OVERDOSE AND PRE-HOSPITAL CARE

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 382

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شناسه ملی سند علمی:

KAMED13_296

تاریخ نمایه سازی: 10 دی 1398

چکیده مقاله:

Background and Aim : Drug/Substance poisoning does not always happen accidentally. Presence of an addict in a family increases the probability of poisoning. Reporting this experience comes from dealing and interviewing with patients in which I discovered various effects of substances including dependency and suicide. This report is the result of physicians and toxicology specialists observations when they face different challenges in dealing with patients with drug/substance toxicity and get confused due to lack of information in triage process at the first stages of admission. However, this report can be considered as a research action in the early stages, as in this research, the goal of the researcher is improving the issues and removing the challenges at workplace. In case of drug/substance overdose, a series of questions is asked at the emergency department about present illness including time of consumption, type of drug/substance, reason of poisoning (intentional, accidental, overdose, etc.), consumption place and symptoms. Also, questions about the history of addiction and psychological disorders and other underlying illnesses are inquired. In the meantime, shortage of pre-hospital care information is clearly visible; information that shortens the process of triage. Some items should be evaluated and recorded by an emergency medical expert in pre-hospital care, such as: 1-What, when, how much and how (oral-inhaler) the drugs/substances were used 2-Does the patient already have a history of taking this drug/substance or any other drugs /substances before 3-How long was the interval between onset of symptoms and transfer to the hospital 4-Does the Patient Need Oxygen Therapy 5- Are the vital signs and blood sugar checked and recorded 6-Has the patient received an anti-dote treatment during the transfer 7- Are the patients first symptoms and his consciousness level registered at the time of visiting by an emergency medical expert 8- Does the patient have a history of trauma up to 6 hours before consumption (poisoning) 9- Does the patient have gastrointestinal symptoms during this period (from poisoning and onset of symptoms to hospitalization) 10-Does the patients have accompanied toxicity (co- poisoning) 11-Did the medical emergency expert ask the patients family or companion to deliver her or his other medical records (Continued but not uploaded)

نویسندگان

Rokhsareh Meamar

Assistant Professor of Clinical Toxicology Department, Isfahan Clinical Toxicology Research Center, Khorshid Researchers Club, Isfahan University of Medical Sciences, Isfahan, Iran

Shiva Samsamshariat

Assistant Professor of Clinical Toxicology Department, Isfahan Clinical Toxicology Research Center, Khorshid Researchers Club, Isfahan University of Medical Sciences, Isfahan, Iran

Mahsa Akafzadeh

Isfahan Clinical Toxicology Research Center, Khorshid Researchers Club, Isfahan University of Medical Sciences, Isfahan, Iran

Parisa Pourabadei

PhD Student, Department of Psychology, Faculty of Literature and Humanities, Lorestan University, Khorramabad, Iran.