scholarly journals Assessing the Effect of a Medical Toxicologist in the Care of Rattlesnake‐envenomated Patients

2018 ◽  
Vol 25 (8) ◽  
pp. 921-926 ◽  
Author(s):  
Michael Levine ◽  
Steve Offerman ◽  
Rais Vohra ◽  
Brian Wolk ◽  
Jeff LaPoint ◽  
...  
Keyword(s):  
Medical Toxicologist

scholarly journals Lessons Learned Through the Journey of a Medical Toxicologist While Characterizing Lead Hazards in the Republic of Georgia

2019 ◽  
Vol 16 (1) ◽  
pp. 3-5
Author(s):  
Ziad Kazzi ◽  
Levan Gabelaia ◽  
Lela Shengelia ◽  
Lela Sturua ◽  
Bret Ericson ◽  
...  
Keyword(s):  
Lessons Learned ◽  
Republic Of Georgia ◽  
Medical Toxicologist ◽  
The Republic ◽  
Lead Hazards

scholarly journals Conocimientos, actitudes y prácticas del consumo de sustancias psicoactivas en estudiantes de enfermería de una Universidad privada de Barranquilla 2010-2011

Respuestas ◽  
2015 ◽  
Vol 20 (1) ◽  
pp. 67
Author(s):  
Herminia Rosa Castellón-Montenegro ◽  
Cecilia Rocha-Rodríguez ◽  
Lina Montes-Rodríguez ◽  
Gloria Elena Lastre-Amell
Keyword(s):  
Nursing Students ◽  
Private University ◽  
Psychoactive Substances ◽  
Remarkable Change ◽  
Attitudes And Practices ◽  
Medical Toxicologist ◽  
Adverse Health Effects ◽  
Role Of Nursing ◽  
Consumo De Sustancias ◽  
Uso De Sustancias

Objetivos: Determinar los conocimientos actitudes y prácticas relacionados con el consumo de sustancias psicoactivas en estudiantes de enfermería de una universidad privada del distrito de Barranquilla. Metodología: información obtenida directamente de la aplicación de la encuesta de 37 preguntas la cual fue diseñada por un médico toxicólogo, docente del área de farmacología de la División de Salud de la Universidad del Norte a los estudiantes de los distintos semestres para un total de 198. Este proceso se llevó a cabo en tres momentos: la socialización del estudio a los estudiantes y docentes de cada acompañantes; aplicación encuesta y por último, análisis y procesamiento de los resultados. Resultados: de los 198 estudiantes, menos del 70% de ellos considera que las sustancias mencionadas son drogas, a pesar que el total de ellas son consideradas como tal. Más del 80% de las estudiantes conoce que las drogas producen efectos perjudiciales para la salud, a excepción de la benzodiacepina, orlasteina y LSD cuyos conocimientos son muy escasos. En general (mas del 88%), de los estudiantes rechazan todo tipo de intencion de legalizar la produccion, trafico o consumo de Sustancias Psicoactivas (SPA), y apoyan todo esfuerzo del gobierno en erradicarlas y establecer programas que frenen su consumo. Del total de los estudiantes, aproximadamente un 97% de ellos no han hecho uso de sustancias psicoactivas, a excepción del alcohol y de la nicotina. Conclusiones: Este estudio revela el importante papel que desempeñan los programas y escuelas de enfermería frente a la problemática de consumo de SPA, en la medida, en que los semestres son más complejos se observa un notable cambio de actitud y un nivel de conocimientos superior. La tarea de la educación en SPA es vital para concertar acciones interinstitucionales, interdisciplinares e intersectoriales para hacer promoción, prevención, tratamiento, rehabilitación y reinserción social de sujetos vulnerables y consumidores de sustancias psicoactivas en nuestra región.Abstract Objectives: To determine the knowledge, attitudes and practices related to the use of psychoactive drugs in nursing students from a private university district of Barranquilla. Method: Information obtained directly from the application of the survey of 37 questions which was designed by a medical toxicologist , professor of pharmacology area of the Health Division of the Universidad del Norte to students of different semesters for a total of 198. This process took place in three stages: the socialization of study students and teachers of each escort, survey implementation and finally, analysis and processing of the results. Results: Of the 198 students, less than 70% of them feel that the above substances are drugs, although the total of them considered as such. Over 80% of the students know that drugs produce adverse health effects, except for benzodiazepine, and LSD Orlasteina whose skills are scarce. In general (over 88%), our students reject all kinds of intention to legalize the production, trafficking or consumption of Psychoactive Substances (PSS), and support all efforts to eradicate government and establish programs to curb consumption. Of all students, about 97% of them have not made use of psychoactive substances, with the exception of alcohol and nicotine. Conclusion: This study reveals the important role of nursing programs and schools face the problem of consumption of PSS, as the semesters are more complex there is a remarkable change of attitude and a higher level of knowledge. The task of education is vital to arrange PSS agency actions, interdisciplinary and intersectorial for promotion, prevention, treatment, rehabilitation and social reintegration of vulnerable subjects and consumers of psychoactive substances in our region.Palabras claves: Actitudes, Conocimientos, Drogas, Educación, Enfermería, Practicas, Prevención, Sustancias Psicoactivas.

scholarly journals Medical examiner and medical toxicologist agreement on cause of death

2011 ◽  
Vol 206 (1-3) ◽  
pp. 71-76 ◽  
Author(s):  
Alex F. Manini ◽  
Lewis S. Nelson ◽  
Dean Olsen ◽  
David Vlahov ◽  
Robert S. Hoffman
Keyword(s):  
Cause Of Death ◽  
Medical Examiner ◽  
Medical Toxicologist

scholarly journals Pentobarbital Toxicity after Self-Administration of Euthasol Veterinary Euthanasia Medication

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Steven Jason Crellin ◽  
Kenneth D. Katz
Keyword(s):  
Suicide Attempt ◽  
Rapid Sequence Intubation ◽  
Poison Center ◽  
Sodium Pentobarbital ◽  
Self Administration ◽  
Medical Toxicologist ◽  
Rapid Sequence ◽  
Urine Drug ◽  
Transient Improvement ◽  
History Of

Suicide attempt via sodium pentobarbital is uncommon. A 48-year-old woman with a history of depression and prior suicide attempt was found unresponsive by her veterinarian spouse near a syringe containing pink solution. Upon EMS’ arrival, the patient was experiencing apnea, hypoxemia, and miotic pupils; her blood glucose level measured 73 mg/dL. She was bradycardic and administered atropine with transient improvement in heart rate and transported to an emergency department; 2 mg of intravenous naloxone was administered without effect. She was endotracheally intubated via rapid sequence intubation. Rapid urine drug screening detected both benzodiazepines and barbiturates. The patient was transferred to an intensive care unit where she demonstrated a nearly absent radial pulse. Emergent fasciotomy to the left forearm and carpal tunnel was performed for acute compartment syndrome; “Euthasol” had been self-administered into the antecubital fossa. Expanded toxicological analysis via liquid chromatography/mass spectroscopy detected caffeine, atropine, 7-aminoclonazepam, phenytoin, citalopram, and naproxen. The patient’s coma resolved over 48 hours and she was successfully extubated without complication. Emergency physicians must closely monitor patients exposed to veterinary euthanasia agents who develop central nervous system and respiratory depression, hypothermia, bradycardia, hypotension, or skin injury. Consultation with a regional poison center and medical toxicologist is recommended.

Preparedness for the evaluation and management of mass casualty incidents involving anticholinesterase compounds: A survey of emergency department directors in the 12 largest cities in the United States

2010 ◽  
Vol 5 (6) ◽  
pp. 333-351 ◽  
Author(s):  
James M. Madsen, MD, MPH, FCAP, FACOEM, COL, MC-FS, USA ◽  
Michael I. Greenberg, MD, MPH
Keyword(s):  
Disaster Preparedness ◽  
Online Survey ◽  
The United States ◽  
Mass Casualty ◽  
National Institutes Of Health ◽  
Mass Casualty Incidents ◽  
Medical Toxicologist ◽  
Large Numbers ◽  
Department Directors ◽  
E Mail

Objectives: Anticholinesterases include carbamate and organophosphorus (OP) insecticides and nerve agents. Release of these compounds can flood emergency departments (EDs) with large numbers of poisoned victims and worried individuals. It was hypothesized that despite the focus of disaster preparedness on large metropolitan areas, EDs in these cities would still report self-perceptions of deficiencies in preparedness for mass casualty incidents (MCIs) involving these chemicals.Design and setting: A secure and anonymous online survey was prepared and piloted, and E-mail invitations were sent to the physician directors of the 220 continuously staffed EDs in the 12 most populous incorporated cities in the United States.Results: Forty-six ED directors could not be contacted despite repeated attempts. Of the remaining 174 directors, eight declined and 89 took the survey, for a response rate of 51.1 percent. Fewer than 20 percent were very confident in the effectiveness of their training, and only 4.9 percent were very confident that drills had given them the preparation that they needed. Only 45.7 percent of reporting hospitals had a board-certified medical toxicologist to help in such an emergency. Almost two-thirds (73.6 percent) of those familiar with the online Radiation Event Medical Management (REMM) module from the National Library of Medicine and the National Institutes of Health thought that a chemical counterpart to REMM would be either moderately or very helpful for MCIs involving anticholinesterases.Conclusions: This study demonstrates that physician ED directors perceived marked deficiencies in their abilities to respond to this kind of toxicological emergency and suggests critical directions for remediation of these deficiencies.

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