Pediatric Emergency Medicine Fellow, Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH.
Pediatric Emergency Medicine Attending, Division of Emergency Medicine, Nemours Children's Hospital; Professor of Pediatrics, University of Central Florida, Orlando, FL.
Pediatr Emerg Med Pract. 2023 Oct 1;20(10):1-24. Print 2023 Oct.
Adolescent substance use continues to be a prevalent problem and is a cause of morbidity, mortality, and high rates of resource utilization. The variability in presentations of drug intoxication can make accurate identification of the ingested substance, and thus efficient treatment, challenging. This issue provides a review of typical presenting signs, symptoms, and physical examination findings of commonly used drugs. Evidence-based recommendations are offered for a general approach to managing adolescent patients who present with drug intoxication, with specific guidance, when indicated.
青少年物质使用仍然是一个普遍存在的问题，也是发病率、死亡率和高资源利用率的一个原因。药物中毒表现的多样性使得准确识别摄入的物质并因此进行有效的治疗变得具有挑战性。本文回顾了常用药物中毒的典型表现、症状和体格检查结果。根据现有证据，对管理青少年药物中毒患者的一般方法提出了建议，并在有指征时提供了具体指导。
