• Isr Med Assoc J · Oct 2024

    Introduction of a New Toxicology Consult Service in a Large Tertiary Care Teaching Hospital.

    • Or Segev, Christopher Hoyte, Nicole Taylor, Amanda Katz, Dennis Scolnik, Efrat Zandberg, Eyal Hassoun, and Miguel Glatstein.
    • Department of Pediatrics, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
    • Isr Med Assoc J. 2024 Oct 1; 26 (9): 572576572-576.

    BackgroundClinical toxicology is not a certified specialty in Israel, consequently there are a limited number of toxicologists and toxicology services available for consultation.ObjectivesTo establish a medical toxicology consultation service focusing on bedside consultations, which had not previously been available in Israel.MethodsThis single-center, retrospective chart review of toxicology consults was conducted during the first years after the initiation of a new toxicology service.ResultsFrom September 2017 to December 2021, 1703 toxicology consultations were conducted. The most common exposures and reasons for consultation included psychotropic medications (427, 23%), analgesics and anti-inflammatory medications (353, 19%), household products (312, 17%), substances of abuse (240, 13%), and natural toxins (142, 8%). Bedside medical toxicology consultations were performed in 1036 cases (62%) during daytime and night shifts. The number of consultation requests increased steadily over the study period.ConclusionsThe new toxicology service led to a significant change in the institution's approach to toxicological patients. A bedside toxicology service could help reduce the healthcare burden on national poison centers and can offer readily available, personalized, medical toxicology care.

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