title: [Implications of concomitant therapy with psychotropic drugs in emergency care. Discussion of current literature with reference to a case report].
abstract: This case report deals with an acute psychotic suicidal patient who stabbed two nail-scissors straight into his eyes. The extent of the trauma was unknown primarily during emergency treatment, and an intracranial trauma had to be considered. Furthermore, there was no information on the patient's history including medical therapy or abuse of psychotropic drugs like monoamine oxidase inhibitors, tri- or tetracyclic antidepressants, neuroleptic agents, or lithium salts which could have consequences for subsequent drug administration. The emergency aid management of psychotic patients with the possibility of both an intracranial trauma and an existing psychotropic drug therapy is discussed in this case report.
authors.affiliation: Abteilung für Anästhesiologie, Universitäts-Krankenhaus Eppendorf.
authors.forename: M
authors.initials: M
authors.lastname: Steinfath
authors.forename: J
authors.initials: J
authors.lastname: Scholz
authors.forename: M
authors.initials: M
authors.lastname: Dallek
mesh_terms: D000768:Anesthesia, General; D004347:Drug Interactions; D004630:Emergencies; D015807:Eye Injuries, Penetrating / Q000000981:diagnostic imaging / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009900:Optic Nerve / Q000000981:diagnostic imaging / Q000601:surgery; D020221:Optic Nerve Injuries; D009915:Orbit / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D011619:Psychotropic Drugs / Q000008:administration & dosage / Q000009:adverse effects*; D011859:Radiography; D012307:Risk Factors; D012563:Schizophrenia, Paranoid / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000523:psychology; D016728:Self-Injurious Behavior / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology*
chemical_list: D011619:Psychotropic Drugs
vernacular_title: Bedeutung einer bestehenden Therapie mit psychotropen Pharmaka in der Notfallversorgung. Diskussion der aktuellen Literatur anhand eines Fallberichts.