Toxicology & Poison Control

For any acute ingestion, always call Poison Control first — they have real-time clinical decision support and case follow-up that no static page replaces.

Poison Control

• America’s Poison Centers — 1-800-222-1222 — national 24/7 poison helpline; routes to nearest regional center. Free.
• Online: PoisonHelp Web Portal — web-based access to the same poison-center network.

Society + tox-specific references

• American College of Medical Toxicology — Position Statements — peer-reviewed clinical positions.
• EXTRIP — Extracorporeal Treatments in Poisoning Workgroup — peer-reviewed in Clin Pharm Ther; when dialysis is indicated for each toxin.
• LITFL Toxicology Library — FOAM; well-cited bedside reference.
• WikiTox — international collaborative tox curriculum.

Specific antidotes

• The Antidotes List (LITFL) — major antidotes with dosing and indications.
• NIH Chemical Hazards Emergency Medical Management (CHEMM) — mass-casualty chemical exposure decision support.
• NIOSH Pocket Guide to Chemical Hazards — occupational exposure limits, IDLH, PPE.

Acetaminophen & salicylate

• Rumack-Matthew Nomogram (MDCalc) — APAP toxicity nomogram + NAC dosing.
• Done Nomogram (Salicylate) — historical; no longer recommended for clinical decision-making (use clinical picture + level).

Withdrawal & intoxication scoring

• CIWA-Ar (MDCalc) — alcohol withdrawal.
• COWS (MDCalc) — opioid withdrawal.

Lead

• CDC Childhood Lead Poisoning Prevention — current reference is 3.5 µg/dL (lowered 2021).
• AAP Clinical Report — Prevention of Childhood Lead Toxicity — Council on Environmental Health.