Intensity of care delivered by prehospital emergency medical service physicians to patients with deliberate self-poisoning: results from a 2-day cross-sectional study in France.

Details

Serval ID
serval:BIB_E6837D5C5C7F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Intensity of care delivered by prehospital emergency medical service physicians to patients with deliberate self-poisoning: results from a 2-day cross-sectional study in France.
Journal
Internal and emergency medicine
Author(s)
Maignan M., Viglino D., Collomb Muret R., Vejux N., Wiel E., Jacquin L., Laribi S., N-Gueye P., Joly L.M., Dumas F., Beaune S.
Working group(s)
IRU-SFMU Group
Contributor(s)
Serre P., Arnaud A., Kasby Y., Malbranque A., Boccheciampe F., Michelet P., Maurin O., Vidal O., Deniel C., Bordais A., Mari C., Duchenne J., Gillet S., Delaire L., Bouex-Godeau I., Adi O., Seddik S., Saudeau L., Labbens B., Salamor M., Tissier C., Milojevitch E., Eclancher A., Pouzoulet S., Marion A.L., Khoury A., Macher J.M., Proust A., Martin D., Revue E., Dief L., Saura F., Legoff F., Hamon X., Direr M.A., Tendron L., Payet I., Lauque D., Charpentier S., El Kadiri I., Bereau J., Tentillier E., Varsmee G., De Stabenrath O., Bissolokele P., Bebien L., Sebbane M., Lefebvre S., Cabirol L., Chauvel N., Gueguen M., Rouchy C., Mausset V., Laribi S., Savio C., Debaty G., El Khoury C., Matas O., Pommier P., Lemarchand R., Duffait Y., Luquet C., Arnaud M., Blondet R., Liegeois G., Cherhabil N., Martinez M., Bonhomme C., Viallon A., Yousfi R., Fort P.A., Blonstein B., Bouchel C., Schotte T., Sentias C., Neata I., Chouihed T., Berlengi N., Baugnon D., Rothmann C., Abdelli L., Goze C., Moquay R., Raeckelboom B., Ramaherison T., Kasdali R., Guidez T., Crindal S., Henry R., Henry R., Chafai A., Poher F., El Mouden M., Idrissi A., Hellal K., Humbert K., Giroud G., Dublanchet N., Jainsky L., Ansart E., Mokni T., Sampietro W., Redonnet J.P., Rouillon M., Creton C., Schweitzer F., Le Borgne P., Bilbaut P., Zix-Minni A.M., Racenet C., Gottwalles Y., Hammouda B., Landry J., Moussa M., Fayard Gonon F., Arnaud M., Fonsegrive J., Latappy M., Ageron F.X., Peribois G., Forel A., Vallenet C., Dahan B., Hutin A., Fievet-Brochot M.L., Simonetta M., Ayllon Milla S., Chocron R., Titomanlio L., Thiebaud P.C., Vivien B., Jabre P., Cheron G., Burggraff E., Trabattoni E., Massol V., Jardel B., Leclercq O., Lesire F., Perr S., Abarrategui D., Flambard-Biglione M., Abaza A., Toumani S., Berton L., Dalle L., De Bastard L., Mauger Briche C., Sirigu G., Chevrier C., Leveau P., Volard P., Bentabet A., Amizet L., Bourdon E., Colonna A., El Omri M., Fradin P., Couillard C., Martine-Singer J., Cailloce D., Vallejo C., Blime V., De Talance M., Ben Othmane E., Fortin J.L., Andrianjafy H., Rebello C., Le Jan A., Caruana E., Lenglet H., Javaud N., Ursat C., Pomel A.L., Canu C., Khalid M., Ovaska H., Nakle N., Diez S., Sende J., Hervieux A., Philipotteau Parin C., Fehre A., Popotte E., Baticle A., Cosse Y., Hutten O., Belkouch A., Claessens Y.E.
ISSN
1970-9366 (Electronic)
ISSN-L
1828-0447
Publication state
Published
Issued date
09/2019
Peer-reviewed
Oui
Volume
14
Number
6
Pages
981-988
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Emergency management of deliberate self-poisoning (DSP) by drug overdose is common in emergency medicine. There is a paucity of data about the prehospital care of these patients. The principal aim was to describe the intensity of care received by patients with DSP who were managed by prehospital emergency medical service (EMS) physicians. A 48-h cross-sectional study was conducted in 319 EMS and emergency units in France. Patient and poisoning characteristics and treatments administered were recorded. Complications of poisoning, hospitalization, intensive care unit admission and death were recorded until day 30. The primary endpoint was the probability of receiving prehospital intensive care, including fluid resuscitation, vasopressor therapy, invasive ventilation, or antidotal treatments, depending whether prehospital treatment was carried out by an EMS physician or not. Data from 703 patients (median age was 43 [30-52] years, 288 (40%) men) were analyzed. One hundred and fifteen (16%) patients were attended by an EMS physician. Patients attended by EMS physicians were more likely to receive intensive treatment in the prehospital setting [odds ratio (OR) 7.4, 95% confidence interval 4.3-12.9]. These patients had more severe poisoning as suggested mainly by a lower Glasgow Coma Score (13 [8-15] vs. 15 [15-15]; p < 0.001) and a higher rate of admission to an intensive care unit [29 (25%) vs. 15 (2%), p < 0.001]. Patients with DSP attended by prehospital EMS physicians frequently received intensive care. The level of care seemed appropriate for the severity of the poisoning.
Keywords
Attempted suicide, Emergency medical services, Emergency medicine, Poisoning
Pubmed
Web of science
Create date
20/02/2020 10:36
Last modification date
15/07/2020 5:26
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