Evaluation of Acute Poisoning In Emergency Department: A Clinico-Epidemiological Study in Tertiary Care Teaching Hospital of Gujarat
Evaluation of Acute Poisoning In Emergency Department: A Clinico-Epidemiological Study
Keywords:
Acute Poisoning, Organophosphorus compound, Snake biteAbstract
Background: In our country acute poisoning is a condition that has a very large amount of susceptible population due to the existence and the ease of access of poisonous substances. Our study tried to analyse the specific antidotes used with respect to different poisonings, outcome and general drug therapy for the same. Objectives: To assess the different types of acute poisoning, effectiveness of the treatment provided, in terms of outcome& severity. Methods: This is a prospective, longitudinal, observational type of study; over the period of 3 months. The data was collected with the proper prior consent and was analysed on the basis of outcome with the use of ‘Poisoning Severity Scale’ and the ‘Modified Snakebite Severity Score’. Results: Organophosphorus substances were the commonest cause of accidental poisoning whereas snake bite was the commonest cause due to the envenomation. All the patients of Organophosphorus poisoning and snake envenomation were treated with the primary treatment atropine and anti-snake venom respectively, ultimately resulting in low mortality rate (6%). Conclusion: Our study had very low mortality rate, which could be due to less number of cases of fatal poisoning and due to good transport facilities from rural to urban areas as well as early start of the specific treatment and management.
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