Ten Real Critical Iatrogenic Errors in Clinical Toxicology Practice

The emphasis of the extant investigative research was on tracking patients with the most dangerous iatrogenic error in severe toxicological emergencies. The very first reported instance was that of a female patient with a dangerous intoxication that was caused due to caustic ingestion with a prescribed mega dose of methyl-predinisolone 30 mg/kg; she who visited the ER post seven days with a severe haematemisis attack. The next case was that of a severe atropine toxicity reported in a boy 4 years old reportedly suffering from a bout of food poisoning which was incorrectly diagnosed to be that a severe organophosphate toxicity and who was medically injected with five ampoules of atropine in a span of 20minutes. The third case comprised of seven instances of severe organophosphate poisoning who were rushed to the ER due to mixed atropine toxicity that was due to the acceleration of the procedure of complete atropinization without controlling the dosage/time schedule. The fourth case was a typical referral instance of mass food poisoning accident in five members of the family that was simultaneously identified to be a pure case of accidental toxicity due to leakage of carbon monoxide gas from their domestic bio gas system. The fifth case was an unsure choice to perform haemodialysis in five different cases of individuals reporting dangerous methanol consumption resulting in extreme diagnosis of irreversible blindness and grave worsening condition while sick. The sixth iatrogenic instance was an erroneous diagnosis in the strength of ethanol (10% or 100%) administered orally which resulted in a serious diagnosis in a 25 year old pharmacist who deliberately consumed 100 ml of pure methanol. The seventh case was that of a 51 year old female farmer who was not carefully observed and discharged untimely in a case of suspected snake bite after 4 hours; this led to her being re-admitted in the ER after 18 hours due to extreme progressive descending neuroparalytic symptoms.The eight case was a strict one that followed the intended dosage mentioned on the antivenin vial “One ampoule given intramuscularly” which resulted in a serious diagnosis of Disseminated Intravascular Coagulation by collaburdiae snake bite. The ninth case was that of a suicidal 37 year old female patient who had iatrogenic induction of vomiting due to consumption of the Zinc Phophite tablets which resulted in acceleration of the release of phophine gas and a quickly deteriorating deadly worsening of the inebriated condition. The last case was of cases of neuroleptic malignant syndrome prescription of medication to alter the neurotransmitter disturbance that was the due to the antipsychotic medicines that may result in more disturbance and dangerous result from anticholinergic medications that was due to paralytic ileus in a lady aged 46 years.