficiency should have an emergency hydrocortisone injection kit and be trained in its use. This is lifesaving and should not be delayed awaiting paramedics.

Reference: RCH Melbourne – 2023 – Adrenal Crisis CPG; RACP Paediatric Curriculum – Endocrine