[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 8, Number 25 (Summer 2014) ::
IJT 2014, 8(25): 1054-1059 Back to browse issues page
Initial Management of Poisoned Patients in Emergency Medical Services and Non-poisoning Hospitals in Tehran: The Comparison between Expected and Performed Managements
Hossein Hassanian-Moghadam, Mohammad Reza Zarei, Vahid Eslami, Ali Zandieh, Gohar Fakhfouri, Marjan Rasouli *, Patricia Khashayar, Mohammad Reza Rasouli
School of Nursing, Islamic Azad University of Qom, Qom, Iran. , mhr_rasouli@yahoo.com
Abstract:   (2279 Views)
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.
Keywords: Activated Charcoal, Endotracheal Intubation, Gastric Lavage, Iran, Management, Poisoning.
Full-Text [PDF 48 kb]   (944 Downloads)    
Type of Study: Research | Subject: Special
Send email to the article author

Add your comments about this article
Your username or email:

Write the security code in the box >



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hassanian-Moghadam H, Zarei M R, Eslami V, Zandieh A, Fakhfouri G, Rasouli M, et al . Initial Management of Poisoned Patients in Emergency Medical Services and Non-poisoning Hospitals in Tehran: The Comparison between Expected and Performed Managements. IJT. 2014; 8 (25) :1054-1059
URL: http://ijt.arakmu.ac.ir/article-1-324-en.html
Volume 8, Number 25 (Summer 2014) Back to browse issues page
مجله سم شناسی و مسمومیتهای ایران Iranian Journal of Toxicology
Persian site map - English site map - Created in 0.046 seconds with 803 queries by yektaweb 3461