الفهرس 
Chapter (I): Introduction to PoisoningOnly 14 pages are availabe for public view
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Abstract
Acute toxicity is a major medical problem in the whole world as poisoning is one of the most common causes for coming to hospital emergency departments. Early diagnosis and treatment in emergency department and ICU are critical for the poisoned patient to reduce hospital morbidity and mortality.
The aim of this study is to evaluate the pattern, management and outcomes of acute unstable poisoning cases presented to Emergency department of Menuofia University Hospitals.
This study included 84 patients with toxicological history triaged to the resuscitation room in emergency department.
All the patients selected according to inclusion and exclusion were clinically assessed and managed through the following:
1. Full history taking.
2. Assessment and management with the ABCDE protocol.
3. Investigations.
4. The outcomes of each patient were recorded, there were in the form of ICU admission, Ward admission, Intermediate care admission, outpatient and mortality rate.
The results of this study within the limitations of this study shown that:
- The age of studied cases ranged between 11 years to 80 years with mean age was 32.49 (± 13.39) years. The highest incidence of poisoning was seen in those aged between 31 and 40 years (33.3%) followed by 21-30 years (29.8%) and 11 -20 years (15.5%) age groups. There were 42 (50%) males and 42 (50%) females.
- Aluminum phosphide was the most common type of poison that found in more than half of cases (52.4%).
- In our study, most cases of poisoning (66.7%) were suicidal attempts while 33.3% of poisoning were accidental.
- The mortality rate was 40.5% cases, 25% cases needed ICU admission, 21.4% cases referred to outpatients. 6% cases needed intermediate care and 6% cases needed ward admission.1.2% cases had referral.