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.
Attempted suicide
Emergency medical services
Emergency medicine
Poisoning
Journal
Internal and emergency medicine
ISSN: 1970-9366
Titre abrégé: Intern Emerg Med
Pays: Italy
ID NLM: 101263418
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
13
02
2019
accepted:
08
05
2019
pubmed:
20
5
2019
medline:
24
3
2020
entrez:
20
5
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31104303
doi: 10.1007/s11739-019-02108-1
pii: 10.1007/s11739-019-02108-1
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
981-988Investigateurs
Patrice Serre
(P)
Aurélie Arnaud
(A)
Yann Kasby
(Y)
Arnaud Malbranque
(A)
Fabien Boccheciampe
(F)
Pierre Michelet
(P)
Olivier Maurin
(O)
Olivier Vidal
(O)
Cécile Deniel
(C)
Aurélia Bordais
(A)
Camille Mari
(C)
Jonathan Duchenne
(J)
Stéphane Gillet
(S)
Laurent Delaire
(L)
Isabelle Bouex-Godeau
(I)
Othmane Adi
(O)
Smaîn Seddik
(S)
Laurence Saudeau
(L)
Bénédicte Labbens
(B)
Mohamed Salamor
(M)
Cindy Tissier
(C)
Ester Milojevitch
(E)
Anncy Eclancher
(A)
Sébastien Pouzoulet
(S)
Anne-Laurence Marion
(AL)
Abdo Khoury
(A)
Jean-Michel Macher
(JM)
Arnaud Proust
(A)
Dominique Martin
(D)
Eric Revue
(E)
Lofti Dief
(L)
Frederic Saura
(F)
Fabrice Legoff
(F)
Xavier Hamon
(X)
Marie-Annick Direr
(MA)
Ludivine Tendron
(L)
Ingrid Payet
(I)
Dominique Lauque
(D)
Sandrine Charpentier
(S)
Imane El Kadiri
(I)
Justine Bereau
(J)
Eric Tentillier
(E)
Grégoire Varsmee
(G)
Olivier De Stabenrath
(O)
Pascal Bissolokele
(P)
Laurent Bebien
(L)
Mustapha Sebbane
(M)
Sophie Lefebvre
(S)
Ludovic Cabirol
(L)
Nicolas Chauvel
(N)
Marion Gueguen
(M)
Cécile Rouchy
(C)
Véronique Mausset
(V)
Said Laribi
(S)
Christophe Savio
(C)
Guillaume Debaty
(G)
Carlos El Khoury
(C)
Olivier Matas
(O)
Philippe Pommier
(P)
Rémy Lemarchand
(R)
Yves Duffait
(Y)
Cédric Luquet
(C)
Muriel Arnaud
(M)
Romain Blondet
(R)
Guillaume Liegeois
(G)
Nidhal Cherhabil
(N)
Mickaël Martinez
(M)
Cécile Bonhomme
(C)
Alain Viallon
(A)
Rachid Yousfi
(R)
Pierre-Arnaud Fort
(PA)
Benjamin Blonstein
(B)
Célia Bouchel
(C)
Thibault Schotte
(T)
Carlos Sentias
(C)
Irina Neata
(I)
Tahar Chouihed
(T)
Noémie Berlengi
(N)
Daniel Baugnon
(D)
Christophe Rothmann
(C)
Lila Abdelli
(L)
Cédric Goze
(C)
Romain Moquay
(R)
Benoit Raeckelboom
(B)
Thierry Ramaherison
(T)
Rachid Kasdali
(R)
Thomas Guidez
(T)
Sylvain Crindal
(S)
Raymond Henry
(R)
Raymond Henry
(R)
Ahmed Chafai
(A)
Fabien Poher
(F)
Mohamed El Mouden
(M)
Annick Idrissi
(A)
Kheira Hellal
(K)
Karine Humbert
(K)
Géraldine Giroud
(G)
Nicolas Dublanchet
(N)
Laure Jainsky
(L)
Emma Ansart
(E)
Tarak Mokni
(T)
William Sampietro
(W)
Jean-Philippe Redonnet
(JP)
Marie Rouillon
(M)
Christophe Creton
(C)
Fanny Schweitzer
(F)
Pierrick Le Borgne
(P)
Pascal Bilbaut
(P)
Anne-Marie Zix-Minni
(AM)
Coralie Racenet
(C)
Yannick Gottwalles
(Y)
Ben Hammouda
(B)
Jacquet Landry
(J)
Martine Moussa
(M)
Florence Fayard Gonon
(F)
Maxime Arnaud
(M)
Julien Fonsegrive
(J)
Marc Latappy
(M)
François-Xavier Ageron
(FX)
Guillaume Peribois
(G)
Alban Forel
(A)
Claire Vallenet
(C)
Benjamin Dahan
(B)
Alice Hutin
(A)
Marie-Laurence Fievet-Brochot
(ML)
Marie Simonetta
(M)
Sonia Ayllon Milla
(S)
Richard Chocron
(R)
Luigi Titomanlio
(L)
Pierre-Clément Thiebaud
(PC)
Benoit Vivien
(B)
Patricia Jabre
(P)
Gérard Cheron
(G)
Eric Burggraff
(E)
Eloïse Trabattoni
(E)
Valérie Massol
(V)
Benoit Jardel
(B)
Olivier Leclercq
(O)
Francis Lesire
(F)
Sandra Perr
(S)
Diego Abarrategui
(D)
Maud Flambard-Biglione
(M)
Aziza Abaza
(A)
Samir Toumani
(S)
Laurence Berton
(L)
Ludovic Dalle
(L)
Laurent De Bastard
(L)
Carole Mauger Briche
(C)
Guillaume Sirigu
(G)
Caroline Chevrier
(C)
Philippe Leveau
(P)
Philippe Volard
(P)
Aïcha Bentabet
(A)
Loïc Amizet
(L)
Emmanuel Bourdon
(E)
Anais Colonna
(A)
Mouna El Omri
(M)
Philippe Fradin
(P)
Cyril Couillard
(C)
Joana Martine-Singer
(J)
Dominique Cailloce
(D)
Christine Vallejo
(C)
Vincent Blime
(V)
Marc De Talance
(M)
Elmoez Ben Othmane
(E)
Jean Luc Fortin
(JL)
Hery Andrianjafy
(H)
Christian Rebello
(C)
Arnaud Le Jan
(A)
Emmanuel Caruana
(E)
Hugo Lenglet
(H)
Nicolas Javaud
(N)
Cécile Ursat
(C)
Anne-Laure Pomel
(AL)
Corinne Canu
(C)
Mohamed Khalid
(M)
Hanna Ovaska
(H)
Nicolas Nakle
(N)
Stephane Diez
(S)
Jean Sende
(J)
Aurélie Hervieux
(A)
Catherine Philipotteau Parin
(C)
Aurélie Fehre
(A)
Esther Popotte
(E)
Anaëlle Baticle
(A)
Yves Cosse
(Y)
Olivier Hutten
(O)
Ahmed Belkouch
(A)
Yann-Erick Claessens
(YE)
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