METHOD FOR ASSESSING SEVERITY OF CONDITION IN ACUTE POISONING WITH TOPICAL DECONGESTANTS IN CHILDREN Russian patent published in 2022 - IPC A61B5/01 A61B5/02 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to toxicology, paediatrics and resuscitation. Objective examination of the doctor is carried out and patient's complaints are taken into account. Complaints and indicators of objective examination are evaluated in points, where P1 - patient’s and/or parent’s complaints: child excited - 1 point, prolonged daytime sleep, refuses to play - 2 points, child cannot be awakened, but reaction to external stimuli - 3 points, P2 - CNS depression: moderate sleepiness - 1 point, severe sleepiness - 2 points, coma - 3 points, P3 - systolic and diastolic blood pressure: not changed or increased by no more than 10 % of the age norm - 1 point, reduced to 30 % of the age norm - 2 points, decreased by more than 30 % of the age norm - 3 points; P4 - bradycardia: not more than 20 % of the age norm - 1 point, 20–50 % of the age norm - 2 points, more than 50 % of the age norm - 3 points, P5 - hyperhidrosis: moderate - palms, feet, axillary cavities - 1 point, pronounced - palms, feet, axillary cavities, groin, perineum - 2 points, generalized - 3 points, P6 - intensity of hypothermia: more than 36 °C - 1 point, 36–35 °C - 2 points, less than 35 °C - 3 points, P7 - skin colour: pale - 1 point, grayish - 2 points, acrocyanosis - 3 points, P8 - time of the beginning of the provision of qualified assistance from the moment of poisoning: less than 6 hours - 1 point, from 6 to 12 hours - 2 points, more than 12 - 3 points. Then individual coefficient (Cts) is calculated by formula. If the Cts is less than 9 points, the severity of the patient’s condition is considered to be mild. If the Cts value makes 9 to 16 points, the severity of the patient’s condition is considered to be moderate. If the Cts value is more than 16 points, the severity of the patient’s condition is assessed as a severe degree.

EFFECT: method enables reducing the length of the examination, justifying the selection of the scope of emergency diagnostic measures prescribed in accordance with the severity of the patient's condition to improve the quality of medical care and to reduce financial costs for diagnostic examinations of the patient.

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