Skip Navigation
Skip to contents

JKSCT : Journal of The Korean Society of Clinical Toxicology

OPEN ACCESS
SEARCH
Search

Author index

Page Path
HOME > Browse Articles > Author index
Search
Hee Cheol Ahn 4 Articles
Effect of Alcohol on Death Rate in Organophosphate Poisoned Patients
Yong Hun Min, Seung Min Park, Kui Ja Lee, Young Taeck Oh, Hee Cheol Ahn, You Dong Sohn, Ji Yun Ahn, Young Hwan Lee, Sang Ook Ha, Yu Jung Kim
J Korean Soc Clin Toxicol. 2015;13(1):19-24.   Published online June 30, 2015
  • 156 View
  • 1 Download
AbstractAbstract PDF
Purpose: Many patients who are acutely poisoned with organophosphorus pesticides have co-ingested alcohol. The purpose of this study was to identify the factors that influence mortality in organophosphate intoxication and the differences between alcohol coingested patients and non-coingested patients, looking at vital signs, length of admission, cholinesterase activity, complications, and mortality. Methods: All patients visiting one Emergency Department (ED) with organophosphate intoxication between January 2000 and December 2012 were reviewed retrospectively. The patients were divided into two groups, alcohol coingested group and non-coingested group. Results: During the study period, 136 patients (alcohol coingested group, 95 patients; non-coingested group, 41 patients) presented to the ED with organophosphate intoxication. Seventy-one alcohol coingested patients (74.1%) vs. 16 non-coingested patients (39.0%) received endotracheal intubation, with results of the analysis showing a clear distinction between the two groups (p=0.001). Twenty-three alcohol coingested patients (24.2%) vs. 1 non-coingested patient (2.4%) required inotropics, indicating a significant gap (p=0.002). Twenty-eight alcohol coingested patients (29.5%) vs. 2 non-coingested patients (4.9%) died, with results of the analysis showing a clear distinction between the two groups (p=0.002). Conclusion: In cases of organophosphate intoxication, alcohol coingested patients tended to receive endotracheal intubation, went into shock, developed central nervous system complications, and more died.
Correlation between the Portable X-ray and the Radiation Exposure dose in the Emergency Department: Cohort Study
Yu Jung Kim, Hee Cheol Ahn, You Dong Sohn, Ji Yoon Ahn, Seung Min Park, Won Woong Lee, Young Hwan Lee
J Korean Soc Clin Toxicol. 2013;11(2):101-105.   Published online December 31, 2013
  • 126 View
  • 1 Download
AbstractAbstract PDF
Purpose: This study was conducted in order to determine the relationship between the number of portable X-rays and the radiation exposure dose for emergency medical service providers working in the emergency department (ED). Methods: A prospective study was conducted from February 15, 2013 to May 15, 2013 in the ED in an urban hospital. Six residents, seven emergency medical technicians (EMT), and 24 nurses were enrolled. They wore a personal radiation dosimeter on their upper chest while working in the ED, and they stayed away from the portable X-ray unit at a distance of at least 1.8 m when the X-ray beam was generated. Results: The total number of portable x-rays was 2089. The average total radiation exposure dose of emergency medical service providers was $0.504{pm}0.037$ mSv, and it was highest in the EMT group, 0.85(0.58-1.08) mSv. The average of the total number of portable X-rays was highest in the doctor group, 728.5(657.25-809). The relationship between the number of portable X-rays and the radiation exposure dose was not statistically significant(-0.186, p=0.269). Conclusion: Under the condition of staying away from the portable X-ray unit at a distance of least 1.8 m, the relationship between the number of portable X-rays and the radiation exposure dose was not statistically significant.
The Clinical Investigation of Gastric Lavage in Patients with Acute Poisoning
Taek Geun Ok, Jun Hwi Cho, Chan Woo Park, Seung Whan Cheon, Seung Yong Lee, Sung Eun Kim, Ki-Hoon Choi, Ji Hoon Hae, Jeong Yeul Seo, Hee Cheol Ahn, Moo Eob Ahn, Byung Ryul Cho, Yong Hoon Kim
J Korean Soc Clin Toxicol. 2005;3(1):22-26.   Published online June 30, 2005
  • 136 View
  • 1 Download
AbstractAbstract PDF
The majority of acute toxic poisoning occur via oral route. The most important emergency treatment of acute poisoning are gastric lavage. Gastric lavage should be considered a patient has ingested a potentially life-threatening amount of a poison and the procedure can be undertaken within 60 mins of ingestion. But, gastric lavage does not consist properly in the cases of emergency situation or an inexperienced doctors treat. The purpose of this study was to determine whether gastric lavage is performed properly. Eighty patients were enrolled in the study in 12-month period from January to December 2002. A retrospective chart review was performed on patients identified as drug overdose who admitted to ER. To assess whether there was a subgroup of patients who may have been candidates for the initiation of gastric lavage in the ER, the patients divided in two groups by time interval from toxin ingestion to ER arrival. The group 1 that admit within 60 minutes after drug ingestion was 38 cases ($47.5\%$), and the group 2 patient who admitted after 60 minutes was 42 cases ($52.5\%$). The average age was $44pm19$ years in group 1, and $48pm24$ years in group 2. There were no differences in sexual distribution of two groups. The mean time interval was $49pm20$ minutes in the group $1,258pm190$ minutes in the group 2. Only thirty ($37.5\%$) of the patients had an overdose for which the treatment of gastric lavage was potentially feasible according to guideline. The correctly performed gastric lavage was 18 ($47.4\%$) in group 1, 12 ($28.6\%$) in group 2. We must enforce education about the gastric lavage, and do so that may treat according to guideline.
The Cases of Toxicity Caused By Scopolia Japonica Ingestion
Gi Hoon Choi, Hee Cheol Ahn, Moo Eob Ahn, Jae Bong Chung, Sung Eun Kim, Ji Hoon Bae, Jeong Yeol Seo, Jun Hwi Cho, Chan Woo Park, Taek Gun Ok
J Korean Soc Clin Toxicol. 2004;2(1):37-40.   Published online June 30, 2004
  • 138 View
  • 1 Download
AbstractAbstract PDF
In emergency department, the clinicians occasionally meet some patients with toxicity caused by ingestion of unknown wild edible greens or herbal agents. Due to there was few quantitative or qualitative studies about the mechanism or clinical features of these materials, it' s hard to approach to the patients and start the initial management in emergency department. Authors experienced the case of poisoning by Scopolia Japonica ingestion. We report this case with review of Scopolia Japonica.

JKSCT : Journal of The Korean Society of Clinical Toxicology