Oprița B., Gabor-Postole Dana Atena, Aignatoaie B.
Emergency Clinical Hospital of Bucharest, Romania
Abstract
When determining whether to observe, admit, transfer, or discharge a person who has been poisoned, there are several factors to consider. For unstable patients, admission to an intensive care unit is appropriate, and transfer to a tertiary care facility should be considered, especially with children. For stable patients, the amount of observation time is based on the half-life of a medication, the amount ingested, and the formulation. Any patient who develops signs or symptoms of toxicity that do not reverse during the observation period should be admitted for further observation.[6] Triage is the initial assessment and sorting of patients in an emergency setting to determine clinical priority of need and, in some emergency departments (Eds), appropriate area for treatment. Overcrowding of EDs makes accurate triage category assignment a priority if patient safety and timeliness of care are to be assured.[29]. The purpose of this research consists in the formulation of a pre-therapeutic and prognostic score, correlating vital parameters of patients, toxicology and post-therapy scores, so we can decide whether to maintain the patient in the Emergency Department for treatment, to discharge him/her in safety conditions or to admit him/her in Toxicology Unit.