ISCCM Toxicology Network
  • ISCCM Toxicology Network

  • Dear Friend,

    On behalf of ISCCM, a national toxicology committee has been created. The task assigned is to create a national database and to eastablish Indian guidelines for various poisnings. The committee has created an online Case Report Form (CRF) which is very friendly to fill up. The intent is to know the problem spectrum with minute details including practice and health care delivery gaps, so that appropriate solutions can be derived from data analysis. the database will be used to study patterns of poisoning, Clinical features, Diagnosis, Treatment strategies, Practice gaps and outcomes. Outcome annalysis will be correlated with eastablish literature to facilitate Indian guidelines keeping in mind the constraints and settings. By accepting to fill data form, you accept to the intend and terms of the data sharing

  • Hospital and Patient details

  • Type of Data*
  • Case Date*
     - -
  • Presenting Complaints

  • Estimated Date / Time of Poisoning*
     - -
  • Presentation to the Current Hospital*
     - -
  • How was Poisoning Reported
  • Was the Poison confirmed by Laboratory Testing
  • Patient Clinical History

  • Patient Comorbidities
  • Neurological Disease
  • Psychosocial Background
  • Substance Abuse
  • Poison
  • General Examination on Presentation

  • Rows
  • Respiration
  • Visual
  • Systemic Examination on Presentation

  • Chest

  • Adventitious Sounds
  • CVS

  • Abdomen

  • Abdomen
  • CNS

  • GCS (EVM)

  • Spasticity
  • Eye

  • Pupils
  • Ocular Movements
  • Motor Functions

  • Initial Investigations

  • Rows
  • Base deficit
  • Rows
  • Rows
  • Rows
  • Rows
  • Rows
  • Other Investigations

  • Cogulation*
  • Rows
  • Anticholinesterase
  • Rows
  • ECG
  • CXR PA
  • Echocardiogram
  • Abdominal Sonography
  • Initial Status

  • Rows
  • Sedation
  • Paralysis
  • Rows
  • Organ Support

  • Poison Management

  • Rows
  • Antidote
  • Rows
  • Status after 48 Hours

  • Date / Time of Death*
     - -
  • Rows
  • Sedation
  • Paralysis
  • Rows
  • Status after 7 Days

  • Date / Time of Death*
     - -
  • Rows
  • Sedation
  • Paralysis
  • Rows
  • Should be Empty: