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Eur J Emerg Med ; 6(4): 331-6, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10646922


A retrospective study was conducted to investigate for potential changes in the epidemiology of acute carbon monoxide (CO) poisoning and to evaluate the recommendations within the emergency department (ED) on therapy and neurological and social follow-up of these patients. One hundred and sixty-seven patients with a non-intentional CO poisoning in the time period from 1995 to 1997 were reviewed and compared with data of a similar patient population between 1988 and 1990. Both patient groups were matched for age, sex and comorbidity. Comparing the epidemiological data of the two groups, three main evolutions were observed: (1) there is a global reduction in ED admissions for CO poisoning; (2) the number of young victims has a tendency to decrease; (3) the most common CO source has become an insufficiently functioning stove instead of a defective gas water heater. Regarding treatment and follow-up strategies three conclusions could be drawn: (1) the recommendations for hyperbaric-oxygen therapy were strictly followed; (2) the neurological follow-up was poor and has to be ameliorated and revisited; (3) the systematic follow-up by the social worker on the other hand resulted in immediate actions to prevent a second CO poisoning. This recently elaborated protocol for social evaluation emphasizes the important function of the social worker in the ED and the importance of transmural follow-up organized by the ED.

Intoxicación por Monóxido de Carbono/epidemiología , Adulto , Bélgica/epidemiología , Intoxicación por Monóxido de Carbono/fisiopatología , Intoxicación por Monóxido de Carbono/terapia , Carboxihemoglobina/aislamiento & purificación , Servicio de Urgencia en Hospital/estadística & datos numéricos , Estudios de Seguimiento , Humanos , Oxigenoterapia Hiperbárica , Incidencia , Estudios Retrospectivos , Servicio Social
Acta Clin Belg Suppl ; 13: 13-9, 1990.
Artículo en Inglés | MEDLINE | ID: mdl-1978455


Acute poisoning remains a common cause of morbidity and even mortality in children and adults. The goal of gastrointestinal decontamination is to eliminate or to reduce the potentially life-threatening effects of the ingested poison. Methods of gastrointestinal detoxication in case of acute poisoning, such as induced emesis, gastric lavage, administration of activated charcoal and intestinal cleansing are discussed. As far as induced emesis is still concerned, only the administration of Ipecac-syrup can be retained. The controversy between emesis and gastric lavage still remains. For those toxins well adsorbed by activated charcoal, the administration of activated charcoal, followed or not by gastric lavage, is the treatment of choice. Single doses of activated charcoal can be insufficient. In certain kinds of poisoning, repeated doses of activated charcoal are advisable because of the interruption of the entero-hepatic and entero-enteric circulation. The benefit and the indications for intestinal cleansing in case of acute poisoning seem to be very limited.

Lavado Gástrico/métodos , Ipeca/uso terapéutico , Intoxicación/terapia , Catárticos/uso terapéutico , Carbón Orgánico/uso terapéutico , Vaciamiento Gástrico/efectos de los fármacos , Contenido Digestivo/efectos de los fármacos , Humanos
Acta Chir Belg ; 79(1): 59-64, 1980.
Artículo en Holandés | MEDLINE | ID: mdl-6989140


The prevention and therapy of shocklung or adult respiratory distress syndrome aims at maintaining an adequate functional reserve capacity and avoiding any form of pulmonary edema. Several therapeutic modalities based on patho-physiological grounds are discussed. A table summarizes the applied preventive and therapeutic measures.

Respiración con Presión Positiva , Síndrome de Dificultad Respiratoria/prevención & control , Ejercicios Respiratorios , Capacidad Residual Funcional , Humanos , Postura , Síndrome de Dificultad Respiratoria/terapia