| چکیده انگلیسی مقاله |
Background: There is no clear data on the adherence of emergency medical services (EMS) paramedics and hospital staff rather than those working in poisoning centers to the guidelines for managing acutely poisoned patients in developing countries. Methods: During a 6-month period, all EMS-managed poisoned patients along with those initially managed in a non-poisoning center before being referred to a poisoning hospital in Tehran, Iran, were instructed. Then the indications for administrating the activated charcoal (AC) as well as performing gastric lavage (GL) and tracheal intubation were studied and compared to the recommended guidelines. Results: A total of 3347 cases, including 1859 males (55.6%), were evaluated. There were significant differences between expected and performed endotracheal intubations in both EMS and other medical centers (P-value = 0.002 and 0.001, respectively) as well as the administration of GL and AC in other medical centers (P-values= 0.003 and 0.03, respectively). Conclusion: More extensive educational programs should be established to improve the preliminary management of poisoned patients performed by EMS paramedics and staff of hospitals other than poisoning centers. |
| نویسندگان مقاله |
حسین حسنیان مقدم | Hossein Hassanian-Moghadam
Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
محمدرضا زارعی | Mohammad Reza Zarei
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
وحید اسلامی | Vahid Eslami
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
علی زندیه | Ali Zandieh
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
گوهر فخفوری | Gohar Fakhfouri
Department of Pharmacology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
مرجان رسولی | Marjan Rasouli
School of Nursing, Islamic Azad University of Qom, Qom, Iran.
پاتریشیا خشایار | Patricia Khashayar
Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
محمدرضا رسولی | Mohammad Reza Rasouli
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
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