Poison control center
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Overview
A poison control center (PCC) or poison information center (PIC) is a medical facility that is able to provide immediate, free, and expert treatment advice and assistance over the telephone in case of exposure to poisonous, or hazardous substances. Poison Control Centers answer questions about potential poisons in addition to providing treatment management advice about personal care products, household products, medicines, pesticides, plants, bites and stings, food poisoning, alcohol, gases, and fumes. More than 75%[1] of poison exposure cases are managed simply by phone, greatly reducing the need for costly emergency room and doctor visits.[2] In most countries around the world poison control centers can be reached toll-free, 24 hours a day, 7 days a week, 365 days a year.
History
After World War II there was a proliferation of new drugs and chemicals in the marketplace, similarly suicide and childhood poisonings from these agents drastically increased (around this time up to half of all accidents in children were poisonings with a substantial number of fatalities).[3] These factors led to the medical community developing a response to both unintentional and intentional poisonings. In Europe in the late 1940s special toxicology wards were set up, initial wards were started in Copenhagen and Budapest, and the Netherlands began a poison information service.[4] In the USA the first poison information center was started in Chicago in 1953.[5] By 1957 there were 17 poison control centers in the US, with the Chicago center serving as a model; these centers dealt mainly with physician enquiries by giving ingredient and toxicity information about products, along with treatment recommendations. Over time the poison control centers started taking calls form the general public. The majority of poison centers were not part of a patient treatment facility; they strictly provided information.
In 1958 the American Association of Poison Control Centers (AAPCC) was founded to promote cooperation between the different cities poison centers and to standardize the operation of these centers. An additional part of the AAPCC activities was poison prevention and education programs for both physicians and the general public. In 1968 the American Academy of Clinical Toxicologists (AACT) was established by a group of medical doctors. The AACT’s main objective was to apply principles of toxicology to patient treatment and improve the standard of care on a national basis. In the 1960s and 1970s a rapid proliferation of poison centers emerged and by 1978 there were 661 centers in the USA. This trend reversed during the 1980s and 1990s with a number of centers closing or merging. In 2000 there was 51 certified centers in the USA.[6]
A similar movement evolved in Europe but unlike the American movement the majority were centralized toxicology treatment centers with integrated poison information centers. The French developed an inpatient unit for the treatment of poisoned patients in the late 1950s. In England the National Poison Information Service was developed at Guy's Hospital under Dr Roy Goulding.[4] At around the same time Dr Henry Mathew started a poison treatment center in Edinburgh.[7] In 1964 the European Association for Poison Control Centers was formed at Tours, France.[4] Australasian centers were also estabilshed in the 1960s.
Today
USA
The American Association of Poison Control Centers manages the 24-hour hotline, which is continuously staffed by pharmacists, physicians, nurses, and poison information specialists who have received dedicated training in the field of toxicology. It has a TTY/TDD number for the hearing impaired. Poison educators across the country also offer poison prevention training and education sessions to community institutions, along with educational materials. The national phone number is 1-800-222-1222, which routes calls to a local facility.
Rest of the world
Most countries have a poison control center with staffing similar to the American centers. A worldwide directory of poison centers is available from the World Health Organization's website
Local Poison Control Centers
Arizona Poison and Drug Information Center
http://www.med.virginia.edu/brpc/">Blue
Ridge Poison Center</a>
<a href="http://www.calpoison.org">California Poison Control System</a>
<a href="http://www.carolinas.org/services/poison/">Carolinas Poison Center</a>
<a href="http://www.cnypoison.org/">Central New York Poison Center</a>
<a href="http://www.bepoisonsmart.com">Central Ohio Poison Center</a>
<a href="http://www.poisoncontrol.org">Central Texas Poison Center</a>
<a href="http://www.mitoxic.org">Children's Hospital of Michigan Poison Control Center</a>
<a href="http://www.chw.org/display/PPF/DocID/629/router.asp">Children's Hospital of Wisconsin Poison Control Center</a>
<a href="http://www.cincinnatichildrens.org/dpic/">Cincinnati Drug and Poison Information Center</a>
<a href="http://poisoncontrol.uchc.edu">Connecticut Poison Control Center</a>
<a href="http://www.spectrum-health.org">DeVos Children's Hospital Regional Poison Center</a>
<a href="http://www.stronghealth.com/services/poison">Finger Lakes Regional Poison Center</a>
<a href="http://www.fpicn.org">Florida Poison Information Center - Jacksonville</a>
<a href="http://www.fpicn.org">Florida Poison Information Center - Miami</a>
<a href="http://www.poisoncentertampa.org">Florida Poison Information Center - Tampa</a>
<a href="http://www.georgiapoisoncenter.org">Georgia Poison Center</a>
<a href="http://www.mnpoison.org">Hennepin Regional Poison Center</a>
<a href="http://www.PoisonEducation.org">Hudson Valley Poison Education Center</a>
<a href="http://www.mchc.org/ipc">Illinois Poison Center</a>
<a href="http://www.clarian.org/clinical/poisoncontrol">Indiana Poison Center</a>
<a href="http://www.iowapoison.org">Iowa Statewide Poison Control Center</a>
<a href="http://www.krpc.com/">Kentucky Regional Poison Center</a>
<a href="http://www.lapcc.org">Louisiana Drug and Poison Information Center</a>
<a href="http://www.lirpdic.org">Long Island Regional Poison and Drug Information Center</a>
<a href="http://www.mdpoison.com">Maryland Poison Center</a>
<a href="http://www.poison.org">National Capital Poison Center</a>
<a href="http://www.otago.ac.nz/prevmed/npc.html">National Poisons Centre</a>
<a href="http://www.nebraskapoison.com">Nebraska Regional Poison Center</a>
<a href="http://njpies.org">New Jersey Poison Information and Education System</a>
<a href="http://hsc.unm.edu/pharmacy/poison/">New Mexico Poison & Drug Information Center</a>
<a href="http://www.poisoncontrol.org">North Texas Poison Center</a>
<a href="http://www.oklahomapoison.org">Oklahoma Poison Control Center</a>
<a href="http://www.sickkids.on.ca">Ontario Regional Poison Control Center</a>
<a href="http://www.oregonpoison.org">Oregon Poison Center</a>
<a href="http://www.pharm.sc.edu/pps/pps.htm">Palmetto Poison Center</a>
<a href="http://www.chp.edu/clinical/03a_poison.php">Pittsburgh Poison Center</a>
<a href="http://www.maripoisoncenter.com">Regional Center for Poison Control and Prevention Serving Massachusetts and Rhode Island</a>
<a href="http://www.poisoncenter.net">San Jorge Children's Hospital Poison Center</a>
<a href="http://www.poisonlifeline.org"> Tennessee Poison Center</a><a href="http://www.nebraskapoison.com"> </a>
<a href="http://poisoncontrol.chop.edu/">The Poison Control Center - Philadelphia</a>
<a href="http://www.prosarcorp.com">PROSAR International Poison Control Center</a>
<a href="http://www.chsys.org">Regional Poison Control Center - Birmingham</a>
<a href="http://www.RMPDC.org">Rocky Mountain Poison & Drug Center</a>
<a href="http://www.uthscsa.edu/surgery/poisoncenter">South Texas Poison Center</a>
<a href="http://www.utmb.edu/setpc">Southeast Texas Poison Center</a>
<a href="http://www.poisoncontrol.org">Texas Poison Center Network</a>
<a href="http://www.tdh.state.tx.us/epidemiology">Texas Department of Health</a>
<a href="http://www.panhandlepoison.org">Texas Panhandle Poison Center</a>
<a href="http://www.uwhospital.org/shells/level2/s-poison.htm">University of Wisconsin Hospital & Clinics Poison Control Center</a>
<a href="http://www.vcu.edu/mcved/">Virginia Poison Center</a>
<a href="http://www.wapc.org">Washington Poison Center</a>
<a href="http://www.poisoncenter.org">West Texas Regional Poison Center</a>
<a href="http://www.wvpoisoncenter.org">West Virginia Poison Center</a>
<a href="http://www.chob.edu/poison">Western New York Poison Center</a>
Footnotes
- ↑ Goldfrank LR, Flomenbaum NE, Lewin NA, Howland MA, Hoffman RS, Nelson LS, ed. (2002). Goldfrank’s toxicologic emergencies. McGraw-Hill. ISBN 0-07-136001-8.
- ↑ Miller T, Lestina D (1997). "Costs of poisoning in the United States and savings from poison control centers: a benefit-cost analysis". Ann Emerg Med. 29 (2): 239–45. PMID 9018189.
- ↑ Grayson R (1962). "The poison control movement in the United States". Ind Med Surg. 31: 296–7. PMID 13901334.
- ↑ 4.0 4.1 4.2 Govaerts M (1970). "Poison control in Europe". Pediatr Clin North Am. 17 (3): 729–39. PMID 5491436.
- ↑ Press E, Mellins R (1954). "A poisoning control program". Am J Public Health. 44 (12): 1515–25. PMID 13207477.
- ↑ Ford MD, Delaney KA, Ling LJ, Erickson T., ed. (2001). Clinical toxicology. WB Saunders Company. ISBN 0-7216-5485-1.
- ↑ Proudfoot A (1988). "Clinical toxicology—past, present and future". Hum Toxicol. 7 (5): 481–7. PMID 3056845.
See also
External links
- American Association of Poison Control Centers
- Web site for 1-800-222-1222 US Poison Control Center emergency contact number
- Nebraska Regional Poison Center
- California Poison Control System
- National Capital Poison Center
- World directory of poisons centers
- UK National poisons information service (Toxbase)