Prehospital diagnosis of massive ethylene glycol poisoning and use of an early antidote.
We report the case of a patient suspected of voluntary massive poisoning by ethylene glycol. Prehospital diagnosis was established by portable blood analyser and an early antidote with 4 MP treatment initiated in out-of-hospital setting. Use of portable blood analyser in prehospital care should be considered in case of suspected massive poisoning by ethylene glycol.
Amathieu
Roland
R
Hospital Avicenne, SAMU 93, EA 3409, 125 route de Stalingrad, 93096 Bobigny Cedex, and Anesthesia and Intensive Care Department, Hospital University of Toulouse, France. roland.amathieu@smbh.univ-paris13.fr
Merouani
Medhi
M
Borron
Stephen W
SW
Lapostolle
Frédéric
F
Smail
Nadia
N
Adnet
Frédéric
F
D000328:Adult; D000931:Antidotes / Q000627:therapeutic use*; D042241:Early Diagnosis; D004632:Emergency Medical Services; D019855:Ethylene Glycol / Q000506:poisoning*; D000077604:Fomepizole; D006801:Humans; D008297:Male; D011041:Poisoning / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy; D011720:Pyrazoles / Q000627:therapeutic use*; D013406:Suicide, Attempted; D013997:Time Factors
D000931:Antidotes; D011720:Pyrazoles; D000077604:Fomepizole; D019855:Ethylene Glycol