Prise en charge préhospitalière des intoxications aiguës graves View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-03

AUTHORS

M. Maignan, V. Danel

ABSTRACT

Les intoxications sont un motif fréquent d’appel au centre 15 et d’intervention médicale préhospitalière. Il n’existe pas de consensus en matière de régulation médicale des intoxications et, en dehors des situations où la détresse vitale est patente, le médecin régulateur doit s’appuyer sur l’analyse de l’anamnèse toxicologique. Certaines substances ont une gravité potentielle qui justifie l’envoi immédiat de secours médicalisés tandis que les notions de dose supposée ingérée et de délai depuis l’ingestion sont également des facteurs à prendre en compte. En revanche, le médecin régulateur ne peut pas fonder son raisonnement clinique uniquement sur les signes vitaux, car ils sont insuffisants à eux seuls pour déterminer le pronostic. Concernant la prise en charge préhospitalière des intoxications, le patient doit bénéficier avant tout d’un traitement symptomatique. Cependant, l’utilisation ciblée d’antidotes peut s’avérer indispensable dès la phase préhospitalière, et les médecins urgentistes doivent être sensibilisés à certaines techniques d’exception telles que l’assistance circulatoire périphérique dans les intoxications graves aux cardiotoxiques. Par ailleurs, le potentiel évolutif des symptômes liés à l’intoxication doit inciter le médecin urgentiste à la prudence quant à l’orientation du patient. Enfin, la mise en place de filières de soins est indispensable pour une prise en charge préhospitalière adaptée des patients. More... »

PAGES

95-102

Journal

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s13341-013-0291-4

DOI

http://dx.doi.org/10.1007/s13341-013-0291-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041092518


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