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Management recommendations for body stuffers at emergency units
Hossein Hassanian-Moghaddam1,2, Fatemeh Amraei3, Nasim Zamani1,2
1Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Emergency physicians face challenges managing body stuffers. This review proposes a guide, emphasizing observation, specific drug toxicity treatment, and imaging like CT scans for effective body stuffer management.
Area of Science:
- Emergency Medicine
- Toxicology
- Forensic Medicine
Background:
- Managing individuals who swallow illicit drug packages (body stuffers) presents significant challenges for emergency physicians.
- A lack of systematic treatment protocols complicates the care of body stuffers.
Purpose of the Study:
- To conduct a comprehensive literature review on body stuffing.
- To develop a practical management guide for emergency physicians treating body stuffers.
Main Methods:
- Systematic literature search of Medline/PubMed, Google Scholar, and Scopus.
- Keywords included "body stuffer", "body stuffing", "poisoning", "toxicity", and "treatment".
- Analysis and synthesis of 61 relevant articles.
Main Results:
- Observation is the primary management step to ensure passage of drug packages.
- Abdominopelvic CT without contrast is recommended for accurate diagnosis of package presence and quantity.
- Treatment strategies must be tailored to the specific drug (opioids, cocaine, amphetamines); surgery is reserved for complications like obstruction or rupture.
Conclusions:
- A structured approach involving observation, appropriate imaging, and targeted treatment is crucial for managing body stuffers.
- Early diagnosis and specific interventions can prevent severe toxicity and complications.
- Legal considerations are important in body stuffer cases due to their complex nature.
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