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Background <p>Poisoned patients represent a&#xa0;substantial proportion of cases in emergency medicine and critical care.</p> Objective <p>This study aimed to assess the perceived current practice of managing poisoned patients in German prehospital emergency services, emergency departments, and intensive care units from the perspective of frontline staff.</p> Materials and methods <p>A&#xa0;prospective cross-sectional survey was conducted among personnel in German prehospital emergency services, emergency departments, and intensive care units from 3–19&#xa0;October 2025.</p> Results <p>A&#xa0;total of 563&#xa0;participants, predominantly from hospital-based and prehospital emergency care, estimated that poisoned patients accounted for a&#xa0;median of 5% (interquartile range [IQR] 3–10) of all cases in their clinical practice and required monitoring in 70% (IQR 40–90) of cases. Alcohol- and drug-related intoxications were most commonly encountered, whereas poisonings involving medications, chemicals, plants/mushrooms, and animals were less frequent. Most participants rated their formal training in the management of poisoned patients as insufficient. Many expressed a&#xa0;need for further education, specifically trained clinical staff, and a&#xa0;German-language digital information platform. Information was commonly obtained through independent internet searches or poison information centers. However, poison information centers were contacted in only about 30% of cases.</p> Conclusion <p>The findings point to a&#xa0;perceived gap in toxicological training and knowledge transfer in emergency and critical care. Poison information centers were regarded as valuable but not sufficient as the only source of expertise. Strengthening toxicological competencies through structured training and digital information resources may support acute care practice.</p>

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GiftIQ: Status quo der Versorgung Vergifteter in Deutschland

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月21日

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  • Christoph Hüser,
  • Matthias Baumgärtel,
  • Oliver Fröhlich,
  • Stefanie Hangbers,
  • Tobias Hübner,
  • Mark Michael,
  • David Steindl,
  • Stefanie Bentele

摘要

Background

Poisoned patients represent a substantial proportion of cases in emergency medicine and critical care.

Objective

This study aimed to assess the perceived current practice of managing poisoned patients in German prehospital emergency services, emergency departments, and intensive care units from the perspective of frontline staff.

Materials and methods

A prospective cross-sectional survey was conducted among personnel in German prehospital emergency services, emergency departments, and intensive care units from 3–19 October 2025.

Results

A total of 563 participants, predominantly from hospital-based and prehospital emergency care, estimated that poisoned patients accounted for a median of 5% (interquartile range [IQR] 3–10) of all cases in their clinical practice and required monitoring in 70% (IQR 40–90) of cases. Alcohol- and drug-related intoxications were most commonly encountered, whereas poisonings involving medications, chemicals, plants/mushrooms, and animals were less frequent. Most participants rated their formal training in the management of poisoned patients as insufficient. Many expressed a need for further education, specifically trained clinical staff, and a German-language digital information platform. Information was commonly obtained through independent internet searches or poison information centers. However, poison information centers were contacted in only about 30% of cases.

Conclusion

The findings point to a perceived gap in toxicological training and knowledge transfer in emergency and critical care. Poison information centers were regarded as valuable but not sufficient as the only source of expertise. Strengthening toxicological competencies through structured training and digital information resources may support acute care practice.