Daly F F S, Little M, Murray L
Royal Perth Hospital, Perth, Western Australia, Australia.
Emerg Med J. 2006 May;23(5):396-9. doi: 10.1136/emj.2005.030312.
Early assessment and management of poisoning constitutes a core emergency medicine competency. Medical and psychiatric emergencies coexist; the acute poisoning is a dynamic medical illness that represents an acute exacerbation of a chronic underlying psychosocial disorder. The emergency physician must use an approach that ensures early decisions address potentially time critical interventions, while allowing management to be tailored to the individual patient's needs in that particular medical setting. This article outlines a rationale approach to the management of the poisoned patient that emphasises the importance of early risk assessment. Ideally, this approach should be used in the setting of a health system designed to optimise the medical and psychosocial care of the poisoned patient.
中毒的早期评估与处理是急诊医学的一项核心能力。医学急症与精神急症并存；急性中毒是一种动态的医学疾病，代表着慢性潜在心理社会障碍的急性加重。急诊医生必须采用一种方法，确保早期决策能针对潜在的紧急干预措施，同时使处理能根据特定医疗环境中个体患者的需求进行调整。本文概述了一种合理的中毒患者处理方法，强调早期风险评估的重要性。理想情况下，这种方法应在旨在优化中毒患者医疗和心理社会护理的卫生系统中使用。
