What is a clinical toxicologist?
Clinical toxicologists are doctors who specialise in the diagnosis and managment of poisoning and disorders caused by toxins or chemicals that have a negative effect on people, including:
- Drug overdose
- Medications – side effect or interaction that may cause a clinical problem
- Bites and stings (envenomation)
- Workplace toxins
- Environmental toxins
Treatment of poisoning
Treatment depends on the agent causing the problem. If necessary treatment begins with resuscitation (life support).
General supportive management as required along with observation and monitoring for adverse effects is the mainstay of management.
Treatment may involve reducing exposure to an agent by reducing its absorption or increasing its elimination, neutralising its effect with an antidote and correcting any adverse consequences that may occur.
What to expect at your first visit with a toxicologist
History
A clinical toxicologist will ask about the agent involved, particularly the amount of exposure, the timing of exposure and any effects that are being suffered.
Whether the exposure was deliberate self harm, accidental or occupational is also important to subsequent management.
Examination
Examination by a clinical toxicologist begins with a general overview of any patient. First you will be assessed before proceding to detailed examination of the patient using a systematic approach. This assessment will include measuring your:
- Temperature
- Blood pressure
- Heart rate
- Oxygen level
- Respiratory rate
- Level of consciousness
Focus is particularly directed to the cardiovascular system (heart and blood vessels), respiratory system (lungs) and neurological system (brain and nerves).
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Specialty areas of interest
- Snake bite
- Marine envenomation
- Illicit drug and alcohol use
- Drug interactions
Associated tests
- Many blood tests are used to measure levels of certain drugs and to monitor their effects.
Training and qualifications
Links
A: Use HealthEngine to find and book your next GP appointment. Click on the following locations to find a GP clinic in your state or territory.
This article is for informational purposes only and should not be taken as medical advice. If in doubt, HealthEngine recommends consulting with a registered health practitioner.
All content and media on the HealthEngine Blog is created and published online for informational purposes only. It is not intended to be a substitute for professional medical advice and should not be relied on as health or personal advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. Never disregard the advice of a medical professional, or delay in seeking it because of something you have read on this Website. If you think you may have a medical emergency, call your doctor, go to the nearest hospital emergency department, or call the emergency services immediately.
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