Assuntos
Mordeduras e Picadas/terapia , Peixes , Cifozoários , Ouriços-do-Mar , Animais , Mordeduras e Picadas/diagnóstico , Florida , Humanos , Toxinas Marinhas , RajidaeRESUMO
Insecticide poisoning is an increasing event which requires a thorough knowledge base for diagnosis and management. Awareness of the importance of decontamination is fundamental not only in the prehospital care phase but also in the emergency department. A thorough knowledge of the essentials of emergency and critical care is indispensable for the management and support of ventilatory and circulatory functions. Specific antidotal therapy utilizing atropine and pralidoxime is usually necessary in the immediate care of acute cases. In addition, use of pralidoxime after acute exposure may contribute to a beneficial outcome. Appropriate laboratory determinations in the acute phase are necessary parameters for successful outcomes. The use of cholinesterase determinations for diagnostic and prognostic purposes is discussed.
Assuntos
Carbamatos , Serviços Médicos de Emergência , Inseticidas/intoxicação , Compostos Organofosforados , Antídotos/uso terapêutico , Atropina/uso terapêutico , Circulação Sanguínea/efeitos dos fármacos , Colinesterases/sangue , Cuidados Críticos , Descontaminação , Serviço Hospitalar de Emergência , Humanos , Inseticidas/antagonistas & inibidores , Inseticidas/farmacocinética , Intoxicação/tratamento farmacológico , Compostos de Pralidoxima/uso terapêutico , Respiração/efeitos dos fármacos , Resultado do TratamentoRESUMO
Previous reports have indicated the association of marijuana and cocaine abuse along with prolonged Valsalva maneuvers and the use of positive pressure devices. In most cases, the use of a single drug has been related to barotrauma. We present an adolescent male who developed this complication after alternate use of marijuana and cocaine without positive pressure devices. The increasing problem of drug abuse in the adolescent population in the United States is known to all of us. Clinicians who deal with adolescent patients should include questioning about drug abuse in the standard evaluation of chest pain.
Assuntos
Cannabis , Cocaína , Enfisema/etiologia , Enfisema Mediastínico/etiologia , Pneumotórax/etiologia , Enfisema Subcutâneo/etiologia , Transtornos Relacionados ao Uso de Substâncias , Manobra de Valsalva , Adolescente , Barotrauma/complicações , Humanos , MasculinoRESUMO
Intense cyanosis in a previously well, 30-month-old, white girl was found to be due to the ingestion of benzocaine. A wide variety of chemical compounds present in many proprietary products, when ingested, can cause this presentation in individuals with structurally normal hemoglobin and normal activity of methemoglobin reductase. The phenomenon appears to be dose-related. Immediate recognition and initiation of appropriate therapy will effect a rapid reversal of the methemoglobinemia, and in some cases, may be life-saving. Caution should be exercised in the use of benzocaine-containing preparations.
