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Most publications are free to download or can be purchased in a hospital pack from the online shop. You can help support the charity and development of new publications for those with Addison's disease by making a donation now.
Emergencies & hospitalisation
Emergency medical card, hospital stickers, surgical and nursing guidelines and ambulance briefing pack .
9 files
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ADSHG adrenal crisis guidelines
By ACAP
The ADSHG adrenal crisis guidelines give emergency medical treatment guidance for ambulance or hospital staff in the event of a person with Addison's experiencing an adrenal crisis. These guidelines should be signed by your GP or specialist, to verify your condition.
This leaflet has moved to our new website:
https://www.addisonsdisease.org.uk/Pages/Category/publications
In addition to the adrenal crisis guidelines, you can also purchase the same emergency instructions in a handy credit card sized concertina wallet card from our shop ADSHG emergency wallet card
Foreign language crisis guidelines
For those who live outside the UK or are travelling abroad, the ADSHG adrenal crisis guidelines have been translated into a number of different language versions by native-speaking clinicians. We would like to thank all those involved in the translations for their assistance.
View our full range of translated guidelines:
https://www.addisonsdisease.org.uk/travelling
13,395 downloads
Updated
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ADSHG surgical guidelines
By ACAP
The ADSHG surgical guidelines are intended for the information of your medical team or your dentist and have been developed for the ADSHG by our Clinical Advisory Panel.
Download our surgical guidelines
They explain what level of extra medication and monitoring you will need in the event of most types of surgery or dental work. If you are having elective surgery in hospital, for example a hip operation, it would be sensible to give your surgeon and anaesthetist a copy of the guidelines well in advance of your surgery date. It is also advisable to take the guidelines with you when you go in to hospital and discuss them with your nursing staff, so that they are aware of the post-operative care you need.
These guidelines:
a. List the ten main types of surgical procedure, each requiring a different level of steroid cover
b. Specify the glucocorticoid medication and post-operative treatment requirements for each type of procedure in an easy-to-read table
c. Bring together the most up-to-date endocrine knowledge on cortisol replacement in the steroid-dependent patient
d. Reflect a prudent level of steroid cover that can safely be administered by non-endocrinologists.
These guidelines apply to all individuals who are steroid-dependent, so they are relevant to people with hypopituitarism as well as Addison's.
The leaflet is © ADSHG May 2017. It may be copied for personal use or by medical practitioners for the education of their patients. Otherwise it should not be reproduced without written permission of the ADSHG.
19,147 downloads
- medics
- hospital folder
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Updated
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ADSHG medical history form
By ADSHG
The medical summary form is an easy way to record the medications you are currently taking as an aide-mémoire and as a guide for medical professionals, when my medical records are unavailable and your medications need to be known.
Download the Medical Summary
The leaflet is © ADSHG March 2017. It may be copied for personal use or by medical practitioners for the education of their patients. Otherwise it should not be reproduced without written permission of the ADSHG
657 downloads
Updated
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ADSHG ambulance briefing pack
By ADSHG
Addison's disease is a rare condition and ambulance crews, such as emergency care assistants & paramedics, may only ever see a few patients with the condition. This briefing pack details the nature of adrenal emergencies and the ambulance crew's role in handling them.
The ambulance briefing pack covers the following information
Ambulance crew's role in pre‐hospital care Timelines for adrenal crisis Patient profiles Trigger factors for adrenal crisis Location for adrenal crisis onset & patient preparedness Causation “Hard case” scenario “Simple case” scenario Patient feedback Resources
The publication is © ADSHG May 2016. It may be copied for personal use or by medical practitioners for the education of their patients. Otherwise it should not be reproduced without written permission of the ADSHG
2,522 downloads
Updated
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ADSHG drugs chart steroid alert stickers
By ACAP
The ADSHG drugs chart steroid alert stickers are intended for people with Addison's to take with them for day case and inpatient surgical procedures to alert nursing and medical staff to their steroid-dependence and their time-critical need for steroid medication when unwell.
Download hospital sticker
Pre-printed copies of the drugs chart steroid alert stickers are also available for purchase from our shop ADSHG drugs chart steroid alert stickers.
1,239 downloads
- medics
- hospital folder
- (and 1 more)
Updated
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Nursing the Addison’s patient: notes for nurses
By ACAP
'Nursing the Addison's patient: notes for nurses' was written with hospital ward nursing staff in mind, for those times when anyone with Addison's becomes an inpatient. This might be for elective surgery or during the recovery from an adrenal crisis.
This leaflet has been authored by the Addison's Clinical Advisory Panel, with assistance from specialist endocrine nurse Nikki Kieffer.
The ADSHG's enquiries during 2012 suggest that over half of the UK’s nursing colleges do not yet cover steroid-dependence in their undergraduate curriculum. This means that many ward nurses will have no understanding of the importance of steroid medication or how quickly anyone with Addison's could experience the damaging effects of steroid deprivation, especially during the recovery from surgery or a crisis.
The leaflet is © ADSHG March 2013. It may be copied for personal use or by medical practitioners for the education of their colleagues. Otherwise it should not be reproduced without written permission of the ADSHG.
3,492 downloads
Updated
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Solu-Cortef emergency inject instructions
By ACAP
Solu-Cortef© emergency injection: illustrated instructions
View, download and print our injection leaflets
The ADSHG emergency injection instructions are supplied as part of the emergency injection kits and refill packs in our online shop.
The leaflet is © ADSHG March 2013. It may be copied for personal use or by medical practitioners for the education of their patients. Otherwise it should not be reproduced without written permission of the ADSHG.
2,796 downloads
Updated
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Hydrocortisone emergency inject instructions
By ACAP
Hydrocortisone emergency injection: illustrated instructions
This leaflet details how to give an emergency injection of hydrocortisone sodium phosphate (liquid hydrocortisone). The ADSHG emergency injection instructions are supplied as part of the emergency injection kits and refill packs in our shop.
View, download and print our emergency injection leaflets
The leaflet is ©ADSHG March 2015. It may be copied for personal use or by medical practitioners for the education of their patients. Otherwise it should not be reproduced without written permission of the ADSHG.
2,158 downloads
Updated
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Solu-Cortef the Act-o-Vial inject instructions
By ACAP
Solu-Cortef© the Act-o-Vial© emergency injection: illustrated instructions.
View, download or print our injection instructions
The Act-o-Vial is not available in the UK as the product distributed in Europe contains a banned additive, benzyl alcohol. However, it is now the standard form of injectable hydrocortisone sodium succinate distributed by Pfizer, the licence holder, in North America, Austalasia and mainland Europe. The product distributed in North America does not contain benzyl alcohol and some private clinics are importing this formulation to the UK. We publish these photo instructions on our website, for the benefit of our overseas members or anyone who has obtained a private prescription for an Act-o-Vial within the UK.
Please note that the ADSHG does not issue paper copies of the Act-o-Vial instructions with the injection kits on sale in the ADSHG web Shop.
The leaflet is ©ADSHG November 2015. It may be copied for personal use or by medical practitioners for the education of their patients. Otherwise it should not be reproduced without written permission of the ADSHG.
1,462 downloads
Updated