Steroid

  • PTSD (prevention after acute trauma)

    Dosing

    Hydrocortisone 20mg 1 po bid x 10 days #20

    Management

    Prevents PTSD if given within 12 hours of trauma for 10 day course. Also consider propranolol post-trauma.

    EMR Text

    Trauma

    Hydrocortisone use based on randomized controlled trials where it prevented PTSD after acute trauma (Kothgassner OD et al, Psychoneuroendocrinology. 2021;126:105168).

    Hydrocortisone side effects reviewed with patient.

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