Finally, a paper documenting the delay

Klementyna Breyer; S. Eliza Halcomb; Nicole C. Bouchard; Robert S. Hoffman; Paul Dohrenwend; Mary Ann Howland

doi:10.1016/j.ajem.2005.02.047

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Finally, a paper documenting the delay

Klementyna Breyer, MD

Department of Emergency Medicine, Christiana Care Health System; Newark, Del, USA

S. Eliza Halcomb, MD

Nicole C. Bouchard, MD

Robert S. Hoffman, MD

New York University School of Medicine, New York, NY, USA

New York City Poison Control Center, New York, NY 10016, USA

Paul Dohrenwend, MD

Department of Emergency Medicine, Morristown Memorial Hospital, Morristown, NJ, USA

Mary Ann Howland, PharmD

College of Pharmacy, St. John's University New York City Poison Control Center, New York, NY, USA

New York City Poison Control Center, New York, NY 10016, USA

DOI: http://dx.doi.org/10.1016/j.ajem.2005.02.047

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We compliment Adams et al [1] for their elegant use of scintography to verify the commonly held belief that significant delays in gastric emptying occur after intentional overdose. Given that histories obtained from suicidal patients are inherently unreliable and that toxicology screening was not obtained in a standardized manner, we caution readers not to overinterpret the association between the individual drugs categorized in this study and their effects on gastric motility. We agree with the authors' conclusion that poisoning from drug overdose (in general) results in hypomotility and delayed gastric emptying.

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