Browsing by Subject "Medical toxicology"

Now showing 1 - 4 of 4
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    Consensus Development of a Core Content for a Standardized Medical Toxicology Curriculum for Medical Students
    (Springer, 2022) Goldfine, Charlotte; Lung, Derrick; Beauchamp, Gillian; O’Connor, Ayrn; Stolbach, Andrew; Kao, Louise; Judge, Bryan; Wax, Paul; Patwari, Rahul; Kazzi, Ziad; Emergency Medicine, School of Medicine
    Background: Currently, no standardized core content in medical toxicology exists for medical students. The goals of this study were to (1) assess the current state and needs of medical toxicology clerkships and (2) develop a consensus-derived list of core topics that should be covered during a medical toxicology clerkship. Methods: We assembled a task force established by the American College of Medical Toxicology (ACMT) of nine experts in medical toxicology or emergency medicine. We developed a needs assessment survey that was sent to all medical student clerkship directors in medical toxicology. Based on their responses, we used a modified Delphi process to develop a consensus of core topics that should be covered during a medical student clerkship. Results: Nineteen out of 42 (45%) clerkship directors completed the survey; 18 met inclusion criteria. The majority of clerkships were 4 weeks in duration with an average of 15 students/year. The three most common teaching methods used were bedside teaching (n = 17/18), classroom teaching (n = 17/18), and journal club (n = 14/18). All the clerkship directors (n = 18/18) reported they would use a standardized curriculum as well as educational content developed by ACMT. There was overwhelming consensus on the core topics which included, but were not limited to, pharmacology/toxicology; drugs; drugs of abuse; natural products; pharmacological basis of antidote use; toxicologic syndromes; vital sign abnormalities; initial management; supportive and other care; withdrawal syndrome management; industrial, household, and environmental toxins; differential diagnosis by clinical findings; and ABCs-resuscitation. Conclusion: The ACMT task force developed a medical toxicology clerkship core content. The task force also identified a need for shared resources among clerkships.
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    Correction to: The Toxicology Investigators Consortium Case Registry-The 2017 Annual Report
    (Springer, 2018-12) Farrugia, Lynn A.; Rhyee, Sean H.; Campleman, Sharan L.; Judge, Bryan; Kao, Louise; Pizon, Anthony; Porter, Lauren; Riederer, Anne M.; Wiegand, Timothy; Calello, Diane P.; Wax, Paul M.; Brent, Jeffrey; On behalf of of the Toxicology Investigators Consortium (ToxIC) Study Group; Medicine, School of Medicine
    The Toxicology Investigators Consortium (ToxIC) Case Registry was established by the American College of Medical Toxicology in 2010. The Registry collects data from participating sites with the agreement that all bedside medical toxicology consultations will be entered. The objective of this eighth annual report is to summarize the Registry's 2017 data and activity with its additional 7577 cases. Cases were identified for inclusion in this report by a query of the ToxIC database for any case entered from 1 January to 31 December 2017. Detailed data was collected from these cases and aggregated to provide information which includes demographics (e.g., age, gender, race, ethnicity), reason for medical toxicology evaluation (e.g., intentional pharmaceutical exposure, envenomation, withdrawal from a substance), agent and agent class, clinical signs and symptoms (e.g., vital sign abnormalities, organ system dysfunction), treatments and antidotes administered, fatality, and life support withdrawal data. Females were involved in 50.4% of cases. Transgender demographic information collection was initiated in 2017 to better represent the population and there were 36 cases involving transgender patients. Adults aged 19-65 were the most commonly reported age group. Non-opioid analgesics were the most commonly reported agent class, with acetaminophen again the most common agent reported. There were 93 fatalities reported in 2017. Treatment interventions were frequently reported with 30.6% receiving specific antidotal therapy. Major trends in demographics and exposure characteristics remained similar to past years' reports. While treatment interventions were commonly required, fatalities were rare.
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    The Voice of Medical Toxicology: Celebrating 20 Years of the Journal of Medical Toxicology
    (Springer, 2024) Pizon, Anthony F.; Kao, Louise; Wax, Paul M.; Emergency Medicine, School of Medicine
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    The Toxicology Investigators Consortium Case Registry-the 2017 Annual Report
    (Springer Nature, 2018-09) Farrugia, Lynn A.; Rhyee, Sean H.; Campleman, Sharan L.; Judge, Bryan; Kao, Louise; Pizon, Anthony; Porter, Lauren; Riederer, Anne M.; Wiegand, Timothy; Calello, Diane; Wax, Paul M.; Brent, Jeffrey; Emergency Medicine, School of Medicine
    The Toxicology Investigators Consortium (ToxIC) Case Registry was established by the American College of Medical Toxicology in 2010. The Registry collects data from participating sites with the agreement that all bedside medical toxicology consultations will be entered. The objective of this eighth annual report is to summarize the Registry's 2017 data and activity with its additional 7577 cases. Cases were identified for inclusion in this report by a query of the ToxIC database for any case entered from 1 January to 31 December 2017. Detailed data was collected from these cases and aggregated to provide information which includes demographics (e.g., age, gender, race, ethnicity), reason for medical toxicology evaluation (e.g., intentional pharmaceutical exposure, envenomation, withdrawal from a substance), agent and agent class, clinical signs and symptoms (e.g., vital sign abnormalities, organ system dysfunction), treatments and antidotes administered, fatality, and life support withdrawal data. Females were involved in 50.4% of cases. Transgender demographic information collection was initiated in 2017 to better represent the population and there were 36 cases involving transgender patients. Adults aged 19-65 were the most commonly reported age group. Non-opioid analgesics were the most commonly reported agent class, with acetaminophen again the most common agent reported. There were 93 fatalities reported in 2017. Treatment interventions were frequently reported with 30.6% receiving specific antidotal therapy. Major trends in demographics and exposure characteristics remained similar to past years' reports. While treatment interventions were commonly required, fatalities were rare.