Acute poisoning: understanding 90% of cases in a nutshell.
The acutely poisoned patient remains a common problem facing doctors working in acute medicine in the United Kingdom and worldwide. This review examines the initial management of the acutely poisoned patient. Aspects of general management are reviewed including immediate interventions, investigations, gastrointestinal decontamination techniques, use of antidotes, methods to increase poison elimination, and psychological assessment. More common and serious poisonings caused by paracetamol, salicylates, opioids, tricyclic antidepressants, selective serotonin reuptake inhibitors, benzodiazepines, non-steroidal anti-inflammatory drugs, and cocaine are discussed in detail. Specific aspects of common paediatric poisonings are reviewed.
Greene
S L
SL
National Poisons Information Service (London), Guy's and St Thomas's NHS Trust, UK. Shaun.Greene@gstt.nhs.uk
Dargan
P I
PI
Jones
A L
AL
D000082:Acetaminophen / Q000506:poisoning; D000208:Acute Disease; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000506:poisoning; D000929:Antidepressive Agents, Tricyclic / Q000506:poisoning; D000931:Antidotes / Q000627:therapeutic use; D001569:Benzodiazepines / Q000506:poisoning; D002648:Child; D003955:Diagnostic Tests, Routine / Q000379:methods; D004638:Emergency Treatment / Q000379:methods; D005751:Gastric Lavage; D006801:Humans; D009294:Narcotics / Q000506:poisoning; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy*; D012307:Risk Factors; D012459:Salicylates / Q000506:poisoning; D017367:Selective Serotonin Reuptake Inhibitors / Q000506:poisoning
D000082:Acetaminophen; D000894:Anti-Inflammatory Agents, Non-Steroidal; D000929:Antidepressive Agents, Tricyclic; D000931:Antidotes; D001569:Benzodiazepines; D009294:Narcotics; D012459:Salicylates; D017367:Selective Serotonin Reuptake Inhibitors