2023-11-19 11:00:00
The initial management of the patient with suspected poisoning has been one of the most outstanding tables in the 44th National Congress of Internal Medicine, held in Valencia. Syndrome anticholinergiche cholinergic and the sympathomimetic have been described and the different treatments have been listed in order to approach the patient The best way possible.
Guillermo Burilloemergency doctor at Canary Islands University Hospitalhas explained in the National Congress of Internal Medicinecarried out by the Spanish Society of Internal Medicine (SEMI), that he toxindrome is a set of “signs that are identified in patients that guide the specialist to a toxic origin of the medical condition. This system began to have a mental scheme defined by pediatricians in the 70s when analyzing many intoxicated children.”
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Guillermo Burillo, emergency doctor at the Canary Islands University Hospital.
When treating the anticholinergicthe specialist has highlighted that the symptoms that appear are “mydriasis, tachycardia, dry skin, hypothermia y delirium”. When it comes to treatment, Burillo explained that the method is to “monitor the patient and use benzodiazepines and bicarbonate. Physostigmine is used in patients with agitation and delirium.”
Burillo: “The toxindrome are signs that are identified in patients that guide the specialist to a toxic origin of the medical condition”
He cholinergic syndrome supposes, as the specialist has explained, a contrary picture: “The patient suffers sweating, diarrhea, nausea and vomiting, in addition to fecal and urinary incontinence. Toxins are produced by insecticides and carbamates, in addition to chemical weapons and nerve gases.” When addressing this clinical condition, the specialist has defended being in favor of using “andropin, a patent pathway and monitoring.”
Finally, the specialist has analyzed the syndrome sympathomimetic and the different symptoms that this situation causes: “Seizures, hyperreflexia, hyperthermia and the patient may be in a coma”. The toxins that produce it are “the cocaine and the amphetamine, but also theophylline and caffeine.” Regarding treatment, Burillo has defended the use of temperature control and benzodiazepine.”
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Fernando Alonso, internist at the Toxicology Unit of the Manises Hospital.
Clinical case linked to toxic syndromes
Fernando Alonsointernist at the Toxicology Unit of the Manises Hospitalhas presented a clinical case among the internists present at the workshop to analyze the depression of consciousness due to intoxication: “The patient’s condition must be assessed in detail and complementary tests must be obtained before, as always, stating that the person suffers from alcohol poisoning.”
Alonso: “Evidence must be extracted before stating that the person suffers from alcohol poisoning”
Furthermore, Alonso has specified that the ethyl alcohol It is the psychoactive substance “most consumed between 15 and 64 years of age. Individual alcohol poisonings in the emergency room are increasing.” On the other hand, the specialist has highlighted that the GHB drug “It is consumed significantly in Spain and the United States.” =”600″ height=”240″ layout=”responsive” alt=”AMP”>
The poisoning workshop was one of the most followed by those registered for the 44th Congress of Internal Medicine.
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