In suspected adrenal crisis, which action should be performed first?

• A. Lay casualty flat
• B. Call 999
• C. Carry out BLS if necessary
• D. Administer oxygen

Answer: (B)

In a suspected adrenal crisis, the top priority is to get urgent medical help because this is a life-threatening emergency that requires rapid professional treatment (such as IV fluids and steroids) that only trained responders can provide. The quickest way to access that care is to call emergency services right away.

While you wait for the ambulance, you can act to support the person if needed—for example, start basic life support if the person isn’t breathing or is unresponsive, and lay them flat to help circulation. If oxygen is available and the person is short of breath or hypoxic, provide it. But these supportive steps should come after you’ve activated emergency services.