Sex-based differences in timely emergency department evaluations for patients with drug poisoning

Public Health ◽  
2021 ◽  
Vol 199 ◽  
pp. 57-64
Author(s):  
R. Lopez ◽  
M. Snair ◽  
S. Arrigain ◽  
J.D. Schold ◽  
F. Hustey ◽  
...  
Keyword(s):  
Emergency Department ◽  
Drug Poisoning

A prospective study of acute poisonings in Finnish hospital patients

1998 ◽  
Vol 17 (6) ◽  
pp. 307-311 ◽  
Author(s):  
Outi Lapatto-Reiniluoto ◽  
Kari T Kivistö ◽  
Sinikka Pohjola-Sintonen ◽  
Kimmo Luomanmäki ◽  
Pertti J Neuvonen
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Activated Charcoal ◽  
Clinical Status ◽  
Gastric Lavage ◽  
Great Majority ◽  
Acute Poisoning ◽  
Drug Poisoning ◽  
Psychotropic Agents ◽  
A Prospective Study

1 We have carried out a prospective study of all adult patients presenting with acute poisoning during one month to the Helsinki University Central Hospital (Meilahti Hospital). 2 Two hundred and twenty-six cases of acute poisoning (113 males and 113 females) presented to the emergency department. Most cases in both men (66%) and women (67%) involved alcohol. As to drugs, psychotropic agents predominated in both men and women. The frequency of patient presentation peaked between 7 p.m. and 9 p.m. and was lowest between 8 a.m. and 10 a.m. In most cases, the delay from ingestion of the poison to presentation was longer than 4h. 3 The clinical status of the patients on arrival was generally good; more than half (55%) of them were fully awake. Serious symptoms (e.g. unconsciousness, insufficient respiration necessitating intubation, aspiration, convulsions or hypotension) occurred in 15% of the presentations. There were no fatalities. 4 One hundred and thirty-five patients (60%) received at least one 50-g dose of activated charcoal. However, charcoal was given in 86% of the cases of drug poisoning. Gastric lavage was performed in 112 cases (50%), and 106 cases (47%) involved both gastric lavage and administration of charcoal. Twenty-one patients received antidotes (flumazenil, calcium gluconate or naloxone) and three patients were hemodialysed. 5 Of the 226 cases, 142 (63%) were managed solely in the emergency department. Of the 84 cases admitted to the hospital, eight had to be managed in the intensive care unit. Almost all patients (94%) were discharged within 24 h. 6 In this survey on 226 consecutive cases of acute poisoning, about two-thirds of the cases involved alcohol, while the most common drugs taken were psychotropic agents. The poisoning was mild in the great majority of the cases. Activated charcoal was generally administered in all but trivial cases of drug poisoning.

Change in profile of acute self drug-poisonings over a 10–year period

2004 ◽  
Vol 23 (11) ◽  
pp. 507-511 ◽  
Author(s):  
Frédérik Staikowsky ◽  
Florence Theil ◽  
Paule Mercadier ◽  
Séebastien Candella ◽  
Jean Pierre Benais
Keyword(s):  
Public Health ◽  
Emergency Department ◽  
Serotonin Reuptake ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Emergency Department Visits ◽  
Serotonin Reuptake Inhibitors ◽  
Selective Serotonin ◽  
Drug Poisoning ◽  
One Year

All acute, deliberate, drug-poisoning-related emergency department visits over two periods of one year, 1992-1993 (P1) and 2001-2002 (P2), were reviewed to investigate trends in substances used for acute self drug-poisonings over a 10-year period. For P1 and P2 respectively, 804 and 830 episodes of acute self drug-poisonings were compared. For the two studied periods, psycholeptic drugs predominated (78 and 77%); however, benzodiazepines declined (67 to 55%; P <0.01) and antidepressants in-creased (9.5 to 15%; P <0.01). Moreover, the type of antidepressant changed markedly with a decrease of the imipraminic antidepressants (48.4 to 10.7%) and an increase of selective serotonin reuptake inhibitors (31.2 to 74%). The proportion of benzodiazepine-related drugs increased with time (7.9 to 14.1%). The proportion of analgesics was 5.4% for P1 and 7.3% for P2; paracetamol, alone or associated to other compounds, remained the most incriminated. Nevertheless, opioids were more often mentioned during the later period (11.6 to 24.5%). The trend of the different pharmacological families used in acute self drug-poisonings is not fundamentally different over a 10-year period. However, there are some qualitative modifications, which are important for readjusting the emergency physician's toxicological knowledge and public health actions.

scholarly journals Access in New Zealand to antidotes for accidental and intentional drug poisonings

2012 ◽  
Vol 4 (2) ◽  
pp. 100 ◽  
Author(s):  
Victoria Abbott ◽  
Michaela Creighton ◽  
Janelle Hannam ◽  
Timothy Vincent ◽  
Carolyn Coulter
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
New Zealand ◽  
Health Professionals ◽  
Rare Event ◽  
Morbidity And Mortality ◽  
Common Reason ◽  
Drug Poisoning ◽  
Prior Use ◽  
Hospital Pharmacies

INTRODUCTION: Access to antidotes for the treatment of drug poisonings can impact on morbidity and mortality. Treatment for drug poisonings usually occurs at the nearest emergency department; however, health professionals working in primary care are often the first point of contact for patients. As New Zealand has a small, diffuse population, and poisonings are a rare event, it can be difficult to anticipate what antidotes are required. AIM: The aim of the study was to determine what antidotes are frequently used and stocked in hospital pharmacies. METHODS: A survey was sent out to all 25 hospital pharmacies, excluding private and satellite hospitals. The survey contained questions about the stocking, and prior use, of over 30 antidotes. Also included were open-ended questions asking about reasons for not stocking antidotes and procedures for procuring antidotes in an emergency. RESULTS: Twenty out of 25 hospital pharmacies completed the survey. Most hospital pharmacies were found to stock large quantities of commonly used antidotes and low quantities of uncommonly used antidotes—but in sufficient quantity to treat one to two patients. A low number of poisonings was the most common reason cited for not stocking antidotes, followed by high cost. Most hospitals had clear guidelines for procuring and lending antidotes in an emergency. DISCUSSION: New Zealand hospital pharmacies stock adequate quantities of most antidotes, including antidotes that are expensive and rarely required, but which may be needed urgently. Hospital pharmacies also have clear procurement procedures for obtaining other antidotes in an emergency. KEYWORDS: Antidote stocking; access to antidotes; drug poisoning

The Evaluation of Patients Admitted to the Emergency Department with Non-Benzodiazepine Antiepileptic Drug Poisoning

2013 ◽  
Vol 12 (4) ◽  
pp. 199-204
Author(s):  
Yildiray Celenk ◽  
Celal Kati ◽  
Latif Duran ◽  
Hizir Ufuk Akdemir ◽  
Kemal Balci
Keyword(s):  
Emergency Department ◽  
Antiepileptic Drug ◽  
Drug Poisoning

scholarly journals Analysis of Influencing Factors of Acute Medication Poisoning in Adults in Emergency Department of Our Hospital from 2016 to 2019 and Observation of Curative Effect of Optimizing Emergency Procedures

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Wen Bian ◽  
Na Zhu ◽  
Dong Han ◽  
Fang Gu ◽  
Yiqian Hu
Keyword(s):  
Emergency Department ◽  
Influencing Factors ◽  
Side Effect ◽  
Education Level ◽  
Curative Effect ◽  
Drug Poisoning ◽  
Emergency Procedures ◽  
Medication Side Effect ◽  
Acute Medication ◽  
Medication Side

Objective. This study analyzed the influencing factors of acute medication poisoning in adults in the emergency department of our hospital from January 2016 to December 2019 and observed the curative effect of optimizing emergency procedures on adult acute medication poisoning. Our results showed that, among all acute drug poisoning patients, the most common poisoning drug was sleeping pills (24.22%), followed by painkillers (20.31%) and antipsychotics (16.41%). Education level, drug category, drug source, drug dosage, unknown drug composition, and medication side effect were all influencing factors of acute drug poisoning. High school education level or below, self-purchasing medicine, medication overdose, unknown drug composition, and medication side effect were the risk factors of acute medication poisoning. In addition, after the nursing management of optimizing emergency procedures for this type of patients, the rescue time, observation time, and hospital stay of the patients had been shortened, the incidence of complications was low, the rescue success rate was high, and the clinical application effect was good.

scholarly journals Endoscopic removal of slow release oxycodone tablets in a case of voluntary acute poisoning

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Sossio Serra ◽  
Stefano Geniere Nigra
Keyword(s):  
Emergency Department ◽  
Slow Release ◽  
Gastric Lavage ◽  
Acute Poisoning ◽  
Endoscopic Removal ◽  
Drug Poisoning ◽  
Drug Ingestion

We describe a case of 83-years-old women admitted to the Emergency Department after massive ingestion of slow release Oxycodone pills for suicidal purpose. After gastric lavage only few tablets has been retrieved and Naloxone infusion was necessary. After 2 hours from drug ingestion Esophagogastroduodenoscopy (EGDS) was performed and a number of tablets have been removed. Intoxication symptoms completely resolved and Naloxone infusion has been stopped. The clinical courses of this intoxication suggest that the utility of EGDS to remove tablets should be considered in selected cases of drug poisoning.

Sign in / Sign up

Export Citation Format

Share Document