Volume 2020, Issue 3
  • ISSN: 0253-8253
  • EISSN: 2227-0426


The State of Qatar, in recent decades, underwent rapid, and substantial population growth. The country's emergency medicine (EM) needs are met by government-operated facilities of the Hamad Medical Corporation (HMC), which see virtually all acute-care cases in adults and children. In 2017, emergency departments (ED) established the Medical Toxicology Consulting Service (MTCS). This report aims to outline the MTCS's initial 100 cases’ experience and report salient findings that can help ongoing national strategies in meeting Qatar's medical toxicology needs. The study setting is Qatar, and the clinical base for the MTCS was the country's sole level I center, Hamad General Hospital. The MTCS group is composed of six physicians, all with advanced training in medical toxicology. The study group is composed of the first 100 consecutive cases of the MTCS registry. Registry entry was triggered by in-person consultation, telephone consultation, or identification of cases by daily MTCS rounder surveillance of the ED's electronic tracking board. The MTCS institution identified a significant number of medical toxicology cases within the national hospital system. The trends of poisoning in this study showed a median age of 30 years (range 1–81 years, IQR 22–36 years). Fourteen patients were < 18 years old. The median interval between exposure and ED presentation was 2 hours, with a range of 15 minutes to 24 hours (IQR 1–3 hours). Most patients (71%, 95% CI, 51%–80%) were symptomatic because they were exposed. The MTCS recommended therapeutic intervention in over a third of cases (36%, 95% CI, 27%–46%). Decontamination procedures were ordered in 8% of cases (95% CI, 4%–15%) and specific therapies recommended in 13 cases (13%, 95% CI, 7%–21%). The study highlighted that the availability of experts in medical toxicology, such as with a poison center or toxicology consultation service, results in significant resource conservation in the management of poisoned patients.


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  1. Hahn A, Begemann K. Giftinformationszentren in Deutschland – Historie, Arbeitsweise und Bedeutung [Poison centres in Germany-history, function, and relevance]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019;62(11):1304-1312 .
  2. Bentur Y, Obchinikov ND, Cahana A, Kovler N, Bloom-Krasik A, Lavon O, et al. Pediatric poisonings in Israel: National Poison Center data. Isr Med Assoc J. 2010;12(9):554-559 .
  3. Dallmann R, Okyar A, Lévi F. Dosing-Time Makes the Poison: Circadian Regulation and Pharmacotherapy. Trends Mol Med. 2016;22(5):430-445 .
  4. Khudair IF, Jassim Z, Hanssens Y, Alsaad WA. Characteristics and determinants of adult patients with acute poisoning attending the accident and emergency department of a teaching hospital in Qatar. Hum Exp Toxicol. 2013;32(9):921-929 .
  5. Read JG, Varughese S, Cameron PA. Determinants of non-urgent Emergency Department attendance among females in Qatar. Qatar Med J. 2014;2014(2):98-105. Published 2014 Dec 9 .
  6. Statistics 2012, Hamad General Hospital Emergency Department .
  7. Hitti E, El Zahran T, Hamade H, Kaddoura R, Mneimneh Z, Morgan BW, Kazzi Z. Toxicological exposures reported to a telephonic consultation service at a tertiary care hospital in Lebanon. Clin Toxicol (Phila). 2020 Jan 14:1-7 .
  8. Arciaga GJ, Tan HH, Kuan KK, Mong RP, Kant A. A 24/7 hospital toxicology service: experience of a new start-up. Proceedings of Singapore Healthcare. 2018;27:223-228 .
  9. Law, RK, Sheikh S, Bronstein A, Thomas R, Spillar HA, Schier JG. Incidents of potential public health significance identified during national surveillance of US poison center data (2008-2012). Clin Toxicol (Phila) 2014; 52: 958-963 .
  10. Wolkin AF, Martin CA, Law RK, Schier JG, Bronstein AC. Using poison center data for national public health surveillance for chemical and poison exposure and associated illness. Ann Emerg Med 2011; 59: 56-61 .
  11. Gopalan D, Gopalan Y, Robertson WO. Implementation of Toxicall: impact on documentation. Vet Hum Toxicol 2001; 43: 45 .
  12. Zelner I, Matlow J, Hutson JR, Wax P, Koren G, Brent J, Finkelstein Y, Consortium Toxicology Investigators. Acute poisoning during pregnancy: observation from the Toxicology Investigators Consortium. J Med Toxicol 2015; 11: 301-308 .
  13. Mowry JB, Spyker DA, Brooks DE, Zimmerman A, Schauben JL. 2015 annual report of the American Association of Poison Control Centers’ National Poison Data System (NPDS): 33rd Annual Report. Clin Toxicol (Phila) 2016; 54: 924-1109 .
  14. Woo SH, Lee WJ, Jeong WJ, Kyong YY, Choi SM. Blood alcohol concentration and self-reported alcohol ingestion in acute poisoned patients who visited an emertgency department. Scand J Trauma Resusc Emerg Med 2013; 21: 24 .
  15. Lee J, Min S, Ahn JS, Kim H, Cha YS, Oh E, et al. Identifying alcohol problems among suicide attempters visiting the emergency department. BMC Psychiatry. 2019;19(1):350. Published 2019 Nov 8 .
  16. Hollander JE, McCracken G, Johnson S, Valentine SM, Shih RD. Emergency department observation of poisoned patients: how long is necessary? Acad Emerg Med 1999; 6: 887-894 .

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  • Article Type: Research Article
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