The Poison Center: A Valuable Resource For All Presented by The University of Kansas Hospital Poison Control Center

Transcription

1 The Poison Center: A Valuable Resource For All Presented by The University of Kansas Hospital Poison Control Center Stefanie Baines Education Coordinator sbaines@kumc.edu

2 Benefits of the poison center Poison Center Facts Calls to the Poison Center Pediatric Poisonings Teen Poisonings Why should I call the poison center? Why should I recommend my patients call the poison center? Overview

3 Benefits Of The Poison Center

4 Reduce the Number of Poisonings Reduce the Severity of Poisonings Reduce the Cost of Poisonings Benefits Of The Poison Center

5 Reduce the Number of Poisonings Increase awareness of Poison Helpline, Poison prevention education Benefits Of The Poison Center

6 Reduce the Severity of Poisonings Immediate and optimal treatment recommendations given Follow-up calls maintain continuity of care Benefits Of The Poison Center

7 Reduce the Cost of Poisonings About 70% of cases are managed onsite (no health care facility) Cases involving poison centers have shorter hospital stays; 2 days vs. 5 days (J Toxicol Environ Health Part A 2007; 70: ) Every $1 spent on a poison center saves at least $13 in health care costs (Lewin Group Inc., Sept 2012) Benefits Of The Poison Center

8 National Poison Data System (NPDS) Nationwide Data Collection Near Realtime Data Call Volume Clinical Effects Patient Care Guidelines Detect Public Health Threats Benefits Of The Poison Center

9 Every day, 106 people die from unintentional poisonings In 2013, unintentional poisoning was the leading cause of injury death in the United States. Poison centers managed about 3.1 million calls in 2013, of which 2.2 million were human exposure cases. Nearly 9 out of 10 poisoning deaths are caused by drugs, predominately prescription drugs. Data from CDC & AAPCC Poison Exposures

10 Poison centers manage cases about people of all ages Poison Center Facts

11 Top 5 Human Exposure Substance Categories All Ages Analgesics (11.54%) Cosmetics & Personal Care Products (7.74%) Household Cleaning Substances (7.60%) Sedatives, Hypnotics, and Antipsychotics (5.73%) Antidepressants (4.20%) Poison Center Facts Data from AAPCC s 2013 NPDS Annual Report

12 Why do people call the poison center? Poison Center Facts

13 How are people being exposed? Poison Center Facts

14 Where do most poison exposures occur? In 2013, 93% of human exposures occurred at a residence, but they can also occur in the workplace, schools, healthcare facilities, and others. About 70% of the 2.2 million cases reported in 2013, were managed at home Poison Center Facts

15 U.S. Poison Centers Offer a Wealth of Information Assessment of poisonings or overdoses Overdose signs and symptoms Specific treatment recommendations for each patient Drug interactions Ranges of toxicity Kinetics Decontamination recommendations Assistance locating antidotes and antivenin Pill identification Toxidrome identification Access to public health emergency information Health professional education Why Should I Call The Poison Center?

16 The Kansas Poison Control Center managed 22,063 human exposure cases in o Case #1 Dosing Error o Case #2 Hand Sanitizer Ingestion o Case #3 Two year old o Case #4 Teen Overdose o Case #5 Inhalation exposure Kansas Poison Center

17 Top 5 Human Exposure Substance Categories Children 5 years Cosmetics & Personal Care Products (14.52%) Household Cleaning Substances (10.75%) Analgesics (9.55%) Foreign Bodies, Toys, & Misc. (7.20%) Topical Preparations (6.45%) Pediatric Poisonings Data from AAPCC s 2013 NPDS Annual Report

18 Why Are Children At Greater Risk?

19 If you can t tell the difference, how will a child? Why Are Children At Greater Risk?

20 What poisons are you carrying around? Why Are Children At Greater Risk?

21 Medicine Poisoning In 2012, more than 64,000 kids were treated in an emergency room for medicine poisoning. o That s one child every 8 minutes Medicine is often taken from an easy-to-reach place 67% left within a child s reach (table, counter, purse ) o 27% on the ground or misplaced o 20% in a purse or bag o 20% on a nightstand or dresser Pediatric Poisonings Safe Kids Worldwide, 2013

22 Opioids (methadone, oxycodone, fentanyl) Clonidine & Guanfacine Oral Hypoglycemics (sulfonylureas) Calcium Channel Blockers & Beta Blockers Chloroquine & Hydroxycholoroquine Diphenoxylate & Atropine (Lomotil) Quinidine, Procainamide, & Disopyramide Tricyclic Antidepressants (Amitriptyline) One Pill Can Kill

23 Methyl Salicylate (oil of wintergreen) Hydrocarbons (petroleum distillates) Camphor (Vapor rub products) Antifreeze (ethylene glycol) Windshield De-icer (methanol) Selenious Acid (Gun Bluing) Hydrofluoric Acid, Ammonia Bifluoride (Rust remover/ MAG wheel cleaner) E-cigarette Liquid Nicotine One Swallow Can Kill

24 Inability to understand label directions Workplace exposures Substance Abuse Suicide Why Are Teens At Risk?

25 Top 5 Human Exposure Substance Categories Teens (13-19 years) Analgesics (18.35%) Antidepressants (7.24%) Cold and Cough Preparations (5.57%) Sedatives, Hypnotics, and Antipsychotics (5.56%) Household Cleaning Substances (5.17%) Teen Poisonings Data from AAPCC s 2013 NPDS Annual Report

26 U.S. Poison Centers Offer a Wealth of Information About 70% of the 2.2 million poison cases reported to poison centers were treated at home, saving millions of dollars in medical expenses. By directing your patients to poison centers, you can ensure your patients will get expert treatment, right away. You can focus on patients who need your help most! Why Should I Recommend That My Patients Call The Poison Center?

27 It Could Happen To You

28 Call If there s been a poisoning or if you re concerned about a possible poisoning. To ask a poison prevention question. To request drug/medication information and identification. To request poison prevention materials, phone stickers, and magnets with the poison hotline number. When to Call the Poison Center

29 Help spread the message! Together we can make a difference! FREE Educational & Promotional Material Available: Magnets Stickers Brochures Children s Activity Books/Coloring Books Poison Purse Posters We Need Your Help

30 Poison Help Line Be Prepared

31 1. The Poison Center is a valuable resource for everybody, 24/7, even just for questions. 2. Calls to the poison center are fast, free, and completely confidential. 3. Promote the to all patients just in case! Three Key Messages

32 Poison Control Center Hotline Thank You Please contact us with any questions or to order educational materials! Stefanie Baines Education Coordinator Thank you for your time!