Ayana Dvir, Zahi Dagan, Avi Mizrachi, Arik Eisenkraft
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Lessons from a suicide attempt by intra-abdominal ricin injection.
A 19-year-old woman was admitted to the emergency department 7 hours after a suicide attempt with an intra-abdominal injection of self-prepared ricin solution. In the following 6 days, she has developed multiorgan-failure, and despite all intensive care interventions-including plasma exchange, high-frequency ventilation, and continuous renal replacement -therapy-she passed away. We describe in detail the chain of events and discuss shortly the known literature about this rare poisoning.
期刊介绍:
With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.