In this randomized trial of patients with multiple trauma, those given IV stress dose steroids (via continuous infusion for a week) were significantly less likely to develop hospital acquired pneumonia than those given placebo (36% vs 51%), as well as hyponatremia and ventilator days, with no significant difference in overall mortality. Continuous stress dose steroids may be beneficial in patients with multiple trauma (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.