Journal of The Korean Society of Clinical Toxicology (대한임상독성학회지)

Korean society of Clincal Toxicology (대한임상독성학회)
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Antidotes Stocking and Delivery for Acute Poisoning Patients at 20 Emergency Departments in Korea 2015-2017

2015-17년 전국 20개 거점병원 응급해독제 비축 및 제공 결과

  • Lee, Seungmin (Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Youn, Han Deok (National Emergency Medical Center, National Medical Center) ;
  • Chang, Hanseok (National Emergency Medical Center, National Medical Center) ;
  • Won, Sinae (National Emergency Medical Center, National Medical Center) ;
  • Kim, Kyung Hwan (Department of Emergency Medicine, Inje University Ilsan Paik Hospital) ;
  • Oh, Bum Jin (Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 이승민 (서울아산병원 응급의학과) ;
  • 윤한덕 (국립중앙의료원 중앙응급의료센터) ;
  • 장한석 (국립중앙의료원 중앙응급의료센터) ;
  • 원신애 (국립중앙의료원 중앙응급의료센터) ;
  • 김경환 (인제대학교 일산백병원 응급의학과) ;
  • 오범진 (서울아산병원 응급의학과)
  • Received : 2018.06.15
  • Accepted : 2018.07.18
  • Published : 2018.12.31
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Abstract

Purpose: The National Emergency Medical Center has been running a project for the storage and delivery of antidotes for acute poisoning patients of the Department of Health and Welfare, Korea. This study analyzed the results of this project over the past two years. Methods: The requests received by the National Emergency Medical Center and the data on the delivery process were analyzed. Results: This study analyzed a total of 121 patients with acute poisoning, who were requested to receive an antidote reserved at 20 key hospitals in 2015-2017, and whose age was $52.3{\pm}23.5\;years$; old; 54 were women. Intentional poisoning were 58.7%, and the home was the most common place of exposure (66.9%). The toxic substances were chemicals (32.2%), pesticides (27.3%), medicines (24.8%), and snake venom (4.1%). The patient's poison severity score was $2.4{\pm}0.7$ (median 3) indicating moderate-to-severe toxicity. Antidote administration was the cases treated in key hospitals 67.8% (82/121), in which transferred patients accounted for 57.3% (47/82). After receiving an antidote request from a hospital other than the key hospitals, the median was 75.5 minutes (range 10 to 242 minutes) until the antidote reached the patient, and an average of 81.5 minutes was required. The results of emergency care were intensive care unit (70.3%), general wards (13.2%), death (10.7%), and discharge from emergency department (5.0%). Conclusion: This study showed that the characteristics of acute poisoning patients treated with an antidote were different from previous reports of poisoned patients in the emergency department, and basic data on the time required for delivery from key hospitals was different.

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References

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