en Treatment Quality in Patients Poisoned With Tricyclic Antidepressants Admitted in Emergency Ward of Vali-E-Asr Hospital, Arak, Iran from March 2003 to May 2005 عمومى General پژوهشي Research <span style="font-weight: bold">Introduction: </span>Regarding the high rate of depression in our society, using anti-depressive drugs especially tricycle antidepressants (TCAs) is increasing and poisoning by these agents has become more common than other drugs. Due to its incident and dire complications we decided to study the treatment quality in poisoned patients with TCAss admitted in emergency ward of Arak,s Vali-e-Asr Hospital during March 2003 to May 2005. <br><span style="font-weight: bold">Material and methods:</span> In this cross-sectional study, all patients poisoned by TCAs were admitted in emergency ward of Arak,s Vali-e-Asr Hospital. We assessed treatment modalities of them base on database questionnaire. <br> <span style="font-weight: bold">Result: </span>112 patients (66 females and 46 males) entered the study. Concerning the severity of poisoning at the time of arrival to the hospital, 13 were healthy without any signs of intoxication, 64 had low poisoning, 21 had moderate poisoning and 14 cases presented with severe poisoning. Gastric lavage were performed for 49 cases, charcoal was prescribed for 85, ipecac syrup for 36, chest physiotherapy for 1 person and I/O checking for 35 cases. <br><span style="font-weight: bold">Conclusion:</span> As for primary managements, routine procedures (serial ABG, ECG, heart monitoring and admitting in ICU) were done for most patients. In 32.1% of patients, ipecac syrup was prescribed nevertheless, it is contraindication for these patients and it was a serious mismanagement in their treatment. In total, we discovered that treatment modalities were not acceptable and preventive procedures were insufficient nonetheless, the mortality rate in this study was less than the rate of global statistics. Treatment Quality, Tricycle Antidepressant Drugs, Poisoning Treatment Quality, Tricycle Antidepressant Drugs, Poisoning 4 4 http://ijt.arakmu.ac.ir/browse.php?a_code=A-10-2-54&slc_lang=en&sid=1 Hassan Solhi صلحی solhi2@yahoo.com 10031947532846003374 10031947532846003374 Yes Forensic Medicine Department, Arak University of Medical Sciences, Arak, Iran Forensic Medicine Department, Arak University of Medical Sciences, Arak, Iran A Fany فانی 10031947532846003375 10031947532846003375 No Internal Department, Arak University of Medical Sciences Arak, Iran Internal Department, Arak University of Medical Sciences Arak, Iran A Ghafouri غفوری 10031947532846003376 10031947532846003376 No General Physician, Arak University of Medical Sciences, Arak, Iran General Physician, Arak University of Medical Sciences, Arak, Iran A Gholamnejad غلام نژاد 10031947532846003377 10031947532846003377 No Neurology Department, Arak University of Medical Sciences, Arak, Iran Neurology Department, Arak University of Medical Sciences, Arak, Iran SH Pazoki پازوکی 10031947532846003378 10031947532846003378 No Anesthesiology Department, Arak University of Medical Sciences, Arak, Iran Anesthesiology Department, Arak University of Medical Sciences, Arak, Iran