CLINICAL FEATURES OF EXCITED DELIRIUM SYNDROME IN ACUTE POISONINGS
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Abstract
Objectives: to describe the clinical characteristics of acute delirium agitation in acute poisoned patients at Vietnam Poison Control Center, Bach Mai Hospital. Methods: A prospective observational study included 48 patients with acute delirium due to acute poisoning at the Poison Control Center from January 2020 to October 2021. Results: most of the study patients were male (72.9%), in the age group of 18-19 years old (64.6%), and unemployed (71.7. %). The rate of severe agitation was 100%. The common symptoms were: not afraid of pain (50%), rapid breathing (97.7%), sweating (70.8%), not following orders (83.3%), increase in muscle strength (81.3%), loss of fatigue (77.1%), increase in body temperature (85.4%), inappropriate clothing (54.6), delusions of harm (54.3%), delusions of jealousy (2.2%), panic attacks of pride (2.3%), no delusions (41.3%), patients have hallucinations 43.8%, hallucinations visual acuity 25.0% without hallucinogenic disorder 31.2%, mean systolic blood pressure was 135.0 ± 10.6, mean heart rate was 120.4 ± 13.9. Conclusion: Agitated delirium syndrome in acute poisoned patients was a clinical emergency with severe agitation, many serious signs such as hyperthermia, increased muscle tone, convulsions, etc. required prompt identified and treated.
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Keywords
Excited delirium syndrome, acute poisoning
References
2. Gonin P, Beysard N, Yersin B, Carron PN. Excited Delirium: A Systematic Review. Academic Emergency Medicine. 2018;25(5):552-565
3. Wanicki JL, Barrett W, Saghafi O, et al. Prehospital ketamine for excited delirium in the setting of acute drug intoxication. In: Toxicology Clinical. New York, NY: Informa Healthcare, 2014:685–6.
4. Helmer J, Acker J, Deakin J, Johnston T. Canadian paramedic experience with intramuscular ketamine for extreme agitation: A quality improvement initiative. Australasian Journal of Paramedicine. 2020;17.
5. Scaggs TR, Glass DM, Hutchcraft MG, Weir WB. Prehospital Ketamine is a Safe and Effective Treatment for Excited Delirium in a Community Hospital Based EMS System. Prehosp Disaster med. 2016;31(5):563-569.
6. Ruttenber AJ, Lawler-Heavner J, Yin M, et al. Fatal excited delirium following cocaine use: epidemiologic findings provide new evidence for mechanisms of cocaine toxicity. J Forensic Sci. 1997;42(1):25-31