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PITTSBURGH POISON CENTER Statistics, Services, Treatment

PITTSBURGH POISON CENTER Statistics, Services, Treatment. Edward P. Krenzelok, PharmD, FAACT, DABAT Director Pittsburgh Poison Center UPMC Drug Information Center Professor of Pharmacy and Pediatrics University of Pittsburgh. 1940-50’s 800-1400 home poisoning fatalities/yr

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PITTSBURGH POISON CENTER Statistics, Services, Treatment

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  1. PITTSBURGH POISON CENTERStatistics, Services, Treatment Edward P. Krenzelok, PharmD, FAACT, DABAT Director Pittsburgh Poison Center UPMC Drug Information Center Professor of Pharmacy and Pediatrics University of Pittsburgh

  2. 1940-50’s800-1400 home poisoning fatalities/yr 33% = < 4 yr of age 1953First Poison Center 1958AAPCC 1970Poison Prevention Packaging Act 1971 1978800 Poison Centers 200861 Centers24/7 Service THE EVOLUTION OF US POISON CENTERS

  3. US POISON CENTER ACCESSCommon Telephone Number 1-800-222-1222

  4. PITTSBURGH POISON CENTERMission Statement To promote the reduction of morbidity and mortality from poisonings through the dissemination of poison information and treatment advice, public and professional education and scientific research.

  5. PITTSBURGH POISON CENTERInformation Services • AAPCC Certified Regional Center • Department of UPMCUniversity of Pittsburgh Medical Center • 24/7 Service • 2007 Statistics139,572 Calls INFORMATION 60% EXPOSURES 40%

  6. PITTSBURGH POISON CENTER2007 Statistics • Exposures = 55,623Human 48,998Animal 6,625 • Information = 83,949Drug ID 56,480Drug Info 6,201Poison Info 4,812Poison Prev 3,275 • Patient Care Follow-up = 43,411 • Total = 182,983

  7. PITTSBURGH POISON CENTERDrug ID Calls

  8. PITTSBURGH POISON CENTERDrug ID Calls-Interesting Facts • 25 Rx Meds = 42% • 200 Meds = 50% • CountiesAllegheny 54.55%Westmoreland 7.62%Washington 5.92%Fayette 5.12%Beaver 4.98%Lawrence 2.90%Greene 1.28%Total 82.37% • Most Common ID Requests-2007OxycodoneAPAP/HydrocodoneAPAP/OxycodoneClonazepamCyclobenzaprine

  9. PITTSBURGH POISON CENTER2007 Statistics-Outcomes

  10. WHO IS POISONED?Gender • < 6♂ > ♀ • 6-12♂ > ♀ • > 20♀ > ♂ ? 0.6% Females 50.9% Males 48.5%

  11. WHO IS POISONED?Gender

  12. PITTSBURGH POISON CENTERPennsylvania Service Area PITTSBURGH POISON CENTER SERVICE REGION Population5.9 Million Service Area > 30,000 Sq Mi

  13. PITTSBURGH POISON CENTERProduct INFORMATION + EXPERTISE KNOWLEDGE

  14. PITTSBURGH POISON CENTERKnowledge Resources • Expert StaffSpecialists in Poison InformationClinical Toxicologists • Consultants • Electronic Documentation • > 700 Reference Texts • Online Resources-Micromedex • Literature Files • Internet Resources

  15. PITTSBURGH POISON CENTERTypes of Calls • EXPOSURESHumanAnimal • POISONINGSInformationTreatment • ADVERSE REACTIONS • INFORMATION

  16. PUBLIC PHYSICIANS NURSES PHARMACISTS PARAMEDICS VETERINARIANS URGI-CARE CTRS OCCUP MED MD POLICE FIRE SERVICES PRISON OFFICIALS CORONERS ATTORNEYS INDUSTRY WHO UTILIZES THE PITTSBURGH POISON CENTER? Public 80% Medical 20%

  17. Analgesics Cosmetics Cleaning Products Sedatives Foreign Bodies Cough/Cold Medications Topicals Pesticides Antidepressants Envenomation/Bites Cosmetics Cleaning Products Analgesics Foreign Bodies Topicals Cough/Cold Medications Plants Pesticides Vitamins Antihistamines PITTSBURGH POISON CENTERMost Common Exposures ALL POISONINGS PEDIATRIC POISONINGS

  18. PITTSBURGH POISON CENTERCaller Site WORKPLACE 2% SCHOOL 1% OTHER 5% RESIDENCE 78% HEALTH CARE FACILITY 14%

  19. PITTSBURGH POISON CENTERAge Distribution % AGE (Years)

  20. PITTSBURGH POISON CENTERCalls by Hour % of CALLS TIME OF DAY

  21. PITTSBURGH POISON CENTER2007 Call Volume/Month

  22. PITTSBURGH POISON CENTERInteresting Facts • BUSIEST TIME18:00-21:00 • BUSIEST DAYWednesday • BUSIEST MONTHSMay-September • WHERE POISONINGS OCCURHome 92% Workplace 3%

  23. RESPONDING TO A CALL

  24. ACETAMINOPHEN EXPOSURE

  25. POISONED PATIENTBasic Management • DO NO HARM! • ASSESS THE PATIENT • ABC’s OF LIFE SUPPORT • TERMINATE EXPOSURERemove Contaminated ClothingIrrigationSkin EyesIngestionIpecac-NEVER!Activate Charcoal-Maybe in the EDGastric Lavage-Rare

  26. TOXICOSURVEILLANCE • AAPCC TESS • TOXIC EXPOSURE SURVEILLANCE SYSTEM • COMPREHENSIVE POISONING SURVEILLANCE DATABASE • COLLECTIVE EXPERIENCE OF US PCsAll US PCsMedical RecordsData • REALTIME ‘AUTOUPLOADING’ OF DATA24/7

  27. RESEARCH • MEDICAL RECORD REVIEW • PROSPECTIVE • DATABASE ANALYSIS • EVIDENCE-BASED REVIEWS • BASIC SCIENCE

  28. BENEFITS POISON CENTERS POISON CENTERS SAVELIVES POISON CENTERS SAVE$$$

  29. PITTSBURGH POISON CENTER POISON PREVENTION EDUCATION MATERIALS Available at:www.mryuk1.com NEW! MR. YUK-POISON HELP TATTOOS NEW! POISON HELP AWARENESS WRISTBANDS NEW! Poison Help Promotion Items Poison Help (1-800-222-1222) promotion can be nontraditional and fun. The use of tattoos and wristbands can promote poison prevention and poison center awareness to the tough to reach audiences such as adolescents. BROCHURES ACTIVITY ITEMS AWARENESS TOOLS

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