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3 We present a case of a young female farmer who had been admitted to the ICU at Saint Peter’s Hospital in Addis Ababa after suicidal ingestion of a toxic agent had led to diagnostic challenge. 2-4 It is believed that ingestion is a more relevant route of exposure, 3 and urinary excretion is the main route of elimination from the body. 1 2,4-D is a highly toxic compound causing a wide spectrum of symptoms and organ involvement (heart, lungs, GI tract, muscle, endocrine system, and nerves) after oral, skin, or inhalational exposure. Keywords: 2,4-dichlorophenoxyacetic acid, herbicide, poisoning, EthiopiaĢ,4-Dichlorophenoxyacetic acid (2,4-D) is a poisonous herbicide widely used in Ethiopian agriculture and accounts for >70% of herbicides imported into the country. In addition, local policies on proper and controlled use of these herbicides are needed to improve awareness among users and prevent accidental and intentional exposures. No specific treatment is known, so a high index of suspicion for early detection, decontamination, and initiation of supportive care is crucial to improve survival after exposure. Due to the similarity of some clinical signs with organophosphate poisoning in acute settings, there are possible missed cases of 2,4-D acid herbicide poisoning. Despite these interventions, she died several days later. There, ingestion of 2,4-D was confirmed, and she received supportive care, mechanical ventilation, and forced alkaline diuresis. She was originally treated for organophosphate poisoning, and then transferred to Saint Peter’s Hospital in Addis Ababa for more intensive care. We herein report a case of a young female farmer from rural Ethiopia who was admitted to a local hospital after presenting with loss of consciousness and excess oral secretions 2 hours after a suicidal ingestion of an unknown toxic agent. Though poisoning reports from this compound are rare, there is a tendency toward increased use of it in the agrarian society of Ethiopia. Launch your next offensive against the vile scum of the world with Critical Ops.Zekewos Demissie, 1 Amsalu Bekele, 2 Abate Bane 3ġDepartment of Internal Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia 2Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia 3Department of Internal Medicine, Division of Gastroenterology, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaĬorrespondence: Zekewos Demissie, Email Ībstract: 2,4-Dichlorophenoxyacetic acid is a poisonous herbicide.
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Unlike some other games, Critical Ops promises to never become a pay-to-play game and is entirely skill-based for the most even playing field.
CRITICAL OPS CASES PC
Play Critical Ops on PC and Mac to experience the true thrill of real-world military-style gunplay and violence. Join in with your friends and take on the terrorist of the planet in co-op missions or fight against friends and foes in the competitive PvP arena. Take on the role of a hotshot counter-terrorist agent who helps launch modern warfare campaign against some of the vilest and most corrupt people on Earth.
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Critical Ops puts you in the hot seat through a number of exciting missions. Play the most intense first person shooter available in the Google Play store. A true sign of a great marksman is being able to think and act quickly with precise and deadly accuracy.
CRITICAL OPS CASES ANDROID
BlueStacks app player is the best PC platform (emulator) to play this android game on your PC or Mac for a better gaming experience.įorget taking your time and calculating your shot. Critical Ops is an Action game developed by Critical Force Ltd.