Accidental Trihexyphenidyl Intoxication in a Seven-Year-Old Child: A Case Report from Senegal

file:///Users/petit/Dropbox/Mon%20Mac%20(CI117524.wifi.univ-paris5.fr)/Downloads/fulltext_jpmd-v6-id1045-5.pdfInternational audienceTrihexyphenidyl or Artane® /Parkinane® is an anti-cholinergic drug belonging to the antimuscarinic class. It is used in the treatment of Parkinson’s disease and widely in psychiatry for the management of extrapyramidal side effects of neuroleptics. Its overdose leads to a central and peripheral anti-cholinergic syndrome. We report here the case of a seven-year-old Senegalese boy who developed signs of intoxication due to accidental ingestion of a high dose of trihexyphenidyl and recovered completely after administration of parenteral antipyretic, gastric lavage and supportive care in a paediatric setting

Strengthening psychosocial support and emergency response in Senegal : lessons from a tragic traffic accident: Strengthening Psychosocial Support and Emergency Response in Senegal: Lessons from a Tragic Traffic Accident

International audienceOn January 8, 2023, Senegal experienced a tragic traffic accident that claimed the lives of 42 people and left approximately 100 injured. During such events, the victims, their families, the first responders to arrive on the scene and the frontline personnel must benefit from medical and psychological care. Promptly, the Emergency Health Operations Center (EOC) acted, activating the Kaolack mobile psycho-social intervention and Support Team in addition to deploying mental health professionals in Kaffrine. On-site in Kaffrine, a medical-psychological emergency cell was established. This cell efficiently organized immediate and post-immediate care, offering individual and group counseling sessions tailored to the specific needs of each person affected. Approximately sixty direct or indirect victims received psychological assistance. Beyond the challenges inherent in managing such events and considering their increasing occurrence in our country, a vital lesson emerged-the necessity of formalizing Mobile Intervention and Psychosocial Support Teams in every region for the effective management of medical-psychological emergencies.Cet article rend compte du processus de création d’un dispositif d’urgence innovant au Sénégal, l’Équipe mobile d’intervention et de soutien psychosocial, en rappelant comment au début des années 2000 une tragédie bouleverse le pays et amorce la réflexion sur le suivi psychosocial dans un contexte politique assujetti à l’idiome de la résilience. La création de l’EMIS semble paradoxale, puisqu’elle requiert et valorise des compétences en psychologie et en psychiatrie qui en temps ordinaire sont peu soutenues par les politiques sociales et de santé