Emergency Medicine Clinics of North America-Medical Toxicology-MAY 2007
[color=red]Emergency Medicine Clinics of North AmericaMedical Toxicology[/color]
Volume 25, Issue 2, Pages 249-602 (May 2007)
Edited by Christopher P. Holstege, MD and Mark A. Kirk, MD
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Medical toxicology is a field that has grown steadily in importance during
the past few decades, but its importance has never been greater than it is today.
More than 2 million toxic exposures are reported annually to the American
Academy of Poison Control Centers. Intentional, accidental, and
iatrogenic exposures are common despite public health and hospital-based
patient safety programs. Environmental exposures such as carbon monoxide
and abuse of both older (eg, ethanol) and newer (eg, ‘‘ecstasy’’) drugs continue
to account for many deaths that are never even reported to poison
control centers. Increased availability of herbal supplements without oversight
by the US Food and Drug Administration has resulted in increased
toxicities and drug interactions. Criminal poisonings associated with sexual
assaults have increased in recent years. Finally, there is greater concern than
ever before about attacks involving deadly chemicals by terrorists. The medical
specialty that serves as ‘‘first-responder’’ to any of these exposures and
scenarios is emergency medicine. Our society has never relied more heavily
on physicians in our specialty to be experts in medical toxicology.
In this issue of the Emergency Medicine Clinics of North America, Guest
Editors Holstege and Kirk have assembled an outstanding group of authors
to educate us on this vital aspect of our specialty. The first articles discuss
a general approach to patients with overdose as well as some special concerns
in pediatric patients; later articles delve into greater depth with regard
to specific toxins. The discussion is not just limited to common medications
but also deals with plants, herbal substances, caustics, and criminal poisonings.
The authors conclude with discussions pertaining to mass chemical
exposures and potential agents of terrorism. These vital topics are not only
relevant to individual emergency physicians but also to emergency medical
systems.
This issue represents an important addition to the emergency medicine
literature. Experienced emergency physicians as well as emergency medicine
trainees will benefit tremendously from the expertise provided in the pages
that follow. The Guest Editors and authors are to be commended for providing
a single resource that covers a broad spectrum of toxicologic emergencies
in a succinct, clinically relevant, and cutting-edge manner.
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