Toxicological & Environmental Emergencies Domain Focus

• Common Poisonings and Overdoses: Opioids, alcohol, benzodiazepines, antidepressants, acetaminophen, salicylates, beta blockers, calcium channel blockers and household toxins.
• Envenomation and Bites: Snake bites, spider bites, insect stings and anaphylaxis risk, local versus systemic toxicity and antivenom indications.
• Environmental Temperature Emergencies: Heat exhaustion, heat stroke, hypothermia, frostbite and principles of safe cooling and rewarming.
• Asphyxiant, Chemical and Inhalation Injuries: Carbon monoxide, cyanide, smoke inhalation, corrosive ingestions and chemical splash or inhalation exposures.
• Other Environmental Threats: Drowning, near drowning, electrical and lightning injuries, radiation exposure, decontamination and ED safety.