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Báo cáo y học: "Emergency management and resuscitation of poisoned patients: perspectives from "down under"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Emergency management and resuscitation of poisoned patients: perspectives from "down under" | Scandinavian Journal of Trauma Resuscitation and Emergency Medicine BioMed Central Commentary Emergency management and resuscitation of poisoned patients perspectives from down under Mark Little1 2 Open Access Address 1Royal Perth Hospital Welllington St Perth Western Australia Australia and 2University of Western Australia Crawley WA 6009 Perth Australia Email Mark Little - mark.little@health.wa.gov.au Published 23 August 2009 Received 8 July 2009 Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2009 17 36 doi 10.1 186 1757-7241-17-36 Accepted 23 August 2009 This article is available from http www.sjtrem.cOm content 17 1 36 2009 Little licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Introduction Deliberate self poisoning DSP is a common presentation to an emergency department ED being an acute medical exacerbation of a chronic psychosocial disorder 1 . At Sir Charles Gairdner Hospital SCGH in Perth Western Australia DSP and intoxication accounts for 4.6 of all ED presentations 2 the Austin Hospital in Melbourne reported 650 presentations per year 2 of their ED presentations 3 . In the UK Kappur estimated an annual rate of presentation to a UK hospital of 310 100000 population and estimated 170 000 presentations to EDs in the UK 4 . One American study estimated an annual rate of ED presentation of self harm in 7 - 24 years old at 225.3 per 100 000 population 5 . With such a caseload it is important that there is a structured process to the management and disposition of cases as Boyle and her colleagues have described in their review article on the management of the critically poisoned patient 6 . As Boyle discussed resuscitation is an essential part of the management of the poisoned patient and often this