Table 1.
The standardised clinical set data gathered on the observational charts
| Name | |
| Date of birth | |
| Date and time of presentation | |
| Who brought the patient? | |
| From where was the patient brought? | |
| Substances of abuse taken | |
| Time when taken | |
| Quantity taken | |
| What has happened? (free text) | |
| Previous medical history | |
| Seizures (yes/no) | |
| Diabetes (yes/no) | |
| Serious psychiatric disorder (yes/no) | |
| Known substance use (alcohol/opioids/other/none) | |
| Clinical status at presentation | |
| Respiratory rate | |
| Heart rate | |
| Blood pressure | |
| Temperature | |
| Blood glucose level | |
| SpO2 | |
| Track marks (yes/no) | |
| External signs of injury (yes/no) | |
| Nystagmus (yes/no) | |
| Plantar reflexes (down/inverted) | |
| Pupil size (large/small/normal) | |
| Other information (free text) | |
| During observation time (fields provided for repeated observations) | |
| Glasgow Coma Scale score | |
| Pupil reaction to light (+/+) | |
| Respiratory rate | |
| SpO2 | |
| Symmetric movement of arms and legs | |
| Medication given | |
| In ambulance | |
| At the casualty clinic |
The clinical assessment of acute poisoning by substances of abuse at the Oslo Accident and Emergency Outpatient Clinic is based on standardised minimum clinical data gathered on a pre-set observational chart