title: Survival following massive arsenic ingestion.
abstract: A case of a 30-year-old man who ingested a massive quantity of arsenic (approximately 2,150 mg) in an apparent suicide attempt is presented. Aggressive initial therapy, including fluid resuscitation, chelation therapy, and hemodialysis, resulted in the patient's survival. The successful management of arsenic intoxication requires both prompt recognition and the initiation of specific and aggressive therapeutic modalities.
authors.affiliation: Division of Emergency Medicine, University Hospital of Jacksonville/University of Florida Colleges of Medicine and Pharmacy.
authors.forename: F M
authors.initials: FM
authors.lastname: Fesmire
authors.forename: J L
authors.initials: JL
authors.lastname: Schauben
authors.forename: R J
authors.initials: RJ
authors.lastname: Roberge
mesh_terms: D000328:Adult; D001151:Arsenic / Q000652:urine; D020261:Arsenic Poisoning; D004112:Dimercaprol / Q000627:therapeutic use; D004630:Emergencies; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D009270:Naloxone / Q000627:therapeutic use; D010396:Penicillamine / Q000627:therapeutic use; D006435:Renal Dialysis; D013406:Suicide, Attempted
chemical_list: D004112:Dimercaprol; D009270:Naloxone; D010396:Penicillamine; D001151:Arsenic