Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.
Department of Emergency Medicine, University of Minnesota, Minneapolis, Minnesota.
Prehosp Emerg Care. 2024;28(7):970-974. doi: 10.1080/10903127.2024.2357597. Epub 2024 Jun 6.
Sodium nitrite overdose leads to profound methemoglobinemia and may quickly progress to death. It is an increasingly common method of suicide and is often fatal. Methylene blue is an effective but time-sensitive antidote that has the potential to save lives when administered early. In this case report, we describe a fatal sodium nitrite overdose and the subsequent creation of a prehospital protocol for our large urban Emergency Medical Services system.
亚硝酸钠过量会导致严重的高铁血红蛋白血症，并可能迅速导致死亡。它是一种越来越常见的自杀方法，往往是致命的。亚甲蓝是一种有效的但时间敏感的解毒剂，在早期给予时有可能拯救生命。在本病例报告中，我们描述了一起致命的亚硝酸钠过量中毒事件，并随后为我们的大型城市紧急医疗服务系统创建了一个院前预案。
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