[Automatic differential diagnosis of comatose states in acute poisoning using a computer dialog setup].
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Biomedical subjects
Publications and source records attributed to V N Dagaev.
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Computers offer new possibilities for scientifically-based analysis of emergency states in toxicological patients and for improvement of treatment of such patients. Toxicometric assessment of the quantitative effect of toxic compounds using computer programs BMDP, SSP, and SAS with probit analysis, factor, cluster, and other types of analysis is particularly valuable. Such an approach permits a most objective assessment of the toxicokinetics and toxicodynamics of poisons, helps single out the priority trends in research with due consideration for the type of toxin which caused poisoning, changes in clinical laboratory parameters, etc. Computer support may be indispensable during the use of artificial (dialysis sorption) methods of detoxication of the organism.
The paper describes the basic functions of the first in Russia Toxicological Information and Advisory Center of the Ministry of Health and Medical Industry of the Russian Federation. Analysis of over six thousand calls to the Center in 1993-1994 showed that the principal users of the information are ambulance unit physicians (43.61%), emergency units (12.9%), and population (11.7%). The main toxic agents are drugs (58%), industrial and household chemicals, alcohol, and surrogates. The authors formulate a concept of advisory service technology for resuscitation physicians in cases with acute chemical poisonings.
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