Adherence to calcium channel blocker poisoning treatment recommendations in two Canadian cities

Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists
Maude St-OngeRené Blais

Abstract

No study has documented whether physicians call poison control centres (PCC) for calcium channel blocker (CCB) poisoning or if interventions suggested by the PCC are being applied. This study evaluated the compliance of physicians with the Quebec Poison Control Center's (QPCC) recommendations for the treatment of CCB poisoning. It also assessed the outcomes of these patients. This retrospective chart review was conducted with CCB-poisoned adults who were admitted to a hospital in Quebec City or Montreal between January 2004 and November 2007. Using the sequence of interventions, it was determined whether or not the PPC recommendations were adhered to. Level of care provided, morbidity and mortality were reported. The researchers also used the QPCC database to verify if the poison centre was consulted for the care of the patient. A total of 103 cases were identified. 42% (43/103) were classified as compliant (all PCC recommendations were followed) and 58% (60/103) non-compliant group (some or no PCC recommendations followed). The poison control centre (PCC) was contacted for 74% of the total cases (81% of cases in the compliant group and 68% in the non-compliant group). High-dose insulin euglycemia therapy (HIET) was not started...Continue Reading

References

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Citations

Oct 7, 2014·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·M St-OngeR Blais
Oct 18, 2016·Critical Care Medicine·Maude St-OngeBruno Mégarbane
Jan 1, 2020·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Eric BrassardMaude St-Onge
Jul 27, 2018·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Eric BrassardMaude St-Onge
Nov 30, 2018·BMC Pharmacology & Toxicology·Mikkel B ChristensenJon T Andersen
Jan 19, 2021·Air Medical Journal·William David SadlerBenjamin S Bassin
May 26, 2021·The International Journal of Artificial Organs·Christophe Beyls, Yazine Mahjoub

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