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Vol. 14, Art. 59 (pp. 736-749)    |    2013       

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A prospective study of pre-hospital treatment and risks in adult acute poisonings

1,2Kraeva Yu.V., 1Brusin K.M., 2Bushuev A.V., 3Kondrashov D.L., 1Sentsov V.G., 4Hovda K.E.

1Ural State Medical Academy. 2Ambulance Station. 3Regional forensic department. Yekaterinburg, Russia.
4The Norwegian NBC Center, Department of Acute Medicine, Oslo University Hospital Ullevaal, Oslo, Norway

Brief summary

Background and methods: This was a prospective cross-sectional study of all cases adult (aged 16 and older) acute poisonings in Yekaterinburg. The main goal was to evaluate the safety of the main pre-hospital treatment procedures of poisoned patients. Results: Among the patients with reduced consciousness, 27.5% were lavaged without securing of airways, of whom 3% developed pneumonia. Further, 85.3% of the patients were lavaged after more than one hour after intake of the toxic agent. One third of the patients were given IV fluids without indications, whereas 1% did not get IV infusion in spite of hypotension; among the patients with a respiratory depression, 2% of patients were brought to hospital without treatment. This study revealed the necessity of precise guidelines for pre-hospital treatment of poisoned patients.


Key words

Acute poisoning, ambulance treatment, gastric lavage, antidote.

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