Initial Management of Poisoned Patients in Emergency Medical Services and Non-poisoning Hospitals in Tehran: The Comparison between Expected and Performed Managements

Iranian Journal of Toxicology

卷:8

Hossein Hassanian-Moghadam¹  Gohar Fakhfouri²  Patricia Khashayar³  Marjan Rasouli⁴  Ali Zandieh⁵  Mohammad Reza Rasouli⁵  Mohammad Reza Zarei⁵  Vahid Eslami⁵ 

[1] Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.;

[2] Department of Pharmacology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.;

[3] Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.;

[4] School of Nursing, Islamic Azad University of Qom, Qom, Iran.- *Corresponding Author:E-mail: [e-mail];

[5] Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.;

关键词: Activated Charcoal;    Endotracheal Intubation;    Gastric Lavage;    Iran;    Management;    Poisoning.;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: There is no clear data on the adherence of emergency medical services (EMS) paramedics and hospital staff rather than those working in poisoning centers to the guidelines for managing acutely poisoned patients in developing countries.Methods: During a 6-month period, all EMS-managed poisoned patients along with those initially managed in a non-poisoning center before being referred to a poisoning hospital in Tehran, Iran, were instructed. Then the indications for administrating the activated charcoal (AC) as well as performing gastric lavage (GL) and tracheal intubation were studied and compared to the recommended guidelines.Results: A total of 3347 cases, including 1859 males (55.6%), were evaluated. There were significant differences between expected and performed endotracheal intubations in both EMS and other medical centers (P-value = 0.002 and 0.001, respectively) as well as the administration of GL and AC in other medical centers (P-values= 0.003 and 0.03, respectively). Conclusion: More extensive educational programs should be established to improve the preliminary management of poisoned patients performed by EMS paramedics and staff of hospitals other than poisoning centers.

【 授权许可】

Unknown