May 8, 2026 · Emergency medicine journal : EMJ · DOI: 10.1136/emermed-2025-215194

Management of patients with suspected but unidentified poisoning in the emergency department: a joint Royal College of Emergency Medicine and National Poisons Information Service best practice guideline

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The authors aim to address the challenges in managing patients with suspected but unidentified poisoning in the emergency department by providing a best practice guideline. This guideline outlines a generalized clinical approach for initial assessment, identification of potential toxic agents, and emergency management, utilizing a toxidromic framework while emphasizing the importance of toxicokinetics. It is intended to complement existing poison-specific resources rather than replace them.

Peter Welby-Everard, Mark Pucci, Sally Bradberry, Paul Dargan, Aravindan Veiraiah, Ruben Thanacoody, Muhammad E M O Elamin

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