Development and implementation of an emergency department observation unit protocol for deliberate drug ingestion in adults - Preliminary results

Clinical Toxicology

Volumn 45, Issue 5, 2007, Pages 499-504

  Sztajnkrycer, Matthew D ^a,b   Mell, Howard K ^a   Melin, Gabrielle J ^a  

^a MAYO CLINIC   (United States)

^b Hennepin Regional Poison Center   (United States)

Author keywords

Adult; Ingestion; Observation Medicine; Overdose

Indexed keywords

ARTICLE; AUTOMUTILATION; CLINICAL PROTOCOL; CONTROLLED STUDY; DRUG OVERDOSE; EMERGENCY WARD; HOSPITAL ADMISSION; HUMAN; INTOXICATION; MEDICAL RECORD; RETROSPECTIVE STUDY; TERTIARY HEALTH CARE;

ADULT; CLINICAL PROTOCOLS; EMERGENCY SERVICE, HOSPITAL; HUMANS; OBSERVATION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); OVERDOSE; POISONING;

EID: 34248560675     PISSN: 15563650     EISSN: 15569519     Source Type: Journal    
DOI: 10.1080/15563650701354168     Document Type: Article

References (20)

1. Watson WA, Litovitz TL, Rodgers GC, Klein-Schwartz W, Reid N, Youniss J, Flanagan A, Wruk KM. 2004 annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2005; 23:589-666.
2. Brillman J, Mathers-Dunbar L, Graff L, Joseph T, Leikin JB, Schultz C, Severance HW Jr, Werne C. Management of observation units. Ann Emerg Med 1995; 25:823-830.
3. Ross MA. Principles of observation medicine. Emerg Med Clin North Am 2001; 19:1-17.
4. Roberts R. Economic issues in observation unit medicine. Emerg Med Clin North Am 2001; 19:19-33.
5. Graf LG, Radford MJ, Werne C. Probability of appendicitis before and after observation. Ann Emerg Med 1991; 20:503-507.
6. Lee TH, Juarez G, Cook EF, Weisberg MC, Rouan GW, Brand DA, Goldman L. Ruling out acute myocardial infarction: A prospective multicenter validation of a 12-hour strategy for patients at low risk. N Engl J Med 1991; 324:1239-1246.
7. McDermott MF, Murphy DG, Zalenski RJ, Rydman RJ, McCarren M, Marder D, Jovanovic B, Kaur K, Roberts RR, Isola M, Mensah E, Rajendran R, Kampe L. A comparison between emergency diagnostic and treatment unit and inpatient care in the management of acute asthma. Arch Intern Med 1997; 157:2055-2062.
8. Peacock WF. Observation unit management of heart failure. Emerg Med Clin North Am 2001; 19:209-232.
9. Chandra A. Stress testing for risk stratification of patients with low to moderate probability of acute cardiac ischemia. Emerg Med Clin North Am 2001; 19:87-103.
10. Lemke T, Wang R. Emergency department observation for toxicologic exposures. Emerg Med Clin North Am 2001; 19:155-167.
11. Daly FFS, Little M, Murray L. A risk assessment based approach to the management of acute poisoning. Emerg Med J 2006; 23:396-399.
12. Foulke GE. Identifying toxicity risk early after antidepressant overdose. Am J Emerg Med 1995; 13:123-126.
13. Platts WE. Psychiatric patients: Premises liability and predicting patient elopement. J Healthc Prot Manage 1998; 14:66-77.
14. Molnar G, Keitner L, Swindall L. Medicolegal problems of elopement from psychiatric units. J Forensic Sci 1985; 30:44-49.
15. Kashubeck S, Pottebaum SM, Read NO. Predicting elopement from residential treatment centers. Am J Orthopsychiatry 1994; 64:126-135.
16. Sledge WH, Benarroche CL, Phillips SH. Adolescent elopement from a psyciatric hospital. Multiple dimensions. J Nerv Ment Dis 1988; 176:562-567.
17. Lemonick DM. Conducting medical clearance of the psychiatric patient. Emerg Med 2006; 38:10-19.
18. Lukens TW, Wolf SJ, Edlow JA, Shahabuddin S, Allen MH, Currier GW, Jagoda AS. Clinical policy: Critical issues in the diagnosis and management of the adult psychiatric patient in the emergency department. Ann Emerg Med 2006; 47:79-99.
19. Sivilotti ML, Yarema MC, Juurlink DN, Good AM, Johnson DW. A risk quantification instrument for acute acetaminophen overdose patients treated with N-acetylcysteine. Ann Emerg Med 2005; 46:263-271.
20. Bond GR. A new acetaminophen nomogram with a different purpose. Ann Emerg Med 2005; 46:272-274.