Case Report

Multimodal Elimination for Intoxication with a Lethal Dose of Organic Mercury

Table 2

Clinical course during detoxification with DMPS.

Clinical Course

DayObservation

3pupils beginning to react to light
4short periods of assisted ventilation
7muscle fasciculations absent
9spontaneous eye opening
10spontaneous breathing
11exanthema starts to decline
14continuous spontaneous breathing
15eye opening to verbal command
16change from CRRT to intermittent dialysis
17increasing vigilance
19patient startles upon verbal command reflexes start to return
20first spontaneous movement of extremities
23first successful mobilization (with assistance) exanthema diminishes
25increasing extremity movement
30switch from dialysis to ultrafiltration only
31visual fixation
33patient mobilized from bed to chair
34all standard reflexes bilaterally reestablished
37spontaneous directed movement of all extremities