Subject Area

Emergency Medicine

Article Type

Original Study


Objectives: To evaluate the pattern, management and outcomes of acute unstable poisoning cases at the emergency department of Menoufia University Hospitals. Background: Drug overdose is a medico-social issue worldwide that may occur intentionally or unintentionally. It is one of the most common reasons for emergency department visits, and it is also a frequent cause of morbidity and mortality globally. Methods: This was prospective study performed in the Emergency department of Menoufia University hospital. It was carried out on 84 patients triaged to the resuscitation room with toxicological history from March 2022 to March 2023. Full history including personal data, circumstances, type of poisonous substance was obtained from the patients or their relatives. Assessment of their condition, their management and outcomes were collected. Results: A total of 84 poison exposure cases were recorded. The age of studied cases ranged between 11 years to 80 years with (, as the) mean age was 32.49 (± 13.39) years. The highest incidence of poisoning was seen in those aged between 31 and 40 years (33.3%). Most cases of poisoning (66.7%) were suicidal attempts. Aluminum phosphide was the most common type of poison that found (was found) in more than half of cases (52.4%). The mortality rate was 40.5% and about 97.1% were mainly from aluminum phosphide poisoning. Conclusion: Majority of the intentional poisoning occurred in the married cases mostly with (due to) Aluminum phosphide.