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Magnetic resonance imaging

MRI is a radiological method that is based on the physics of magnetic fields and allows us to visualize the inside of our bodies without performing surgery or administering ionizing

Emesis in case of poisoning

Despite the lavender gastric is undeniably useful, it has many features reminiscent of a barbarian assault, so it is best to avoid using this method with the young children. When

Urgent endoscopy in pediatrics

Digestive endoscopy with fiberoptic instruments is also considered a routine technique in the pediatric age group. The examination often needs to be performed urgently, within 24 to 48 hours of

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Hypothermia could be a potentially fatal emergency. It develops at temperatures above freezing but also below. There are two types of hypothermia: the mild form and the severe form. In

The cardiovascular system during poisonings

Poisoning can also cause cardiovascular collapse; in fact, antidepressant drugs can trigger cardiac arrhythmias, consequently altering cardiac output. It is necessary, therefore, to measure blood pressure and heart rate at

Ingestion of poisonous substances

Ingested poisons normally stay in the stomach for a short time. Absorption occurs after the poison has passed through the small intestine. A poisonous substance does more damage to the

Shock in children

Shock is the condition in which the circulatory supply is Insufficient to meet the body’s metabolic needs. Tissue hypoperfusion can be realized through three mechanisms: the reduction of global blood

Main types of poisoning: alcohol.

In the case of ethanol poisoning, the central effect is. strictly dose-dependent, with progression of brain structures more specialized. Methanol, on the other hand, exerts less depression on the system

Initial assessment and patient management: initial care

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A physician grappling with a poisoning does not have a battery of antidotes available, and their use in medical practice is the exception.

Compared with other medical emergencies, acute poisoning is difficult to diagnose. Depressed subjects are often found unconscious with a letter and an empty tablet case next to them. Or a child is found gnawing and chewing on something inedible. Initially perhaps poisoning is not suspected, and only after the patient is resuscitated can the true cause of the condition be understood.

Examination of the patient

The physician must pay attention only to the patient and not to the inconsistent explanations of those who accompanied the victim. In the absence of critical symptomatology , a complete examination should be done by evaluating: level of consciousness, respiration, circulatory status, presence of seizures, pupil diameter, injection marks, body temperature, skin condition, and lesions.

Emergency treatment

Emergency treatment consists of resuscitative measures. If the patient is able to breathe spontaneously, you need to put him on his side, remove any obvious obstruction and intubate him.

If the patient, on the other hand, is unconscious, lateral decubitus is important, preferably with the head slightly down and avoiding tongue drop.

If the pulse is not regular, it is necessary to elevate the feet about 20° to promote venous return to the heart.

If the patient has seizures , intravenous injections of 5-10 mg dizepam should be given immediately. If, on the other hand, he has inhaled toxic gases or vapors, it is necessary to remove him from the polluted environment and ensure adequate ventilation.

Finally, if the patient has eyes, skin and clothes contaminated with toxic material, it is necessary to immediately flush the eyes with saline solution, remove the clothes and wash the contaminated skin, immediately covering it with a clean blanket.

Source: Roy Goulding’s Vademecum of Poisoning Therapy.

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