Emergency department observation for toxicologic exposures

被引:10
作者
Lemke, T [1 ]
Wang, R [1 ]
机构
[1] Brown Univ, Sch Med, Dept Emergency Med, Providence, RI 02912 USA
关键词
D O I
10.1016/S0733-8627(05)70173-5
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Most toxicologic exposures resolve within 24 hours, yet catastrophic outcomes may occur if patients are directly discharged from the emergency department (ED). These cases are, perhaps, the ideal candidates far observation unit (OU) management. This article reviews the criteria for admission and discharge as well as clinical management strategies in the OU for the most common toxicologic exposures. Special attention is given to the multidisciplinary interactions among the ED physician, the medical toxicologist, the physiatrist, and the specialty laboratory.
引用
收藏
页码:155 / +
页数:14
相关论文
共 51 条
[41]   ACETAMINOPHEN OVERDOSE - A 48-HOUR INTRAVENOUS N-ACETYLCYSTEINE TREATMENT PROTOCOL [J].
SMILKSTEIN, MJ ;
BRONSTEIN, AC ;
LINDEN, C ;
AUGENSTEIN, WL ;
KULIG, KW ;
RUMACK, BH .
ANNALS OF EMERGENCY MEDICINE, 1991, 20 (10) :1058-1063
[42]  
SPRINGER DJ, 1980, CAN MED ASSOC J, V122, P1032
[43]   PROPOXYPHENE-INDUCED WIDE QRS COMPLEX DYSRHYTHMIA RESPONSIVE TO SODIUM-BICARBONATE - A CASE-REPORT [J].
STORK, CM ;
REDD, JT ;
FINE, K ;
HOFFMAN, RS .
JOURNAL OF TOXICOLOGY-CLINICAL TOXICOLOGY, 1995, 33 (02) :179-183
[44]   ACUTE AND CHRONIC EFFECTS OF ASPIRIN TOXICITY AND THEIR TREATMENT [J].
TEMPLE, AR .
ARCHIVES OF INTERNAL MEDICINE, 1981, 141 :364-369
[45]   WHOLE BOWEL IRRIGATION AS A DECONTAMINATION PROCEDURE AFTER ACUTE DRUG OVERDOSE [J].
TENENBEIN, M ;
COHEN, S ;
SITAR, DS .
ARCHIVES OF INTERNAL MEDICINE, 1987, 147 (05) :905-907
[46]  
TOKARSKI G F, 1988, Journal of Emergency Medicine, V6, P121, DOI 10.1016/0736-4679(88)90151-5
[47]   DIGITAL HYDROFLUORIC-ACID BURNS - TREATMENT WITH INTRAARTERIAL CALCIUM INFUSION [J].
VANCE, MV ;
CURRY, SC ;
KUNKEL, DB ;
RYAN, PJ ;
RUGGERI, SB .
ANNALS OF EMERGENCY MEDICINE, 1986, 15 (08) :890-896
[48]   HISTOPATHOLOGY OF COCAINE HEPATOTOXICITY - REPORT OF 4 PATIENTS [J].
WANLESS, IR ;
DORE, S ;
GOPINATH, N ;
TAN, J ;
CAMERON, R ;
HEATHCOTE, EJ ;
BLENDIS, LM ;
LEVY, G .
GASTROENTEROLOGY, 1990, 98 (02) :497-501
[49]   SURVEY OF 500 CALLERS TO A NATIONAL COCAINE HELPLINE [J].
WASHTON, AM ;
GOLD, MS ;
POTTASH, ALC .
PSYCHOSOMATICS, 1984, 25 (10) :771-775
[50]   Use of flumazenil in the treatment of drug overdose: A double-blind and open clinical study in 110 patients [J].
Weinbroum, A ;
Rudick, V ;
Sorkine, P ;
Nevo, Y ;
Halpern, P ;
Geller, E ;
Niv, D .
CRITICAL CARE MEDICINE, 1996, 24 (02) :199-206