1
40
4
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.3109/15563651003772946" target="_blank" rel="noreferrer noopener">http://doi.org/10.3109/15563651003772946</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
431-434
Issue
5
Volume
48
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Assessment of serum creatine kinase among adolescent patients following jimsonweed (Datura stramonium) and moonflower (Datura inoxia) ingestions: a review of 11 cases
Publisher
An entity responsible for making the resource available
Clinical Toxicology
Date
A point or period of time associated with an event in the lifecycle of the resource
2010
2010-06
Subject
The topic of the resource
Adolescent; Toxicology; Intoxication; Anticholinergics; induced rhabdomyolysis; Intoxication; presentations; Rhabdomyolysis; Toxic plants
Creator
An entity primarily responsible for making the resource
Blackford M G; Fitzgibbon J J; Reed M D
Description
An account of the resource
Introduction. Datura stramonium (DS) (jimsonweed) is well known for its abuse potential for hallucinogenic effects and Datura inoxia (DI) (moonflower) has been abused for similar effects. To our knowledge, only one case report describes rhabdomyolysis in association with DS or DI ingestion. Case identification and details. Patient hospital charts were retrospectively screened from January 1, 2002 to December 31, 2007 to identify patients with qualifying ICD-9 codes for toxic plant ingestions. We report on 11 patient cases of DS/DI ingestions in which serum creatine kinase (CK) concentrations were monitored. These admissions occurred at our hospital over a 6-year period. Serum CK concentrations ranged from 72 to 70,230 U/L. Only three patients had serum CK concentrations greater than 1,000 U/L. One patient with a peak concentration of 70,230 U/L and a positive myoglobinuria was diagnosed with rhabdomyolysis. Discussion. Based on our review of the literature and these cases, it is possible that serum CK concentrations may be elevated more frequently than previously realized. The clinical significance of this abnormal laboratory value is uncertain with the majority of patients remaining asymptomatic without any clinical evidence of rhabdomyolysis.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.3109/15563651003772946" target="_blank" rel="noreferrer noopener">10.3109/15563651003772946</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2010
Adolescent
Anticholinergics
Blackford M G
Clinical Toxicology
Fitzgibbon J J
induced rhabdomyolysis
intoxication
Journal Article or Conference Abstract Publication
presentations
Reed M D
Rhabdomyolysis
Toxic plants
Toxicology
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2011.02.017" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2011.02.017</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
897-905
Issue
5
Volume
43
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Locate full-text within NEOMED Library's e-journal collections
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
EXCITED DELIRIUM SYNDROME (EXDS): DEFINING BASED ON A REVIEW OF THE LITERATURE
Publisher
An entity responsible for making the resource available
Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
2012-11
Subject
The topic of the resource
acidosis; agitated delirium; cardiac-arrest; cocaine users; custody; Emergency Medicine; excited delirium; in-custody death; intoxication; patient; psychosis; restraint; sudden death; sudden death; TASER
Creator
An entity primarily responsible for making the resource
Vilke G M; DeBard M L; Chan T C; Ho J D; Dawes D M; Hall C; Curtis M D; Costello M W; Mash D C; Coffman S R; McMullen M J; Metzger J C; Roberts J R; Sztajnkrcer M D; Henderson S O; Adler J; Czarnecki F; Heck J; Bozeman W P
Description
An account of the resource
Background: Patients present to police, Emergency Medical Services, and the emergency department with aggressive behavior, altered sensorium, and a host of other signs that may include hyperthermia, "superhuman'' strength, diaphoresis, and lack of willingness to yield to overwhelming force. Acertain percentage of these individuals will go on to expire from a sudden cardiac arrest and death, despite optimal therapy. Traditionally, the forensic community would often classify these as "Excited Delirium'' deaths. Objectives: This article will review selected examples of the literature on this topic to determine if it is definable as a discrete medical entity, has a recognizable history, epidemiology, clinical presentation, pathophysiology, and treatment recommendations. Discussion: Excited delirium syndrome is characterized by delirium, agitation, acidosis, and hyperadrenergic autonomic dysfunction, typically in the setting of acute-on-chronic drug abuse or serious mental illness or a combination of both. Conclusions: Based upon available evidence, it is the consensus of an American College of Emergency Physicians Task Force that Excited Delirium Syndrome is a real syndrome with uncertain, likely multiple, etiologies. (C) 2012 Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2011.02.017" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2011.02.017</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2012
Acidosis
Adler J
agitated delirium
Bozeman W P
cardiac-arrest
Chan T C
cocaine users
Coffman S R
Costello M W
Curtis M D
custody
Czarnecki F
Dawes D M
DeBard M L
Emergency Medicine
excited delirium
Hall C
Heck J
Henderson S O
Ho J D
in-custody death
intoxication
Journal Article
Journal of Emergency Medicine
Mash D C
McMullen M J
Metzger J C
Patient
psychosis
Restraint
Roberts J R
sudden death
Sztajnkrcer M D
TASER
Vilke G M
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/106002809402800207" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/106002809402800207</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
195-196
Issue
2
Volume
28
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pronounced Metabolic Response To Modest Theophylline Overdose
Publisher
An entity responsible for making the resource available
Annals of Pharmacotherapy
Date
A point or period of time associated with an event in the lifecycle of the resource
1994
1994-02
Subject
The topic of the resource
intoxication; Pharmacology & Pharmacy; toxicity
Creator
An entity primarily responsible for making the resource
Hagley M T; Traeger S M; Schuckman H
Description
An account of the resource
OBJECTIVE: To describe a patient who developed significant metabolic abnormalities in response to a low-level theophylline ingestion. CASE SUMMARY: An 18-year-old man was examined after ingesting theophylline 3 g in a suicide attempt. Although his peak theophylline concentration was 157 mumol/L (28.2 mug/mL), it was associated with significant leukocytosis, hypokalemia, hypomagnesemia, hypophosphatemia, hyperglycemia, and lactic acidosis. These abnormalities have been previously associated with theophylline intoxication, but only in conjunction with much higher peak concentrations of theophylline. CONCLUSIONS: Significant metabolic abnormalities can occur with suicidal ingestion of relatively small amounts of theophylline. The presence of these abnormalities should be sought in theophylline overdoses. In the proper clinical circumstances, such abnormalities should raise suspicion of covert theophylline ingestion.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/106002809402800207" target="_blank" rel="noreferrer noopener">10.1177/106002809402800207</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
1994
Annals of Pharmacotherapy
Hagley M T
intoxication
Journal Article or Conference Abstract Publication
Pharmacology & Pharmacy
Schuckman H
toxicity
Traeger S M
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/MEJ.0b013e3280b17ea0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/MEJ.0b013e3280b17ea0</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
19-25
Issue
1
Volume
15
Search for Full-text
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
The relationship between psychiatric medication and course of hospital stay among intoxicated trauma patients
Publisher
An entity responsible for making the resource available
European Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2008
2008-02
Subject
The topic of the resource
acute; brain-injury; chronic alcohol-abuse; comorbidity; cost; disorders; Emergency Medicine; ethanolism; general hospitals; hospitalization; inpatients; intoxication; Length of Stay; pneumonia; prevalence; Psychiatry; trauma
Creator
An entity primarily responsible for making the resource
Muakkassa F F; Marley R A; Dolinak J; Salvator A E; Workman M C
Description
An account of the resource
Introduction The purpose of this study was to determine whether trauma patients requiring psychiatric medication who were admitted with positive alcohol or drug screen require more pain medications or sedation resulting in longer length of stay. Methods Data were retrospectively collected from 1997 through 2003 on patients with positive alcohol or drug screen who also received psychiatric medication during their hospital stay in a trauma center. Patients were matched by age, injury severity score, and injury to controls who had negative alcohol and toxicology screens and no psychiatric medication. An additional group consisted of positive alcohol or drug-screen trauma patients without psychiatric medication during hospitalization. Each group had 25 patients. Results No significant differences between the three groups regarding comorbidities or pain-medication doses given per day were found. The patients with positive alcohol and with psychiatric medication were more likely to have respiratory complications such as pneumonia or respiratory failure requiring ventilator support (36 versus 4%, P=0.005), to develop other infections (8 versus 0%), or other complications (26 versus 4%, P=0.0007) compared with the controls. A significant difference in hospital length of stay between the group with positive toxicity and psychiatric medication and that with negative toxicity and psychiatric medication (mean: 12.8 and 5.5 days, respectively; P=0.01) was found. Conclusion Psychiatric medication and positive drug or alcohol screens are associated with longer length of stay and increased respiratory complications. Factors influencing these outcomes need more clarification and prospective studies.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/MEJ.0b013e3280b17ea0" target="_blank" rel="noreferrer noopener">10.1097/MEJ.0b013e3280b17ea0</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2008
acute
brain-injury
chronic alcohol-abuse
Comorbidity
Cost
disorders
Dolinak J
Emergency Medicine
ethanolism
European Journal of Emergency Medicine
general hospitals
Hospitalization
Inpatients
intoxication
Journal Article
Length of Stay
Marley R A
Muakkassa F F
Pneumonia
Prevalence
Psychiatry
Salvator A E
trauma
Workman M C