The endocrine response to critical illness: update and implications for emergency medicine.
This review will provide an updated overview of the neuroendocrine response to critical illness. Specifically, the current evidence for "stress steroid" administration will be examined, as well as interventional glucose control during critical illness. The emergency physician will also find relevance in the alterations of thyroid hormones that occur in the face of severe illness or trauma.
Gibson
Scott C
SC
MSU-KCMS EM, 1000 Oakland Drive, Kalamazoo, MI 49008, USA. sgibsons@bronsonhg.org
Hartman
David A
DA
Schenck
Jason M
JM
D000305:Adrenal Cortex Hormones / Q000172:deficiency / Q000502:physiology / Q000627:therapeutic use; D000368:Aged; D016638:Critical Illness / Q000145:classification / Q000628:therapy; D004635:Emergency Medicine; D005260:Female; D013006:Growth Hormone / Q000378:metabolism / Q000502:physiology*; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism / Q000502:physiology*; D008297:Male; D009490:Neurosecretory Systems / Q000378:metabolism / Q000502:physiology*; D013972:Thyrotropin / Q000378:metabolism / Q000502:physiology
D000305:Adrenal Cortex Hormones; D013972:Thyrotropin; D013006:Growth Hormone; D006854:Hydrocortisone