Poisonings and drug overdose deaths have been rising steadily since 1995 and exceeded 59,000 deaths in 2015. Each day over 300 children present to the ER for accidental poisonings and two die. Additionally, prescription and non-prescription opioid abuse has risen to epidemic proportions. Statistics from the CDC are staggering. Every day in the US, 44 people die of prescription opioid overdose and over 7,000 are treated in ER’s across the country. Over 2 million people in US are currently addicted to prescription opioids. However, just as deadly as opioid overdoses are the combined poisonings from toxins such as acetaminophen, botulism, mushrooms, salicylates, etc. These toxidromes can be difficult to recognize and fatal if prompt treatment with the appropriate antidotes aren’t administered. When encountered with more rare toxidromes or poly-ingestions, most providers rightfully contact their local poison control hotline to speak to a toxicologist. However, most of us should also have a working understanding of the most common poisons and their antidotes.

Previously on iMedicalApps, we favorably reviewed the ACEP’s Toxicology Section Antidote app naming it one of the top apps of 2015. Additionally, we recommended with some significant reservations the AAEM’s Tox Handbook app. This latest app to be released by AgileMD, Poisoning and Drug Overdose Quick Reference, is free, like the ACEP’s app, while containing the depth of material in the AAEM’s pricier app. The app reviews the approach, diagnosis and treatment of the “Top 25” toxins per the California (CA) Poison Control.

Video Review

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Evidence based medicine

The app consists of the “Top 25” toxins per the CA Poison Control. The app is condensed from the textbook by the same name by Dr Kent Olson also available as an app. This free app includes the ABCs of poisoning, approach, decontamination, etc. in addition to detailed information on 25 common poisons/toxins. Each section includes information on pharmacology, indications/contraindications, adverse effects and proper dosing. This app certainly won’t replace calling your local poison control, but nonetheless contains valuable information that can be used at the point of care. Although the app comes from a reputable source, it does not contain references for its content or recommendations.

Who would benefit from this App?

Any healthcare provider who cares for poisoning and overdose patients including students, NP’s, PA’s, EMTs, Emergency Medicine, Family Medicine, Internal Medicine, and Critical Care providers.

Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.

  • Price
    • Free
    • Easy to navigate interface with multiple search function.
    • Contains some toxicology basics in addition to the “top 25” toxins.
    • Free.
    • Available for Android.
  • Dislikes
    • No references for content.
    • Only contains information on 25 most common toxins.
    • Limited multimedia capabilities.
    • Somewhat text heavy and some tables challenging to read on mobile device.
  • Overall

    The Poisoning and Drug Overdose Quick Reference app from the CA Poison Control and AgileMD is an outstanding addition to the app store, now as a dedicated app outside of the AgileMD shell. It is free, easy to use and contains concise and pertinent information for any provider who may encounter any of the 25 toxins included. Although not as comprehensive as some expensive textbooks, it is as competitive as any toxicology app available for mobile at its price. Providers should look at this app along with the ACEP’s Antidote app and AAEM’s Tox App to see what works best for them.

  • Overall Score
  • User Interface

    Easy to use interface with easy to view tables and graphics. Sections expand quickly and app permits several navigation options.

  • Multimedia Usage

    App includes ability to share sections and download graphics for offline use, but otherwise has no significant multimedia capabilities.

  • Price

    App is free.

  • Real World Applicability

    The Poisoning and Overdose Quick Reference from the CA Poison Control is an outstanding free app for providers looking for the basics on the approach, diagnosis and management of common toxin ingestions. This app is now the best free app available on this topic and should be considered essential along with the ACEP Toxicology app. However, it is not complete and those looking for a full toxicology text should look elsewhere or more traditional online medical references.

  • Device Used For Review

    iPhone 6S running iOS 10.3.2

  • Available for DownloadAndroidiPhoneiPad