Rationale:Acute iron poisoning is commonly seen in a pediatric population caused by accidental ingestion of iron syrups.We describe a case of iron poisoning who presented to the hospital following intentional near-fat...Rationale:Acute iron poisoning is commonly seen in a pediatric population caused by accidental ingestion of iron syrups.We describe a case of iron poisoning who presented to the hospital following intentional near-fatal ingestion of ferrous sulfate.Patient’s Concern:A 14-years-old previously healthy female patient presented to the emergency department with a history of an intentional overdose of 80 ferrous sulfate tablets.Diagnosis:Ferrous sulfate poisoning.Interventions:The patient developed acute fulminant liver failure 24 h after of the overdose.She was managed conservatively,mainly with deferoxamine and N-acetylcysteine while awaiting transfer to a liver transplant facility.Outcomes:The patient responded well to medical therapy and was discharged on the 9th day of intensive care unit admission.Lessons:This case highlights the patient’s successful recovery with prompt conservative therapy.Severe iron toxicity can be treated with early use of deferoxamine and N-acetylcysteine where a liver transplant facility is not available.展开更多
The Coronavirus disease-2019(COVID-19)pandemic has inundated critical care services globally.The intensive care units(ICUs)and critical care providers have been forefront of this pandemic,evolving continuously from ex...The Coronavirus disease-2019(COVID-19)pandemic has inundated critical care services globally.The intensive care units(ICUs)and critical care providers have been forefront of this pandemic,evolving continuously from experiences and emerging evidence.In this review,we discuss the key lessons from the ongoing wave of COVID-19 pandemic and preparations for a future surge or second wave.The model of sustainable critical care services should be based on 1)infrastructure development,2)preparation and training of manpower,3)implementing standard of care and infection control,4)sustained supply-chain and finally,and 5)surge planning.展开更多
文摘Rationale:Acute iron poisoning is commonly seen in a pediatric population caused by accidental ingestion of iron syrups.We describe a case of iron poisoning who presented to the hospital following intentional near-fatal ingestion of ferrous sulfate.Patient’s Concern:A 14-years-old previously healthy female patient presented to the emergency department with a history of an intentional overdose of 80 ferrous sulfate tablets.Diagnosis:Ferrous sulfate poisoning.Interventions:The patient developed acute fulminant liver failure 24 h after of the overdose.She was managed conservatively,mainly with deferoxamine and N-acetylcysteine while awaiting transfer to a liver transplant facility.Outcomes:The patient responded well to medical therapy and was discharged on the 9th day of intensive care unit admission.Lessons:This case highlights the patient’s successful recovery with prompt conservative therapy.Severe iron toxicity can be treated with early use of deferoxamine and N-acetylcysteine where a liver transplant facility is not available.
文摘The Coronavirus disease-2019(COVID-19)pandemic has inundated critical care services globally.The intensive care units(ICUs)and critical care providers have been forefront of this pandemic,evolving continuously from experiences and emerging evidence.In this review,we discuss the key lessons from the ongoing wave of COVID-19 pandemic and preparations for a future surge or second wave.The model of sustainable critical care services should be based on 1)infrastructure development,2)preparation and training of manpower,3)implementing standard of care and infection control,4)sustained supply-chain and finally,and 5)surge planning.
