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The PIRATE mnemonic: providing a structured approach in the care for intoxicated patients at the emergency department.
Kraaijvanger, Nicole; Raven, Wouter; van Dijken, Trudy; Gresnigt, Femke.
Afiliación
  • Kraaijvanger N; Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, the Netherlands. a.m.m.kraaijvanger@lumc.nl.
  • Raven W; Toxicology section of Dutch Society of Emergency Physicians, Utrecht, the Netherlands. a.m.m.kraaijvanger@lumc.nl.
  • van Dijken T; Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, the Netherlands.
  • Gresnigt F; Toxicology section of Dutch Society of Emergency Physicians, Utrecht, the Netherlands.
Int J Emerg Med ; 17(1): 30, 2024 Mar 01.
Article en En | MEDLINE | ID: mdl-38429763
ABSTRACT

BACKGROUND:

Expertise in toxicology is essential for acute care providers, as intoxicated patients frequently present to Emergency Departments. These patients can be challenging for care providers because they often present with uncertain substance exposure and unknown dose and timing of these exposures.

METHODS:

The Dutch Society of Emergency Physicians has developed an mnemonic to support treating physicians in a structured approach for the management of (undifferentiated) intoxicated patients.

RESULTS:

The PIRATE mnemonic was developed, which includes the following aspects and sequence of care for the intoxicated patient primary survey, investigation & identification, risk assessment, ADME (comprising pharmacokinetic therapeutic targets absorption, distribution, metabolism, elimination), therapy and evaluation.

CONCLUSION:

The toxicology section of the Dutch Society of Emergency Physicians developed the PIRATE mnemonic to provide a structured approach in the management of patients presenting with acute intoxications to Emergency Departments. It summarizes the essential steps and priorities required in the care of intoxicated patients. Further, it provides a common strategy for all specialties involved in the care of the acutely intoxicated patient, contributing to developing greater competence in poisoning management.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Emerg Med Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Emerg Med Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido