Role of the Emergency Physician in Treatment of the Poisoned Patient

Guzzardi, Lawrence J.

doi:10.1016/s0272-2712(18)30922-3

Cited by 3 publications

(1 citation statement)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results confirm many of the findings from Yeung and Wong. Both studies show that poisoning accounts for a comparatively small proportion of emergency attendances (0.15%) compared to a figure of 7% in the West 4 . We believe this is due to the numbers of non‐urgent cases attending the department rather than an absolute decrease in cases.…”

Section: Discussionmentioning

confidence: 85%

The changing pattern of self‐poisoning in Hong Kong over nine years

1996

View full text Add to dashboard Cite

Three thousand four hundred and twenty poisoned patients presenting to the Accident & Emergency Department of an inner‐city hospital from July 1985 to June 1994 were studied retrospectively. There was a predominance of females (F:M = 7:3) and young adults (45% aged between 21 years and 30 years). Hypnotics and tranquilisers made up more than half of the agents taken. Most of the patients (57%) poisoned themselves deliberately. The majority of patients had taken a single drug (97%). There was a significant drop in poisoning with Mandrax (methaqualone/diphenhydramine), Lendormin (brotizolam) and aspirin (acetylsalicylic acid) after 1990 while poisoning with narcotic analgesics and hallucinogens increased significantly.

show abstract

Section: Discussionmentioning

confidence: 85%

The changing pattern of self‐poisoning in Hong Kong over nine years

1996

View full text Add to dashboard Cite

show abstract

Endotracheal Intubation in the Pharmaceutical-Poisoned Patient: a Narrative Review of the Literature

et al. 2020

View full text Add to dashboard Cite

Introduction Endotracheal intubation (ETI) is an essential component of the supportive care provided to the critically ill patient with pharmaceutical poisoning; however, specific nuances surrounding intubation including techniques and complications in the context of pharmaceutical poisoning have not been well elucidated. Discussion A search of the available literature on ETI in pharmaceutical-poisoned patients was undertaken using Medline, ERIC, Cochrane database, and PsycINFO using the following MeSH and keyword terms: ("toxicology" OR "poisons" OR "drug overdose" OR "poisoning") AND ("intubation, intratracheal" OR "intubation, endotracheal" OR "airway management" OR "respiration, artificial"). A hand-search was also performed when the literature in the above search required additional conceptual clarification, including using the "Similar Articles" feature of PubMed, along with reviewing articles' reference lists that discussed intubation in the context of a poisoning scenario. Articles with any discussion around the ETI process in the context of a pharmaceutical poisoning were then included. Intubation may be performed in patients poisoned with pharmaceuticals in the context of both single and multiple organ dysfunction including central and peripheral nervous system, pulmonary, or cardiovascular toxicity with hemodynamic instability, or localized effects resulting in mechanical airway obstruction. Certain classes of poisonings may require modifications to the standard rapid sequence induction airway management algorithm. Conclusions ETI is a key component of the supportive care provided to the patient poisoned by a pharmaceutical agent. Clinicians should be aware of the spectrum of toxicities that can necessitate intubation, as well as airway management nuances that are specific to various poisoning presentations.

show abstract