This information has been provided to the AADAI by the state and territory ambulance services.
Please raise any issues you have with your ambulance service.
New South Wales M24 Protocol - Adrenal Insufficiency
Information approved by Executive Director - Clinical Systems Integration – June 2025
Queensland Adrenal Insufficiency Protocol
Information confirmed by Director – Clinical Policy Governance - Sept 2025
SA Ambulance Service - Hydrocortisone
SA Ambulance Service - Adrenal Insufficiency
Information confirmed by Operations Manager, Clinical Services - Nov 2025
WA ambulances currently carry hydrocortisone in every standard ambulance across the metropolitan fleet and with the community paramedics in regional and remote areas.
In Western Australia, a register of AI patients is maintained, and anyone with AI is encouraged to register with St John WA by emailing complexcare@stjohnwa.com.au.
This will be stored, and a notation made against the patient's address giving advanced warning to any crew called out. Any change of address should be notified in the same way so records can be updated.
Complex Care Specialist
St John Ambulance Western Australia Ltd.
Updated June 2025
St John Ambulance NT - Adrenal Insufficiency
Information confirmed by Clinical Service Manager - Sept 2025
ACT Ambulance Protocol - Adrenal Crisis
ACT Ambulance Protocol - Hydrocortisone
Information confirmed by the Ambulance Manager – Clinical Governance Unit - Nov 2025
Adrenal Insufficiency (Paediatric)
All Ambulance Victoria Advanced Life Support (ALS) and MICA ambulances carry hydrocortisone.
Information confirmed by Implementation and Evaluation Specialist - Sept 2025
Ambulance Tasmania does not have a specific Clinical Practice Guideline for Addisonian (Acute Adrenal) Crisis.
They do carry intravenous fluids, glucose, and dexamethasone which can be used in the management of this condition.
Paramedics may obtain a medical consultation with the Retrieval Consultant which can be undertaken via State Operation Centre for guidance on the emergency management of this condition.
If there are specific requirements for a particular patient, an individual care plan can be created in line with the AT procedure for these care plans. This would be undertaken in conjunction with the Regional Training Unit, Director Medical Services, and patient’s physician.
Confirmed by a/Director, Clinical Systems - Oct 2025