Society guideline links: Treatment of acute poisoning caused by specific agents other than drugs of abuse

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links related to guidelines are provided separately:

●(See "Society guideline links: Regional poison control centers".)

●(See "Society guideline links: General measures for acute poisoning treatment".)

●(See "Society guideline links: Treatment of acute poisoning caused by recreational drug or alcohol use".)

●(See "Society guideline links: Poisoning prevention".)

●(See "Society guideline links: Lead and other heavy metal poisoning".)

●(See "Society guideline links: Envenomation by snakes, arthropods (spiders and scorpions), and marine animals".)

●(See "Society guideline links: Opioid use disorder and withdrawal".)

International

●Extracorporeal Treatments in Poisoning (EXTRIP Workgroup): Systematic review and recommendations for extracorporeal treatment for gabapentin and pregabalin poisoning (2022)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for methotrexate poisoning (2022)

●EXTRIP Workgroup: Recommendations on extracorporeal treatment for baclofen poisoning (2021)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for poisoning to beta-adrenergic antagonists (2021)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatments for isoniazid poisoning (2021)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for chloroquine, hydroxychloroquine, and quinine poisoning (2020)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for digoxin poisoning (2016)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment in phenytoin poisoning (2016)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for lithium poisoning (2015)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for metformin poisoning (2015)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for salicylate poisoning (2015)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for theophylline poisoning (2015)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for valproic acid poisoning (2015)

●EXTRIP Workgroup: Recommendations for extracorporeal treatment for acetaminophen poisoning (2014)

●EXTRIP Workgroup: Recommendations for extracorporeal treatment for tricyclic antidepressant poisoning (2014)

●EXTRIP Workgroup: Systematic review and recommendations for extracorporeal treatment for carbamazepine poisoning (2014)

●EXTRIP Workgroup: Recommendations for extracorporeal treatment for thallium poisoning (2012)

●World Health Organization (WHO): Clinical management of acute pesticide intoxication − Prevention of suicidal behaviours (2008)

Canada

●America's Poison Centers, American Academy of Clinical Toxicology (AACT), American College of Medical Toxicology (ACMT), and Canadian Association of Poison Control Centers (CAPCC): Management of acetaminophen poisoning in the US and Canada – A consensus statement (2023)

●Experts consensus recommendations for the management of calcium channel blocker poisoning in adults (2017)

United States

●America's Poison Centers, American Academy of Clinical Toxicology (AACT), American College of Medical Toxicology (ACMT), and Canadian Association of Poison Control Centers (CAPCC): Management of acetaminophen poisoning in the US and Canada – A consensus statement (2023)

●Pediatric Environmental Health Specialty Units (PEHSU) and American Academy of Pediatrics (AAP): Carbon monoxide poisoning in children and pregnant people – Recognition and prevention: A resource for health professionals (2022)

●American Society of Regional Anesthesia and Pain Medicine (ASRA): Local anesthetic systemic toxicity checklist (2020)

●Centers for Disease Control and Prevention (CDC): Clinical guidance for carbon monoxide poisoning (reviewed 2020)

●Expert consensus guidelines for stocking of antidotes in hospitals that provide emergency care (2018)

●American College of Emergency Physicians (ACEP): Clinical policy on critical issues in the evaluation and management of adult patients presenting to the emergency department with acute carbon monoxide poisoning (2017)

●Experts consensus recommendations for the management of calcium channel blocker poisoning in adults (2017)

●AACT: Evidence-based recommendations on the use of intravenous lipid emulsion therapy in poisoning (2016)

●ACMT: Position statement on duration of intravenous acetylcysteine therapy following acetaminophen overdose (2016)

●European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) and AACT: Position paper update on whole bowel irrigation for gastrointestinal decontamination of overdose patients (2015)

●AACT and EAPCCT: Position paper update on gastric lavage for gastrointestinal decontamination (2013)

●AACT and EAPCCT: Position paper update on ipecac syrup for gastrointestinal decontamination (2013)

●ACMT: Guidance document on management priorities in salicylate toxicity (2013)

●AAP: Technical report on pesticide exposure in children (2012)

●ACMT and AACT: Position statement on antidote shortages − Impact and response (2012)

●American Association of Poison Control Centers (AAPCC): Evidence-based consensus guidelines for out-of-hospital management

•Valproic acid poisoning (2008)

•Atypical antipsychotic medication poisoning (2007)

•Dextromethorphan poisoning (2007)

•Long-acting anticoagulant rodenticide poisoning (2007)

•Methylphenidate poisoning (2007)

•Salicylate poisoning (2007)

•Selective serotonin reuptake inhibitor poisoning (2007)

•Tricyclic antidepressant poisoning (2007)

•Acetaminophen poisoning (2006)

•Camphor poisoning (2006)

•Diphenhydramine and dimenhydrinate poisoning (2006)

•Beta-blocker ingestion (2005)

•Calcium channel blocker ingestion (2005)

Europe

●Experts consensus recommendations for the management of calcium channel blocker poisoning in adults (2017)

●European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) and American Academy of Clinical Toxicology (AACT): Position paper update on whole bowel irrigation for gastrointestinal decontamination of overdose patients (2015)

●AACT and EAPCCT: Position paper update on gastric lavage for gastrointestinal decontamination (2013)

●AACT and EAPCCT: Position paper update on ipecac syrup for gastrointestinal decontamination (2013)

●Expert recommendations on ICU management of severe poisoning with medications or illicit substances (2006)

United Kingdom

●Royal College of Emergency Medicine (RCEM) and National Poisons Information Service (NPIS): Guideline on antidote availability for EDs (2022)

●UK Health Security Agency (UKHSA): Guidance on carbon monoxide – Health effects, incident management and toxicology (2014, updated 2022)

●RCEM: Position statement for the use of the SNAP regime for the treatment of paracetamol toxicity (2021)

●RCEM: Best practice guideline on the management of suspected internal drug trafficker (SIDT) (2020)

●Choosing Wisely UK: Royal College of Emergency Medicine − Review the routine use of urine toxicology tests in patients who are poisoned (2018)

●NPIS and the Association for Clinical Biochemistry and Laboratory Medicine (ACB): Guidelines for laboratory analyses for poisoned patients in the United Kingdom (2014)

●Association of Anaesthetists of Great Britain and Ireland (AAGBI): Guidelines for the management of severe local anaesthetic toxicity (2010)

●Guidelines in Emergency Medicine Network (GEMNet): Guideline for the management of tricyclic antidepressant overdose (2009)

Australia–New Zealand

●Government of South Australia (SA Health): South Australian perinatal practice guideline on local anaesthetic toxicity (severe) (2009, revised 2020)

Japan

●[In English] Japanese Society of Anesthesiologists (JSA): Practical guide for the management of systemic toxicity caused by local anesthetics (2019)

●[In Japanese] JSA: Practical guide to dealing with local anesthetic poisoning (2017)