Facep Faems

Author: Joshua Stilley, MD FACEP FAEMS This article was written in collaboration with the National Adrenal Diseases Foundation Background: Adrenal crisis occurs when the adrenal glands are unable to produce enough endogenous steroids under stress. This is often due to primary adrenal insufficiency, also known as Addison’s disease, or secondary causes like chronic exogenous steroid use leading to adrenal suppression.

By Michael J. Carr, MD FACEP FAEMS; and Nathan Stanaway, MS NRP If you’ve worked as part of a team providing EMS in rural areas, you know it is especially challenging, in part because of the longer distances between patients and emergency departments that are best equipped to treat time-sensitive critical conditions like stroke, STEMI, burns, smoke inhalation, poisoning and serious injuries from vehicle accidents.