Dr Muhammad Bilal, Dr Ehsan Ur Rehman, Dr Muhammad Saqib Manzoor
Objective: The scale of the problem of poisoning is enormous hence clinico-epidemiological spectrum of all poisoning cases need to explore to generate the management tool. Methods: This prospective study was conducted in the Medicine Unit II of Jinnah Hospital Lahore for one year duration from March 2019 to March 2020 where all poisoning cases were seen. A total of 2,890 patients were admitted, including 600 included in the study. Results: 29% of poisonings were pesticides, 27% were poisoning related to travel, and 20% were benzodiazepines. 70% of poisonings took place under the age of 30 and the ratio of men to women was 3: 2. The frequency of poisoning was higher among students (31%) and housewives (25%). Most patients were in urban areas (76%) and their most common intention was suicide (66%). The main reason for poisoning (63%) was the lack of family compatibility. 42% of cases between 5 and 8 hours of poisoning and over 80% of them went directly to the hospital without first aid. 68% of the Glasgow Coma Scale (GCS) score was more than 10 at the time of admission. The main clinical features of intoxication were nausea / vomiting (63%), drowsiness (56%), miosis (31%). Seventy percent of patients were treated in general and supportive care, and in 30% of cases an antidote was used. Deaths in pesticides, benzodiazepines / antipsychotics, rodenticides and snake bites were 6.9%, 2.2%, 8.3% and 3.3%, respectively. Conclusion: Assessing the scale of the problem, awareness of public prevention, emergency first aid and admission to hospital is a very important component of intoxication. Key words: clinic, epidemiology, poisoning, higher care center.