Vol 6, No 3 (2021)
Research paper
Published online: 2021-07-14

open access

Page views 6457
Article views/downloads 419
Get Citation

Connect on Social Media

Connect on Social Media

The role and significance of 112 emergency health services in treatment and guidance in mass food poisoning cases

Semih Korkut1, Nurhayat Baskaya1, Elif Arslan2, Sakir Omur Hincal3, Kenan Ahmet Turkdogan4
Disaster Emerg Med J 2021;6(3):125-129.


INTRODUCTION: 112 emergency health services send the same types of cases to different hospitals and receive the first information, have a comprehensive knowledge on these cases and inform all the hospitals simultaneously.  

AIM: In this study, our aim is to share with the literature through anticholinergic food poisoning cases that it is possible to prevent delays in examination and treatment and to prevent information pollution when 112 emergency health services.  

MATERIAL AND METHODS: We retrospectively reviewed 213 mass food poisoning cases which occurred between December 1 and 7, 2019 and which were taken to 14 hospitals with 112 emergency health services. File information of 69 of these cases were reached; in addition to demographic characteristics such as age and gender, physical examination findings such as blood pressure, pulse, skin-eye and consciousness states, laboratory values, hospitalization times, in which units the cases were followed and the duration of admission to the hospital after meals were noted.  

RESULTS: Of the 69 cases, 42 were found to have skin findings, 37 were found to have mydriasis and 12 were found to have agitation and/or confusion. The duration of admission to hospital after meal was found as 6.5 (4.5–10.0) hours. 60 (87.0%) of the patients were followed in the emergency room, 4 (5.8%) were followed in the internal medicine service and 5 (7.2%) were followed in the intensive care.  

CONCLUSIONS: When the crisis team of 112 emergency health services is alert, they can categorize the event, prevent the chaos in the emergency service of hospitals with correct triage and thus with the process of understanding the event, examination and treatment process becomes more executable.

Article available in PDF format

View PDF Download PDF file


  1. Heindl S, Binder C, Desel H, et al. [Etiology of initially unexplained confusion of excitability in deadly nightshade poisoning with suicidal intent. Symptoms, differential diagnosis, toxicology and physostigmine therapy of anticholinergic syndrome]. Dtsch Med Wochenschr. 2000; 125(45): 1361–1365.
  2. Southgate HJ, Egerton M, Dauncey EA. Lessons to be learned: a case study approach. Unseasonal severe poisoning of two adults by deadly nightside (Atropa belladonna). J R Soc Promot Health. 2000; 120(2): 127–130.
  3. Trabattoni G, Visintini D, Terzano GM, et al. Accidental poisoning with deadly nightshade berries: a case report. Hum Toxicol. 1984; 3(6): 513–516.
  4. Joshi P, Wicks AC, Munshi SK. Recurrent autumnal psychosis. Postgrad Med J. 2003; 79(930): 239–240.
  5. Krenzelok E. Aspects ofDaturapoisoning and treatment. Clinical Toxicology. 2010; 48(2): 104–110.
  6. Burns MJ, Linden CH, Graudins A, et al. A comparison of physostigmine and benzodiazepines for the treatment of anticholinergic poisoning. Ann Emerg Med. 2000; 35(4): 374–381.
  7. Anonymous. Physostigmine. Lexi-Comp Online. Hudson, OH.2000.
  8. American Hospital Formulary Service. American Journal of Health-System Pharmacy. 1959; 16(10): 541–541.
  9. Demirhan A, Tekelioğlu ÜY, Yıldız İ, et al. Anticholinergic Toxic Syndrome Caused by Atropa Belladonna Fruit (Deadly Nightshade): A Case Report. Turk J Anaesthesiol Reanim. 2013; 41(6): 226–228.
  10. Lange A, Toft P. Poisoning with nightside, Atropa belladona. Ugeskr Laeger. 1990; 152: 1096.
  11. Perlik-Gattner I. Atropa belladona poisoning suggesting severe post – traumatic brain damage. Przegl Lek. 1997; 54: 464–65.
  12. Lamminpää A, Kinos M. Plant poisonings in children. Hum Exp Toxicol. 1996; 15(3): 245–249.
  13. Schneider F, Lutun P, Kintz P, et al. Plasma and urine concentrations of atropine after the ingestion of cooked deadly nightshade berries. J Toxicol Clin Toxicol. 1996; 34(1): 113–117.
  14. MS Bektaş, F Aktar, A Güneş, Ü Uluca, S Gülşen, K Karaman. Atropa belladona poisoning in chilhood. West Indian Med J Doi: 0. 7727/wimj. ; 2015: 457.
  15. Caksen H, Odabaş D, Akbayram S, et al. Deadly nightshade (Atropa belladonna) intoxication: an analysis of 49 children. Hum Exp Toxicol. 2003; 22(12): 665–668.
  16. Cikla U, Turkmen S, Karaca Y, et al. An Atropa belladonna L. poisoning with acute subdural hematoma. Hum Exp Toxicol. 2011; 30(12): 1998–2001.

Disaster and Emergency Medicine Journal