ArticleInternational journal of critical illness and injury science2014
Bedside point of care toxicology screens in the ED: Utility and pitfalls.
Article in International journal of critical illness and injury science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed.
- Inpatient Complications and Outcomes for Burn Patients Admitted With Methamphetamine Intoxication.Journal of burn care & research : official publication of the American Burn Association · 2024Article
- Estimating the ratio of fatal to non-fatal overdoses involving all drugs, all opioids, synthetic opioids, heroin or stimulants, USA, 2010-2020.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2024Article
- Analysis of trends and usage of ICD-10-CM discharge diagnosis codes for poisonings by fentanyl, tramadol, and other synthetic narcotics in emergency department data.Addictive behaviors reports · 2022Article
- Defining indicators for drug overdose emergency department visits and hospitalisations in ICD-10-CM coded discharge data.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- Alarming Rate of Substance Use in Motor Vehicle Collisions at an Appalachian Trauma Center.Cureus · 2020Article
- Emergency Medicine Research Priorities for Early Intervention for Substance Use Disorders.The western journal of emergency medicine · 2019Review
- Clinical value of drugs of abuse point of care testing in an emergency department setting.Toxicology reports · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Exposure to drugs and toxins is a major cause for patients' visits to the emergency department (ED). For most drugs-of-abuse intoxication, ED physicians are skeptical to rely on results of urine drug testing for emergent management decisions. This is partially because immunoassays, although rapid, have limitations in sensitivity and specificity and chromatographic assays, which are more definitive, are more labor intensive. Testing for toxic alcohols is needed, but rapid commercial assays are not available. ED physicians need stat assays for acetaminophen, salicylates, co-oximetry, cholinesterase, iron, and some therapeutic drugs that could be used as agents of self-harm. In this review, we look at the potential limitations of these screening tests and suggest improvements and innovations needed for better clinical utilization. New drugs of abuse should be sought and assays should be developed to meet changing abuse patterns.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.