• 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*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Presenting Complaints

  • Estimated Date / Time of Poisoning*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Presentation to the Current Hospital*
     - -
    2 digit day, 2 digit month, 4 digit year
  • 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

  • BP
    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

  • Arterial Blood Gas
    Rows
  • Base deficit
  • Serum
    Rows
  • Biochemistry
    Rows
  • Heamatology
    Rows
  • Rows
  • Rows
  • Other Investigations

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

  • Organ Support
    Rows
  • Sedation
  • Paralysis
  • Scores
    Rows
  • Organ Support

  • HFNO
  • NIV
  • Ventilation
  • Hemodialysis
  • CRRT
  • ECMO
  • Poison Management

  • Test
    Rows
  • Antidote
  • Dosage
    Rows
  • Status after 48 Hours

  • Date / Time of Death*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Organ Support
    Rows
  • Sedation
  • Paralysis
  • Scores
    Rows
  • Status after 7 Days

  • Date / Time of Death*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Organ Support
    Rows
  • Sedation
  • Paralysis
  • Scores
    Rows
  • Should be Empty: