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Related Concept Videos

Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

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In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
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Enhanced Elimination of Poison01:26

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Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
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SBAR II: Application of SBAR01:14

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
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The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Drug Therapy01:28

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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers
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Intervention to decrease leaving without treatment among intoxicated emergency department patients.

Leslie W Milne1, Dawn Williamson1, Cassie Kraus1

  • 1Department of Emergency Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

Journal of Substance Abuse Treatment
|February 24, 2020
PubMed
Summary
This summary is machine-generated.

A new protocol significantly reduced the rate of patients leaving the emergency department (ED) without treatment for alcohol intoxication. Patients who completed treatment had lower 24-hour return rates compared to those leaving early.

Keywords:
AlcoholCapacityIntoxicationLeave without being seenRecidivismReturn visit

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Area of Science:

  • Emergency Medicine
  • Public Health
  • Addiction Medicine

Background:

  • Approximately 15% of patients presenting to the ED with alcohol-related issues left without treatment.
  • Intoxicated patients leaving without treatment are at increased risk for injury due to potential impairment.
  • Lack of a standardized process for evaluating and managing intoxicated patients contributed to early departures.

Purpose of the Study:

  • To develop and implement an intervention to decrease the rate of patients leaving the emergency department without treatment for alcohol intoxication.
  • To assess the impact of the intervention on patient departures, recidivism, and emergency department length of stay.

Main Methods:

  • A stakeholder group identified reasons for patients leaving without treatment.
  • A protocol involving a triage nurse worksheet and supervised care area was implemented.
  • A before-and-after analysis compared 12 months pre-intervention to 12 months post-intervention.

Main Results:

  • The rate of patients leaving without treatment decreased from 15.0% to 7.4% (p < 0.001).
  • Patients completing treatment had a 24-hour recidivism rate of 9.4% compared to 22.6% for those leaving without treatment (p < 0.001).
  • Emergency department length of stay increased by a mean of 42 minutes (p < 0.001).

Conclusions:

  • A standardized process for managing acutely intoxicated patients effectively reduces departures from the ED.
  • Patients who receive treatment in the ED exhibit lower 24-hour recidivism rates.
  • The intervention improved patient care and safety for those with alcohol-related emergencies.