Emergency department observation of poisoned patients: How long is necessary?

Academic Emergency Medicine

Volumn 6, Issue 9, 1999, Pages 887-894

  Hollander, Judd E ^a,b,e   McCracken, Glen ^b   Johnson, Scott ^b   Valentine, Sharon M ^b   Shih, Richard D ^c,d  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b STONY BROOK UNIVERSITY MEDICAL CENTER   (United States)

^c MORRISTOWN MEMORIAL HOSPITAL   (United States)

^d New Jersey Poison Information and Education System   (United States)

^e Department of Emergency Medicine ^*  (United States)

Author keywords

Emergency department; Observation; Overdose; Poison; Toxicology; Treatment

Indexed keywords

ALCOHOL; AMPHETAMINE DERIVATIVE; ANALGESIC AGENT; ANTIASTHMATIC AGENT; ANTIBIOTIC AGENT; ANTICOAGULANT AGENT; ANTICONVULSIVE AGENT; ANTIDEPRESSANT AGENT; ANTIHISTAMINIC AGENT; ANTITUSSIVE AGENT; BARBITURIC ACID DERIVATIVE; BENZODIAZEPINE DERIVATIVE; CAFFEINE; CARBAMIC ACID DERIVATIVE; CARDIOVASCULAR AGENT; CAUSTIC AGENT; CHOLINERGIC RECEPTOR BLOCKING AGENT; COCAINE; GASTROINTESTINAL AGENT; HYDROCARBON; IRON; MUSCLE RELAXANT AGENT; OPIATE; ORGANOPHOSPHATE; VITAMIN;

ADULT; ARTICLE; CLINICAL FEATURE; DRUG INTOXICATION; EMERGENCY WARD; FEMALE; HOSPITAL DISCHARGE; HUMAN; MALE; MEDICAL DECISION MAKING; OBSERVATION; PHYSICAL EXAMINATION; PRIORITY JOURNAL; TOBACCO; UNIVERSITY HOSPITAL;

EID: 0032852744     PISSN: 10696563     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1553-2712.1999.tb01235.x     Document Type: Article

References (16)

1. Litovitz TL, Klein-Schwartz W, Dyer KS, Shannon M, Lee S, Powers M. 1997 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med. 1998; 16:443-97.
2. Goldfrank LR, Flomenbaum NE, Lewin NA, Weisman RS, Rowland MA, Hoffman RS. Principles of managing the poisoned or overdosed patient: an overview. In: Goldfrank LR, Flomenbaum NE, Lewin NA, Weisman RS, Rowland MA, Hoffman RS (eds). Goldfrank's Toxicologic Emergencies, 6th edition. Stamford, CT: Appleton and Lange, 1998.
3. Haddad LM, Roberts JR. A general approach to the emergency management of poisoning. In: Haddad LM, Winchester JF (eds). Clinical Management of Poisoning and Drug Overdose, 2nd edition. Philadelphia: W. B. Saunders, 1990.
4. Eilers MA, Garrison TE. General management principles. In: Rosen P, Barkin RM, Braen GR, et al. (eds). Emergency Medicine: Concepts and Clinical Practice 3rd ed. St. Louis: Mosby-Year Book, 1992.
5. Olsen KR. Emergency evaluation and treatment. In: Olsen KR (ed). Poisoning and Drug Overdose. East Norwalk, CT: Appleton and Lange, 1990.
6. Mofenson HC, Carracio TR. Initial evaluation and management of the poisoned patient. In: Viccellio P (ed). Handbook of Medical Toxicology. Boston: Little, Brown, 1993.
7. Herrington AM, Clifton GD. Toxicology and management of acute drug ingestions in adults. Pharmacotherapy. 1995; 15: 182-200.
8. Goldberg MJ, Spector R, Park GD, Roberts RJ. An approach to the management of the poisoned patient. Arch Intern Med. 1986; 146:1381-5.
9. Boenhart MT, Lovejoy FH. Value of the QRS duration versus the serum drug level in predicting seizure and ventricular arrhythmias after an acute overdose of tricyclic antidepressants. N Engl J Med. 1985; 313:474-9.
10. Linden CH, Rumack BH, Strehlke C. Monoamine oxidase inhibitor overdose. Ann Emerg Med. 1984; 13:1137-44.
11. Proano L, Chiang WK, Wang RY. Calcium channel blocker overdose. Am J Emerg Med. 1995; 13:444-50
12. Bhatia SJ, Smith TW. Digitalis toxicity: mechanisms, diagnosis, and management. J Cardiac Surg. 1987; 2:453-65.
13. Smilkstein MJ, Knapp GL, Kulig KW, Rumack BH. Efficacy of oral N-acetylcysteine in the treatment of acetaminophen overdose. N Engl J Med. 1988; 319:1557-62.
14. Sessler CN. Theophylline toxicity: clinical features of 116 consecutive cases. Am J Med. 1990; 88:567-76.
15. Palatnick W, Redman LW, Sitar DS, Tenenbein M. Methanol half-life during ethanol administration: implications for management of methanol poisoning. Ann Emerg Med. 1995; 26:202-7.
16. Turk J, Morrell L, Avioli LV. Ethylene glycol intoxication. Arch Intern Med. 1986; 146:1601-3.