Toxicology Service Beaummont (Out of Hours)


D William Tormey Letter 21 January 2009

Current guidelines from the NPIS state that all acute hospitals should provide assays on 24/7 for: COHb, Digoxin, Ethanol, Iron, Lithium, Met Hb, Paracetamol, Salicylate and Theophylline. The Toxicology Department in Beumpont will not provide these assays from April 2009.

Screening for Drugs of Abuse will not be available out of hours. There are few occasions when when a drugs of abuse screen results will aid in the acute management of the poisoned patient. If the in-patient / admitting team wish for these analyses for ongoing patient management, urine samples should be sent, via the local laboratotry susytem, the following day.

Arrangements continue to be in place to provide specialist (out of hours) assays for:

ethylene glycol

methanol

carbamazepine

phenobarbital

paraquat


Content by Dr. William Tormey - page prepared by Dr. Íomhar O' Sullivan 27/01/2009. Last review Dr. ÍOS 11/09/14.