Publications by authors named "T Zilker"
The use of chemical substances in terrorist scenarios is to be feared everywhere, especially in the western world, after the events that have become known in recent years. In order to protect civilian populations in an emergency, it is essential that the poisoning pattern (toxidrome) is recognized as quickly and reliably as possible through further training of the relevant agents and the provision of necessary rescue equipment (antidotes) in prepared facilities. In the event of a chemical attack with terrorist motivation, doctors from the Public Health Service (PHS) will foreseeably play a key role in communicating with decision-makers and the public a spart of a competency network.
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- Poisonous mushrooms are often mistakenly consumed, leading to hospitalizations and consultations with poison information centers due to either misidentification or intentional use for their psychoactive effects.
- Mushroom poisoning can be categorized into two groups based on the time of symptom onset: a relatively harmless gastrointestinal syndrome occurring within six hours, and a life-threatening syndrome manifesting after six to 24 hours.
- Diagnosing mushroom poisoning relies more on clinical symptoms and detailed patient history than on analytical techniques, with expertise needed for accurate identification and understanding of the specific mushrooms involved.
Article Synopsis
- - Mushroom poisoning is on the rise and existing classifications are outdated, missing new identified syndromes, which complicates diagnosis.
- - A review of literature since 1994 resulted in a new classification with six major groups of mushroom poisoning based on specific clinical features, causation, and symptoms.
- - The proposed groups include cytotoxic, neurotoxic, myotoxic, and metabolic poisoning, each with further subcategories outlining distinct symptoms and pathogens.
Article Synopsis
- Suicidal self-poisoning remains a significant challenge, with common substances being sedatives, antidepressants, and analgesics, especially quetiapine and paracetamol.
- Treatment for poisoning involves assessing severity and may include symptomatic care, activated charcoal administration, and specific antidotes, though some traditional detox methods lack evidence for effectiveness.