| How is alcohol withdrawal syndrome best managed in the emergency department? | |
| | |
MedLine Citation:
|
PMID: 20382370 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Alcohol abuse is a major cause of morbidity and mortality and subsequently presents a substantial burden on the NHS. Whether presentations are directly or indirectly linked, the emergency department (ED) holds a predominant role in dealing with this matter. Alcohol withdrawal syndrome is a common complication of alcohol misuse. Given its pathophysiology and manifestation of symptoms, early recognition and treatment is paramount in preventing a medical emergency. From a review of the associated literature, a standardised protocol for its management in ED is consequently advocated. This includes: Identification of those at risk via routine screening; Monitoring progression and severity using an alcohol withdrawal scale; Implementation of symptom-triggered therapy on the basis of objective evidence collected. Nonetheless, further studies are required to aid the choice of tools and ascertain the efficacy of such protocols within the ED department. Due to time constraints of this real-world setting, feasibility may be considered as important as reliability and validity if new practices are to be considered. |
| | |
Authors:
|
Louise Jane |
Publication Detail:
|
Type: Journal Article; Review Date: 2009-10-30 |
Journal Detail:
|
Title: International emergency nursing Volume: 18 ISSN: 1878-013X ISO Abbreviation: Int Emerg Nurs Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-12 Completed Date: 2010-07-06 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101472191 Medline TA: Int Emerg Nurs Country: England |
Other Details:
|
Languages: eng Pagination: 89-98 Citation Subset: N |
Copyright Information:
|
Copyright 2009 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Emergency Department, Royal Cornwall Hospital, 49 Manor Close, St. Austell, Cornwall Pl25 4HH, United Kingdom. louisemjane@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Alcoholism
/
complications* Benchmarking Clinical Protocols Diagnosis, Differential Early Diagnosis Emergency Nursing / methods Emergency Service, Hospital Emergency Treatment* / methods, nursing Humans Nursing Assessment / methods Questionnaires Risk Assessment / methods* Severity of Illness Index Substance Abuse Detection Substance Withdrawal Syndrome / diagnosis*, etiology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The patient experience in the emergency department: A systematic synthesis of qualitative research.
Next Document: Thoracic and neck trauma. Part two.