World Rural Health Conference
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 1025
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2015  |  Volume : 4  |  Issue : 4  |  Page : 546-550

A retrospective review of 911 calls to a regional poison control center


1 Department of Medical Toxicology, Banner - University Medical Center Phoenix; Center for Toxicology and Pharmacology Education and Research, University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA
2 Banner Poison and Drug Information Center; Department of Medical Toxicology, Banner - University Medical Center Phoenix; Center for Toxicology and Pharmacology Education and Research, University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA
3 Banner Poison and Drug Information Center, Banner - University Medical Center Phoenix; Center for Toxicology and Pharmacology Education and Research, University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA
4 Department of Medical Education, Banner - University Medical Center Phoenix; Center for Toxicology and Pharmacology Education and Research, University of Arizona College of Medicine - Phoenix, Phoenix, Arizona, USA

Correspondence Address:
Daniel E Brooks
Department of Medical Toxicology, Banner Good Samaritan Medical Center, 925 East McDowell Road, 2nd Floor, Phoenix, Arizona 85006
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.174285

Rights and Permissions

Background: There is little data as to what extent national Emergency Medical Services (EMS; 911) utilize poison control centers (PCCs). A review of data from our PCC was done to better understand this relationship and to identify potential improvements in patient care and health care savings. Methods: Retrospective chart review of a single PCC to identify calls originating from 911 sources over a 4-year study period (1/1/08-12/31/11). Recorded variables included the origin of call to the PCC, intent of exposure, symptoms, management site, hospital admission, and death. Odds ratios (OR) were developed using multiple logistic regressions to identify risk factors for EMS dispatch, management site, and the need for hospital admission. Results: A total of 7556 charts were identified; 4382 (58%) met inclusion criteria. Most calls (63.3%) involved accidental exposures and 31% were self-harm or misuse. A total of 2517 (57.4%) patients had symptoms and 2044 (50.8%) were transported to an Emergency Department (ED). Over 38% of calls (n = 1696) were handled primarily by the PCC and did not result in EMS dispatch; only 6.5% of cases (n = 287) with initial PCC involvement resulted in crew dispatch. There were 955 (21.8%) cases that resulted in admission, and five deaths. The OR for being transported to an ED was 45.4 (95% confidence interval [CI]: 30.2-68.4) when the crew was dispatched by the PCC. Hospital admission was predicted by intent for self-harm (OR 5.0; 95% CI: 4.1-6.2) and the presence of symptoms (OR 2.43; 95% CI: 1.9-3.0). The ORs for several other predictive variables are also reported. Conclusions: When 911 providers contact a PCC about poisoning-related emergencies, a history of intentional exposure and the presence of symptoms each predicted EMS dispatch by the PCC, patient transport to an ED, and hospital admission. Early involvement of a PCC may prevent the need for EMS activation or patient transfer to a health care facility.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1156    
    Printed17    
    Emailed0    
    PDF Downloaded132    
    Comments [Add]    
    Cited by others 1    

Recommend this journal