Abstract
Poisoning and envenomation are a global health problem for which the mortality burden is shouldered heavily by middle- and low-income countries that often lack poison prevention programs and medical toxicology expertise. Although telehealth or teleconsult services have been used to bridge the expertise gap between countries for multiple specialties, the use of medical toxicology teleconsult services across borders has been limited. We aim to describe the use of a United States-based medical toxicology teleconsult service to support patient care at a hospital in a middle-income country that lacks this expertise. This report outlines the logistics involved in setting up such a service, including the challenges and opportunities that emerged from establishing medical toxicology teleconsult service in a low-resource setting.
Highlights
Poisonings and envenomations are an important global health problem
The lack of poisoning prevention programs and the scarcity of medical toxicologists have been recognized as contributing factors to poisoning in low- and middle-income countries (LMIC).[2,3,4,5]
While multiple studies have shown that patients managed by medical toxicologists have reduced hospital length of stay, hospital costs, and mortality compared with other patient groups where no medical toxicologist was involved,[6,7] many countries lack medical toxicology training programs and expertise
Summary
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Title Telephonic Medical Toxicology Service in a Low- Resource Setting: Setup, Challenges, and Opportunities Journal Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 22(2)
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