Communication failures blamed for patient's adrenal crisis death

An inquest found that the patient should have been administered emergency hydrocortisone

The death of a man from sepsis during an adrenal crisis has been partly blamed on a communication breakdown between his GP and an endocrinologist over the need for emergency hydrocortisone.

Francis Stewart had originally been diagnosed with hypopituitarism, a result of the radiation therapy he had undergone for a medulloblastoma at the age of two.

He was being treated by an endocrinologist at the Peter MacCallum Cancer Centre, in Melbourne, for thyroid and testosterone deficiencies, during which time his