Poisoning with malicious or criminal intent: characteristics and outcome of patients presenting for emergency care

Gauthey, Magali; Capua, Maya; Brent, Jeffrey; Finkelstein, Yaron

doi:10.1080/15563650.2018.1546009

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…In another study, Gauthy et al found that the poisoned cases were 21 children and 39 adults. In the present study, there was no evidence that the poisoned child was referred to Loghman Hakim Hospital in Tehran [8]. Substances that have caused toxic poisoning in children include sympathomimetics, opioids, caffeine, marijuana, detergents, alcohol, benzodiazepines, sertraline, sodium hypochlorite, and acetaminophen.…”

Section: Discussioncontrasting

confidence: 60%

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Criminal Poisoning: A Hospital-Based Survey in an Academic Center of Iran

Moghaddam

2022

IJMTFM

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Background: One of the most common medical emergencies worldwide is deliberate or accidental poisoning. The ever-increasing consumption of toxins and fatal drugs is getting more critical by the time. The purpose of intentional poisoning is to harm self and others. It includes objectives like robbery, sexual abusing (rape). The perpetrators of sedative and hypnotic drugs could sedate patients and make them sleepy. Methods: This descriptive, cross-sectional study investigated the suspected Drug-Facilitated Crime (DFC) admitted patients and Outpatient Department (OPD) in the emergency room and toxicology ward. A researcher-made questionnaire was completed for each patient. The biological samples (urine, blood) were provided to a clinical toxicology lab. Results: The information of 40 suspected DFC patients was analyzed. 70% of intoxicated patients were men, and 30% were women. The patients’ mean age was 31-43 years; 42% were low in education, and 37% were self-employed. Furthermore, 75% of total intoxicated patients had a sedentary level of consciousness. Approximately 92.5% had one positive substance test, and 7.5% had negative lab test results. The most used drug was diazepam, by 70%. The motivation for poisoning was 80% robbery, 12.5% for rape, and 7.5% were no diagnostic. Conclusion: The prevalence of poisoning, especially deliberate poisoning, is dramatically growing in this part of the world. Accordingly, this study reveals the flexibility of criminals in Tehran Province, Iran. Thus, the Ministry of Health should seriously control legal and illegal drugs purchase.

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Section: Discussioncontrasting

confidence: 60%

“…Physicians should also consider that even if the victim has voluntarily taken medication, their disability should not be overlooked if they have been victims of a crime. In addition to collecting biological evidence from the plaintiff, evidence from the crime scene must also be gathered [2,8].…”

Section: Introductionmentioning

confidence: 99%

Criminal Poisoning: A Hospital-Based Survey in an Academic Center of Iran

Moghaddam

2022

IJMTFM

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“…2 years of age are more vulnerable to intentional poisonings secondary to their reliance on caregivers and higher susceptibility because of their smaller size. 53,54 The physical examination for adults and children focuses on mental status, respiratory function, and neurological assessment. However, in pediatrics, there is an increased emphasis on evaluating developmental and age-appropriate responses, such as varying normal heart rates in children of different ages, especially when assessing conditions like bradycardia.…”

Section: Hypothermiamentioning

confidence: 99%

“…It is also crucial to obtain information about the patient's vital signs, respiratory status, level of consciousness, and any other symptoms or signs that may suggest opioid overdose. Children under 2 years of age are more vulnerable to intentional poisonings secondary to their reliance on caregivers and higher susceptibility because of their smaller size 53,54 …”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Acute opioid overdose in pediatric patients

Sandelich,

Hooley,

Hsu

et al. 2024

JACEP Open

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Recent increases in pediatric and adolescent opioid fatalities mandate an urgent need for early consideration of possible opioid exposure and specific diagnostic and management strategies and interventions tailored to these unique populations. In contrast to adults, pediatric methods of exposure include accidental ingestions, prescription misuse, and household exposure. Early recognition, appropriate diagnostic evaluation, along with specialized treatment for opioid toxicity in this demographic are discussed. A key focus is on Naloxone, an essential medication for opioid intoxication, addressing its unique challenges in pediatric use. Unique pediatric considerations include recognition of accidental ingestions in our youngest population, critical social aspects including home safety and intentional exposure, and harm reduction strategies, mainly through Naloxone distribution and education on safe medication practices. It calls for a multifaceted approach, including creating pediatric‐specific guidelines, to combat the opioid crisis among children and to work to lower morbidity and mortality from opioid overdoses.

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Case Files of the Emory University Medical Toxicology Fellowship: A Patient Presents to the Outpatient Toxicology Clinic with Delusions of Being Poisoned

Dernbach,

Carpenter

2024

J. Med. Toxicol.

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Poisoning with malicious or criminal intent: characteristics and outcome of patients presenting for emergency care

Cited by 9 publications

References 10 publications

Criminal Poisoning: A Hospital-Based Survey in an Academic Center of Iran

Criminal Poisoning: A Hospital-Based Survey in an Academic Center of Iran

Acute opioid overdose in pediatric patients

Case Files of the Emory University Medical Toxicology Fellowship: A Patient Presents to the Outpatient Toxicology Clinic with Delusions of Being Poisoned

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