Title |
Early management after self-poisoning with an organophosphorus or carbamate pesticide – a treatment protocol for junior doctors
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Published in |
Critical Care, September 2004
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DOI | 10.1186/cc2953 |
Pubmed ID | |
Authors |
Michael Eddleston, Andrew Dawson, Lakshman Karalliedde, Wasantha Dissanayake, Ariyasena Hittarage, Shifa Azher, Nick A Buckley |
Abstract |
Severe organophosphorus or carbamate pesticide poisoning is an important clinical problem in many countries of the world. Unfortunately, little clinical research has been performed and little evidence exists with which to determine best therapy. A cohort study of acute pesticide poisoned patients was established in Sri Lanka during 2002; so far, more than 2000 pesticide poisoned patients have been treated. A protocol for the early management of severely ill, unconscious organophosphorus/carbamate-poisoned patients was developed for use by newly qualified doctors. It concentrates on the early stabilisation of patients and the individualised administration of atropine. We present it here as a guide for junior doctors in rural parts of the developing world who see the majority of such patients and as a working model around which to base research to improve patient outcome. Improved management of pesticide poisoning will result in a reduced number of suicides globally. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 7 | 33% |
Sri Lanka | 2 | 10% |
South Africa | 2 | 10% |
Qatar | 1 | 5% |
Malaysia | 1 | 5% |
United Kingdom | 1 | 5% |
United States | 1 | 5% |
Unknown | 6 | 29% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 48% |
Practitioners (doctors, other healthcare professionals) | 6 | 29% |
Scientists | 4 | 19% |
Unknown | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Australia | 2 | 1% |
South Africa | 2 | 1% |
Brazil | 1 | <1% |
Colombia | 1 | <1% |
India | 1 | <1% |
Czechia | 1 | <1% |
United Kingdom | 1 | <1% |
Egypt | 1 | <1% |
Japan | 1 | <1% |
Other | 0 | 0% |
Unknown | 166 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 29 | 16% |
Student > Postgraduate | 22 | 12% |
Researcher | 18 | 10% |
Student > Bachelor | 18 | 10% |
Student > Master | 15 | 8% |
Other | 46 | 26% |
Unknown | 29 | 16% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 96 | 54% |
Agricultural and Biological Sciences | 12 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 9 | 5% |
Nursing and Health Professions | 7 | 4% |
Biochemistry, Genetics and Molecular Biology | 7 | 4% |
Other | 15 | 8% |
Unknown | 31 | 18% |