Iranian Journal of Toxicology
مجله سم شناسی و مسمومیتهای ایران
IJT
Medical Sciences
http://ijt.arakmu.ac.ir
1
admin
2008-2967
2251-9459
8
10.61186/ijt
14
8888
13
en
jalali
1393
3
1
gregorian
2014
6
1
8
25
online
1
fulltext
en
Initial Management of Poisoned Patients in Emergency Medical Services and Non-poisoning Hospitals in Tehran: The Comparison between Expected and Performed Managements
Initial Management of Poisoned Patients in Emergency Medical Services and Non-poisoning Hospitals in Tehran: The Comparison between Expected and Performed Managements
تخصصي
Special
پژوهشي
Research
<div align="left"><b>Background:</b> 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.
<br><b>Methods:</b> 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.
<br><b>Results: </b>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).
<br><b>Conclusion:</b> 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.
</div>
Activated Charcoal, Endotracheal Intubation, Gastric Lavage, Iran, Management, Poisoning.
Activated Charcoal, Endotracheal Intubation, Gastric Lavage, Iran, Management, Poisoning.
1054
1059
http://ijt.arakmu.ac.ir/browse.php?a_code=A-10-2-160&slc_lang=en&sid=1
Hossein
Hassanian-Moghadam
حسین
حسنیان مقدم
10031947532846003060
10031947532846003060
No
Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Reza
Zarei
محمدرضا
زارعی
10031947532846003061
10031947532846003061
No
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Vahid
Eslami
وحید
اسلامی
10031947532846003062
10031947532846003062
No
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Ali
Zandieh
علی
زندیه
10031947532846003063
10031947532846003063
No
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Gohar
Fakhfouri
گوهر
فخفوری
10031947532846003064
10031947532846003064
No
Department of Pharmacology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Pharmacology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Marjan
Rasouli
مرجان
رسولی
mhr_rasouli@yahoo.com
10031947532846003065
10031947532846003065
Yes
School of Nursing, Islamic Azad University of Qom, Qom, Iran.
School of Nursing, Islamic Azad University of Qom, Qom, Iran.
Patricia
Khashayar
پاتریشیا
خشایار
10031947532846003066
10031947532846003066
No
Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Reza
Rasouli
محمدرضا
رسولی
10031947532846003067
10031947532846003067
No
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.