Serial blood concentration of polyethoxylated tallow amine and clinical presentations in acute herbicide poisoning

doi:10.5847/wjem.j.1920-8642.2022.061

World Journal of Emergency Medicine ›› 2022, Vol. 13 ›› Issue (4): 305-308.doi: 10.5847/wjem.j.1920-8642.2022.061

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Serial blood concentration of polyethoxylated tallow amine and clinical presentations in acute herbicide poisoning

Jungsoo Park¹^,², Sun Cheun Kim³, Youngjoon Jeon³, Yong Chul Cho¹, Changshin Kang¹, Yeonho You¹, Hong Joon Ahn¹, Seung Ryu¹, Jihan Lee⁴, Wonjoon Jeong¹()

¹Department of Emergency Medicine, Chungnam National University Hospital, Daejeon 35015, South Korea
²Department of Emergency Medicine, College of Medicine, Chungnam National University, Daejeon 35015, South Korea
³Forensic Toxicology Division, National Forensic Service, Daejeon 34054, South Korea
⁴Department of Emergency Medicine, Chungbuk National University Hospital, Cheongju 28644, South Korea

Received:2021-11-02 Accepted:2022-02-20 Online:2022-04-14 Published:2022-07-01
Contact: Wonjoon Jeong E-mail:gardenjun@hanmail.net

Abstract

Jungsoo Park, Sun Cheun Kim, Youngjoon Jeon, Yong Chul Cho, Changshin Kang, Yeonho You, Hong Joon Ahn, Seung Ryu, Jihan Lee, Wonjoon Jeong. Serial blood concentration of polyethoxylated tallow amine and clinical presentations in acute herbicide poisoning[J]. World Journal of Emergency Medicine, 2022, 13(4): 305-308.

Figures/Tables 2

References 10

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Variables	Patients
Variables	A	B	C	D	E	F	G
Age, years/Sex, M/F	78/F	44/M	47/M	56/M	49/M	74/M	70/F
Poisoning substance	Glyphosate IPA 41%	Glyphosate IPA 41%	Glyphosate IPA 41%	Glyphosate potassium 43.5%	Glyphosate IPA 41%, Glufosinate ammonium 18%	Glyphosate IPA 41%, Glufosinate ammonium 18%	Glyphosate IPA 40%, Glufosinate ammonium 4%
Estimated ingested amount, mL	200	200	80	100	100	300	500
Time from ingestion to admission, h	3.0	0.5	1.5	0.3	2.0	2.0	1.0
Blood concentration of POEA, mg/L
At admission	16.56	3.43	3.00	2.55	8.43	2.29	38.35
At admission + 12 h	3.78	3.02	3.10	4.98	3.82	2.31	19.06
At admission + 24 h	3.93	Discharge	3.05	3.92	3.37	2.25	7.37
At admission + 36 h	2.22		3.02	3.39	3.70	2.23	6.24
At admission + 48 h	3.28		3.03	3.33	2.41	2.23	5.96
At admission + 60 h	2.05		3.05	3.01	3.34	2.21	5.66
Vasopressor treatmemt	Yes	No	No	No	Yes	No	Yes
Mechanical ventilator	Yes	No	No	No	Yes	No	Yes
Initial MAP, mmHg	35	94	113	111	49	94	40
Cardiovascular collapse (cardiac arrest)	No	No	No	No	No	No	Yes
Outcome	Survival	Survival	Survival	Survival	Survival	Survival	Survival

Serial blood concentration of polyethoxylated tallow amine and clinical presentations in acute herbicide poisoning

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