Adrenal Crisis-Congenital Adrenal Hyperplasia (CAH)

From Guide to YKHC Medical Practices

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Pediatric Critical Care Guide


Acute adrenal crisis presents as vomiting, diarrhea, dehydration, hypotension and shock. Crisis can be precipitated by illness, trauma and hyperthermia.

  • If you get a call on a pediatric patient with CAH who is in crisis, find out if the caretakers have a dose of IM Solucortef for emergencies and give this ASAP.
  • Make arrangements for medevac.
  • If the patient has no emergency solucortef available, you can give dexamethasone from the village formulary

General Information about CAH