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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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