Emergency departmant management of poisined patients İntoksikasyon Olgularina Acil Yaklaşim
SENDROM, cilt.14, sa.4, ss.99-106, 2002 (Scopus)
- Yayın Türü: Makale / Kısa Makale
- Cilt numarası: 14 Sayı: 4
- Basım Tarihi: 2002
- Dergi Adı: SENDROM
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.99-106
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A poisoning is an event where a living organism is exposed to a chemical that adversely affects the functioning of that organism. The exposure to the toxin may be occupational environmental, recreational or medicinal. A poisoning may result from varied portals of entry, including inhalation, insufflation, ingestion cutaneus and mucous membrane exposure, and injection. Toxic exposures commonly occur, for example, when substances tasted or swallowed. Toxins may be in the form of gas or vapours or in a suspension such as dust. Caustics, vasicant, or irritants may affect the skin. A toxin may enter the body transdermally and affect internal structures. Parenteral exposure is also common through intravenous or subcutaneous injection of medications or drugs of abuse. They are, overall, about 4 to 5 million cases of poisoning per year in the United States. About 2 million exposures are reported each year to the American Association of Poison Centres Toxic Exposure Surveillance System (APPCTEES). Many cases of recognised poisoning go unreported and many cases of poisoning are never reported. Occupational and medical examiner data often unreported. In 1996, there were 2.155952 toxic exposures reported to poison centres in the United States. Emergency Department management of poisoned patients; the first priorities are always the ABCs. Once the airway and respiratory status is secured, abnormalities of blood pressure pulse temperature, and oxygen saturation must be corrected. Although the proper use of antidotes is essential in the treatment of poisoned patients, only in very rare incidence would the administration of an antidote take precedence over completing the primary evaluation and normal attempts to stabilise the ABCs?