Acute poisoning: initial management and sources of information
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Published on: April 28, 2020
Insights
Poisoning incidents lead to significant emergency department visits in the UK, particularly among young children. The National Poison Information Service (NPIS) handles a high volume of calls daily, with A&E nurses making up a substantial portion of inquiries.
Area of Science:
- Toxicology
- Emergency Medicine
- Public Health
Background:
- Poisoning accounts for 2-3% of UK urban A&E attendances annually.
- It represents approximately 7% of accidents in children under five.
- The National Poison Information Service (NPIS) receives a large and increasing number of emergency calls daily.
Purpose of the Study:
- To analyze the trends and sources of poisoning-related emergency calls.
- To understand the role of A&E nurses in poison information services.
Main Methods:
- Analysis of annual call data from the National Poison Information Service (NPIS) in London.
- Review of attendance statistics for urban Accident & Emergency (A&E) departments.
Main Results:
- Poisoning is a significant reason for A&E visits, especially in children.
- The NPIS experiences a sharp rise in emergency telephone inquiries.
- A&E nurses constitute 42% of the telephone inquiries received by NPIS.
Conclusions:
- Poisoning remains a critical public health concern requiring robust information services.
- The NPIS plays a vital role in managing poisoning emergencies.
- Targeted support and education for A&E nurses may be beneficial given their high inquiry rate.
Abstract:
Poisoning is responsible for 2-3 per cent of attendances to urban A&F. departments in the UK each year ( MacNamara et al 1996 ). It accounts for about 7 per cent of accidents in children under five years of age ( Consumer Safety Unit 1995 ). The National Poison Information Service (NPIS) deals with hundreds of emergency telephone enquiries every day. and the number of such calls has risen sharply in recent years. Figure 1 demonstrates the annual call load of NPIS (London). A&E nurses account for 42 per cent of these telephone enquiries.
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