Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/27237
Title: The Emerging Drugs Network of Australia: A toxicosurveillance system of illicit and emerging drugs in the emergency department.
Austin Authors: Smith, Jennifer L;Soderstrom, Jessamine;Dawson, Andrew;Alfred, Sam;Greene, Shaun L ;Isoardi, Katherine;McCutcheon, David;Oosthuizen, Francois;Ezard, Nadine;Burcham, Jonathon;Fatovich, Daniel M
Affiliation: Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia
Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia
Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia
East Metropolitan Health Service, Perth, Western Australia, Australia
Emergency Department, Royal Perth Hospital, Perth, Western Australia, Australia
Emergency Medicine, The University of Western Australia, Perth, Western Australia, Australia
Alcohol and Drug Service, St Vincent's Hospital, Sydney, New South Wales, Australia
Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia
National Centre for Clinical Research in Emerging Drugs, c/o National Drug and Alcohol Research Centre, The University of New South Wales, Sydney, New South Wales, Australia
ChemCentre WA, Perth, Western Australia, Australia
NSW Poisons Information Centre, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia
Adelaide Medical School, The University of Adelaide, Adelaide, South Australia, Australia
Emergency
Victorian Poisons Information Centre
Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
Clinical Toxicology Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia
Issue Date: Feb-2022
Date: 2021
Publication information: Emergency medicine Australasia : EMA 2022; 34(1): 58-64
Abstract: The unprecedented rise in synthetic drugs, many containing unknown toxic agents, has made timely analytical diagnosis more difficult, and has reduced the confidence of clinicians providing ED management to this population of patients. This has also impacted the quality of evidence informing harm reduction responses. The Emerging Drugs Network of Australia (EDNA) brings together emergency physicians, toxicologists and forensic laboratories to establish a standardised ED toxicosurveillance system in Australia. Blood analysis of intoxicated patients will be conducted by forensic laboratories to enable precise identification of the substances causing acute toxicity. This will be linked with clinical data collected at the time of ED presentation to enable analysis of the clinical effects and outcomes associated with different illicit and emerging drugs. Toxicological and clinical data collected across sentinel sites will align with a nationally endorsed minimum dataset. EDNA's collaborative network will establish a national system of surveillance and reporting of illicit and emerging drugs causing acute toxicity. Standardisation of data collection recorded in a national clinical registry will provide more robust data on epidemiology and associated harms. This will facilitate the translation of clinical and toxicological evidence into timely, appropriate harm reduction and policy. Our work represents a collaborative response to calls for more sophisticated data on emerging drug trends in Australia. EDNA will improve coordination between clinicians and analytical services by way of its standardised approach to surveillance and reporting.
URI: https://ahro.austin.org.au/austinjspui/handle/1/27237
DOI: 10.1111/1742-6723.13839
ORCID: 0000-0002-0398-2121
0000-0002-8047-397X
0000-0002-7423-2467
0000-0002-1176-7923
0000-0001-8034-7749
0000-0002-7495-8305
0000-0003-0760-2672
0000-0001-9414-6905
Journal: Emergency Medicine Australasia : EMA
PubMed URL: 34382338
Type: Journal Article
Subjects: emergency medicine
harm reduction
illicit drug use
novel psychoactive substances
toxicology
Appears in Collections:Journal articles

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