Volume 33, Issue 1 pp. 6-8
Review Article

Review article: Up (to) date for Australian Toxicology and Toxinology guidelines

Angela L Chiew

Corresponding Author

Angela L Chiew

Department of Clinical Toxicology, Prince of Wales Hospital, Sydney, New South Wales, Australia

NSW Poisons Information Centre, The Children's Hospital at Westmead, Westmead, New South Wales, Australia

Correspondence: Dr Angela L Chiew, Department of Clinical Toxicology, Prince of Wales Hospital, Barker Street, Randwick, NSW 2031, Australia. Email: [email protected]

Search for more papers by this author
Nicholas A Buckley

Nicholas A Buckley

NSW Poisons Information Centre, The Children's Hospital at Westmead, Westmead, New South Wales, Australia

Faculty of Medicine and Health, Pharmacology, The University of Sydney, Sydney, New South Wales, Australia

Search for more papers by this author
Andis Graudins

Andis Graudins

Monash Toxicology Unit, Monash Health, Melbourne, Victoria, Australia

Department of Clinical Toxicology, Victorian Poisons Information Centre, Melbourne, Victoria, Australia

Search for more papers by this author
Venita L Munir

Venita L Munir

Editorial, Therapeutic Guidelines Limited, Melbourne, Victoria, Australia

Search for more papers by this author
First published: 29 October 2020
Citations: 4
Angela L Chiew, BSci (Med), MBBS, PhD, FACEM, Emergency Physician, Clinical Toxicologist; Nicholas A Buckley, MD, FRACP, Professor; Andis Graudins, MBBS, PhD, FACEM, FACMT, Professor; Venita L Munir, MBBS, FACEM, Assoc Deg PWE, Editor.

Abstract

Poisoned patients commonly present to EDs. The optimal management of these patients is constantly evolving as new evidence emerges. Textbooks cannot be updated regularly enough to incorporate these changes, and their advice may not reflect the current practice of experts. Clinicians treating poisoned patients need an up-to-date accessible resource to aid their management decisions. The updated eTG complete, Toxicology and Toxinology guideline represents a consensus of contemporary evidence and expert views from across Australia. Important key changes include: updated advice on decontamination, particularly use of activated charcoal; stepwise escalation in supportive care, including guidance on the most appropriate inotropes for each agent and antidote recommendations for specific poisoning scenarios. Toxicology and Toxinology covers more than 100 poisoning topics and offers more detailed risk assessment, management and disposition advice. It is a valuable evidence-based resource for the management of poisoned patients.

DATA AVAILABILITY STATEMENT

Data sharing not applicable - no new data generated

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.