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J Korean Soc Emerg Med > Volume 31(1); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(1): 23-38.
일개 도 지역 의도적 음독에 대한 병원전 단계 분석
안웅찬1 , 조준휘1,2 , 문중범1,2 , 박찬우1,2 , 신명철1,2 , 김가을1,2 , 이준열1 , 박윤수1 , 황병선1 , 양고은3 , 이희영4 , 김민수5 , 천인국6 , 옥택근1,2
1강원대학교병원 응급의학과
2강원대학교 의학전문대학원 응급의학교실
3강원대학교 의학전문대학원 영상의학교실
4강원대학교 의학전문대학원 내과학교실
5강원대학교 의학전문대학원 마취통증의학교실
6강원대학교 의학전문대학원 핵의학교실
The pre-hospital analysis of intentional taking poison in Gangwon-do
Woong Chan Ahn1 , Jun Hwi Cho1,2 , Joong Bum Moon1,2 , Chan Woo Park1,2 , Myoung Cheol Shin1,2 , Ka Eul Kim1,2 , Joon Yeol Lee1 , Yoon Soo Park1 , Byoung Seon Hwang1 , Go Eum Yang3 , Hui Young Lee4 , Min Soo Kim5 , In Kook Chun6 , Taek Geun Ohk1,2
1Department of Emergency Medicine, Kangwon National University Hospital, Chuncheon, Korea
2Department of Emergency Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
3Department of Radiology, Kangwon National University School of Medicine, Chuncheon, Korea
4Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
5Department of Anesthesiology, Kangwon National University School of Medicine, Chuncheon, Korea
6Department of Nuclear Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
Correspondence  Taek Geun Ohk ,Tel: 033-258-2438, Fax: 033-258-2451, Email: otgotg11@gmail.com,
Received: June 28, 2019; Revised: October 22, 2019   Accepted: November 11, 2019.  Published online: February 28, 2020.
ABSTRACT
Objective:
This study examined the characteristics of the patients taking poison intentionally at the pre-hospital stage to prevent it at the community level.
Method:
We retrospectively reviewed the data that had been reported to fire stations from January 2017 to December 2018. This data included sex, age, occupation, the season of the year, time, place, methods, alcohol ingestion, transferred to the hospital or not, and we examined how taking poison had an effect on the suicide success rate.
Results:
The subjects were a total of 1,356 patients who had been reported to fire stations due to intentionally taking poison. Forty-five point five percent of them were male, and 54.5% were female. The most common method of intentional taking poison was sedatives (58.3%), followed by pesticides (24.6%), antidepressants (19.0%), and other methods (12.6%). The home place was preferred more than any other places. The suicide success rate was 2.1% in males and 1.4% in females. For the age groups, those patients 40-64 years old tried taking poison much more than the other age groups. In the aspect of the season of the year, summer was the highest season for taking poison, at 30.3%. The daytime was more preferred than the night time.
Conclusion:
In this study, we analyzed the characteristics of the pre-hospital intentional poisoning cases according to gender, age, occupation, season of the year, time, and between the transferred and the untransferred groups. Efforts should be made in cooperation with the community to prevent suicide attempts by intentionally taking poison.
Key words: Emergency medical services; Poisoning; Treatment refusal
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