Poison control centers are effective at calling employers, chemical companies, government agencies, or other entities to determine the exact name of the offending compound. These centers can also give a list of signs and symptoms to look for, assist in making a diagnosis, and advise on the latest treatment protocols (Table 13.4).

United States law mandates that employees exposed to chemicals must be given the Material Safety Data Sheet (MSDS) for any chemical with which they come in contact. Some employees may come into the emergency department or consultant's office with the MSDSs in hand along with container labels and other information. Container labels can give the precise chemicals and formulations to which the patient was exposed. Textbooks such as Ellen-horn's Medical Toxicology can be an invaluable aid. Online services through TOXLINE and PUBMED give timely and concise information on diagnosis

Table 13.4. Information resources.

Ellenhorn MJ, Schonwald S, Ordog G, Wasserberger J. Ellenhorn's Medical Toxicology.

Baltimore: Williams and Wilkins, 1997. Reigart R, Roberts J. Recognition and Management of Pesticide Poisonings, 5th ed.

Washington, DC: U.S. Environmental Protection Agency, 1999. Tordoir W, Maroni M, He F. Health Surveillance of Pesticide Workers. Shannon: Elsevier, 1994.

Poison control centers

U.S. National Poison Control Hotline: 800-222-1222 (emergency) 202-362-3867 (administrative) 202-362-8561 (TDD) National Library of Medicine.

PubMed: United States Department of Health and Human Services, Public Health Service, Agency for

Toxic Substances and Disease Registry. ATSDAR Tox Profiles, 2003. National Pesticide Information Center: 800-858-7378 [email protected]

Global Information Network on Chemicals (GINC), maintained by the National Institute of

Health Sciences, Japan. Material Safety Data Sheets (obtain from employer)

and treatment. The Agency for Toxic Substances and Disease Registry produces the ATSDR TOX Profiles, another helpful guide (Table 13.4) (5,17,18).

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