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Systemic Steroids: An ED Focused Overview

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6 However, due to the vasoconstrictive effects, hydrocortisone may be useful in refractory shock. Corticosteroids in septic shock: a systematic review and network meta-analysis. Corticosteroids in septic shock: a systematic review and network meta-analysis. Published 2017 Mar 28. Published 2017 Oct 12.