Summary of survey of clinical residents, nurse, and paramedics' attitudes toward acute drug poisoning

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  • Yamamoto Rie
    Department of Emergency and Critical Care Medicine, Tokai University School of Medicine
  • Kanazashi Hideaki
    Department of Emergency and Critical Care Medicine, SUBARU Health Insurance Society Ota Memorial Hospital
  • Tsubouchi Youhei
    Department of Emergency and Critical Care Medicine, SUBARU Health Insurance Society Ota Memorial Hospital
  • Sakurai Keiji
    Department of Emergency and Critical Care Medicine, SUBARU Health Insurance Society Ota Memorial Hospital
  • Akieda Kazuki
    Department of Emergency and Critical Care Medicine, SUBARU Health Insurance Society Ota Memorial Hospital

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Other Title
  • 急性薬毒物中毒に対する臨床研修医，看護師，救急救命士の意識調査のまとめ
  • キュウセイ ヤクドクブツ チュウドク ニ タイスル リンショウ ケンシュウイ,カンゴシ,キュウキュウ キュウメイシ ノ イシキ チョウサ ノ マトメ

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Abstract

<p>The basic approach to acute drug poisoning involves systemic management of the condition, but this requires both extensive knowledge enabling some estimation of the causative agent and also the skill to take appropriate action. Healthcare workers in emergency medicine often have the impression that they are “not good at drug poisoning,” but little research has been done on their actual perception of drug poisoning. Therefore, in order to clarify the actual perception of drug poisoning, we conducted a survey in one hospital and one fire department with highest number of transports to the hospital, with nurses in an emergency department in 2018, clinical residents in 2019, and paramedics in 2020. We asked them to assess their perception of drug poisoning on a five-point scale (1 : bad, 2 : quite bad, 3 : neither, 4 : quite good, 5 : good). Over half of the respondents selected 1 or 2, and none selected 5. The reasons given for not being good at drug poisoning were “many types,” “lack of experience,” “dealing with psychiatric symptoms,” and “secondary harm/risk,” and nurses were concerned with “how to get involved.” The three surveys revealed that all three occupations were not good at drug poisoning, with the reasons for this differing according to the occupation. It was inferred that a self-assessment quantification could be used as an indicator of understanding for future education.</p>

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