Single dose activated charcoal for gut decontamination: Application by medical non-professionals -a prospective study on availability and practicability.
Toxicol Rep
; 4: 49-54, 2017.
Article
en En
| MEDLINE
| ID: mdl-28959624
ABSTRACT
CONTEXT Oral activated charcoal (AC) for toxin absorption should be applied as soon as possible. Extra-hospital AC-application on site by medical laypersons with pre-emptive obtained AC may save time, but may be inferior to AC-application by medical professionals. OBJECTIVE:
1) Availability and incidence of pre-emptive stockpiling of AC on site in the German region Bavaria 2) time saved by AC-stockpiling and application on site, 3) quality of AC-application defined by completeness of the applied AC-dose, time needed, incidence of side-effects in lay-care and in professional-care, considering confounding variables AC-formulation/powder/tablets, recommended AC-dose, patient's age.METHOD:
telephone-interviews in cases with AC-recommendation by a Poison Information Centre (PIC). Lay-care was suggested according to risk-assessment by PIC. Ingestion sites were classified as either apt for AC-stockpiling or not apt.RESULTS:
1)availability:
In Bavaria only 20%-22% of eligible cases had AC on-hand, 2) time-saving was at least 14 min. 3) Lay-care/professional-care or patient's age had no significant influence on the completeness of the applied AC-dose, which was higher with AC as powder but negatively correlated with the recommended AC-dose. No significant difference was seen with time needed for application and incidence of side-effects.CONCLUSION:
pre-emptive AC-stocking should be encouraged.
Texto completo:
1
Base de datos:
MEDLINE
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Toxicol Rep
Año:
2017
Tipo del documento:
Article
País de afiliación:
Alemania