title: [Bases of medical treatment of acute poisonings].
abstract: The measures of the physician who is first in charge of the case often decisive for the course of the intoxication. Severe intoxication with disturbance of the vital functions immediately demand the removal of the acute danger to life. The effectivity of the detoxication treatment following the elementary therapy increases with the degree of exactness of the diagnosis. Therefore, already at the place of establishment the differential diagnostics of the cause of intoxication begins. To this belongs the asservation of poisons. In certain intoxications the detoxication is a constituent of the elementary therapy. Since only few antidotes are known the dominant factor of the detoxication treatment is above all in the unspecific detoxication treatment is above all in the unspecific detoxication. Its most important means are the prevention of the enteral resorption as well as forced renal elimination and dialysis. Experiences with barbiturate intoxications only with restriction are to be transmitted to other medicaments. Aslo among the groups of the barbiturates, the barbiturate-free sleeping drugs, the psychopharmaca, analgetics and others certain medicaments distinguish themseleves by characteristic effects which must be taken into consideration during treatment. Indication and differential indication of forced diuresis, haemodialysis and peritoneal dialysis are last not least determined by individual conditions and reactions on the part of the patient, concomitant diseases and complications. Taking into consideration the fact that a schematisation in detail is not to be proposed it is tried to derive and to prove recommendations for the medical action in acute intoxications.
mesh_terms: D000208:Acute Disease; D006801:Humans; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy*; D006435:Renal Dialysis; D012121:Respiration, Artificial; D012769:Shock / Q000209:etiology; D013406:Suicide, Attempted
vernacular_title: Grundsätze des ärztlichen Handelns bei akuten Vergiftungen