RESUMO
Intoxications have become a relevant complaint in the emergency room since the second half of the last century. Toxidromes have been replaced by a more practical combined analysis of vital signs, directed physical examination and selected laboratory tests. Most of the mortality can be prevented by the correct and opportune implementation of general management strategies, including supportive care, prevention of absortion, enhancement of elimination and extracorporeal removal of toxins. Through the following pages we will review many of different diagnostic and therapeutic alternatives...
Assuntos
Humanos , Masculino , Feminino , Intoxicação/classificação , Intoxicação/diagnóstico , Intoxicação/prevenção & controle , Intoxicação/reabilitação , Intoxicação/terapia , Toxicidade/classificação , Toxicidade/prevenção & controle , Antídotos/administração & dosagem , Transtornos Relacionados ao Uso de SubstânciasRESUMO
Abdominal pain is one of the most important and frequent complaints that seek resolution in the emergency departments arround the globe. Despite its high frequency and the improvement in diagnostic resources, delays and pitfalls are still present now a days. Emergency Medicine approach towards these patients focusses in ruling out severe and life threatening pathology, and appropriate management (amount of exams either blood tests or images), and pain medication of those patients which are rated as with minor risk. One of the most important goals is fast and effective pain management, while the use of new complementary diagnostic tools allow risk stratification, specially considering atypical presentations, as elderly population, immunocompromised patients or those with previous bariatric surgery...