DIAGNOSTIC AND MANAGEMENT APPROACH ON ACUTE INTOXICATION PATIENTS IN EMERGENCY SETTING: A CASE REPORT

Elfi Rahmi

Abstract


Background: Acute intoxication is one common cause of loss of consciousness in emergency setting. However, its diagnosis and management usually neglected. In addition, multiple toxin might make etiological diagnosis and management more difficult.
Aim: This report describes the approach to diagnose and manage acutely intoxicated patients with suspected multiple substance in emergency unit of Dr. Sardjito Hospital
Case description: A 30-year-old male was admitted to emergency unit with loss of consciousness and return of spontaneous circulation after resuscitation prior to admission. He was comatose, with miosis and decreased physiological reflex. Further laboratory examination discovered decreased renal function and high level of serum alcohol. The patient regained his consciousness after he was given naloxone, dexamethasone, mecobalamin, and pantoprazole.
Conclusion: In the future, there is a need to integrate substance intoxication management to the algorithm of loss of consciousness management to improve the quality of acute intoxication management.

Keywords


Unconsciousness, alcohol intoxication, organophosphate poisoning, Amphetamine-Related disorders.

Full Text:

PDF

References


Descamps A-MK, Vandijck DM, Buylaert WA, Mostin MA, Paepe PD. Characteristics and costs in adults with acute poisoning admitted to the emergency department of a university hospital in Belgium. PLOS ONE. 2019;14(10):e0223479.

Kaya E, Yilmaz A, Saritas A, et al. Acute intoxication cases admitted to the emergency department of a university hospital. World J Emerg Med. 2015;6(1):54-59.

Senthilkumaran S, Thirumalaikolandusubramanian P. Approach to Acute Poisoning. In: David SS, ed. Clinical Pathways in Emergency Medicine: Volume II. New Delhi: Springer India; 2016:467-483.

Walls RM, Hockberger RS, Gausche-Hill M, Bakes KM. Rosen's emergency medicine : concepts and clinical practice. Philadelphia: Elsevier; 2018.

Shimosato K. Urinary excretion of p-hydroxylated methamphetamine metabolites in man. II. Effect of alcohol intake on methamphetamine metabolism. Pharmacol Biochem Behav. 1988;29(4):733-740.




DOI: http://dx.doi.org/10.21460/bikdw.v4i2.143

Refbacks

  • There are currently no refbacks.


Copyright (c) 2019 Berkala Ilmiah Kedokteran Duta Wacana

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.