In the Addiction Psychiatry and urgent ...

Emergency state in Addiction idea of ??clinical and therapeutic algoritmizirovaniya immediate drug state in the union of independent research and practical Addiction and its practical implementation has changed the views of the staged treatment of alcoholism, contributed to the development of the efferent Addiction and the creation of new organizational forms of intensive therapy (detoxification centers , resuscitation department drug treatment centers, hyperbaric oxygenation, points, and intensive care, etc.). In Addiction and psychiatric emergency status are the result not only severe pathologies of vital organs and systems, and acute psychotic disorders, when the threat of life of patients and others caused by, for example, his psychomotor agitation, delusional aggressive behavior, a violation of the scope of drives on the compulsive type, and etc. The most common emergency conditions in the Addiction include: acute alcohol intoxication (moderate degree, alcoholic coma, a modified form of alcohol), alcohol withdrawal syndrome (syndrome of deprivation, denial, withdrawal), forms of compulsive craving for alcohol (along with special states of consciousness, alcohol Fury), convulsive status (alcoholic epilepsy), acute alcoholic psychosis, severe intoxication destruction of vital organs and systems (encephalopathy, cardiomyopathy, hepatitis, nephritis, pancreatitis, polyneuropathy, etc.), complications and side effects of drug therapy, alcohol injuries postintoksikatsionnoe aggravation to the point of urgency accompanying somatic diseases. The notion of "immediate drug treatment condition" is very relative to the extent that such a huge range of problems caused by acute and chronic alcohol intoxication, can not be resolved within the framework of mere drug service. This requires a differential involvement of other clinical disciplines. At present, empirically and scientifically emerging "interdisciplinary migration" of patients receiving drug treatment profile of institutionalized primarily through interaction with Addiction resuscitation, anesthesiology, toxicology, medical emergency services, which are actually related to Addiction clinical disciplines. One of the difficult aspects of the problem is to find methods of complex therapy suppresses that would be interdisciplinary adapted and compatible. The most effective, according to our data, methods were efferent Medicine (sorption methods of detoxification and immune, extracorporeal electrochemical detoxification, hyperbaric oxygenation, laser therapy methods, etc.). Acute alcohol intoxication For the purposes of interdisciplinary clinical and psychiatric evaluation urgency in acute alcohol intoxication was fit its traditional classification: a simple, atypical (modified forms), pathological intoxication.