Transportation-related hazardous materials incidents and the role of poison control centers.
BACKGROUND
Department of Transportation (DOT) mandates reporting of all serious hazardous materials incidents. Hazardous material exposures may result in secondary contamination of emergency departments, or delayed clinical effects. Poison control centers specialize in the management of patients exposed to toxic substances; however, poison control center notification is not required.


OBJECTIVE
The objective is to determine the frequency of poison control center notification after serious hazardous materials incidents when patients were transported to a hospital.


METHODS
A retrospective analysis was conducted of serious hazardous materials incidents as reported by DOT, matched with data from the American Association of Poison Control Centers from 2002 through 2006 that involved patient transport. Incidents were divided into four groups: those reported to a poison control center within 0-360 minutes of the incident; those reported within 361-1440 minutes of the incident; those reported within 1441-4320 minutes of the incident; and no poison control center notification. Analyses were performed on variables including date, time, substance, and time to notification. Data were received in January 2008.


RESULTS
One hundred fifty-four serious incidents met inclusion criteria. One hundred thirty-four incidents (87%) occurred without poison control center notification. Poison control centers were notified in 20 incidents (12.9%); 15 incidents (9.7%) were reported within 0-360 minutes of the incident (M=115 minutes, range=5-359 minutes); four incidents (2.6%) were reported within 361-1440 minutes of the incident (M=652 minutes, range=566-750 minutes); and one incident (0.7%) was reported after 4320 minutes following the incident.


CONCLUSIONS
Most serious hazardous materials incidents involving patient transport are not reported to poison control centers. Opportunities exist to increase utilization of poison control center resources without increasing financial burdens of the hazardous materials incident.
Sutter
Mark E
ME
National Center for Environmental Health, CDC, Chamblee, Georgia 30341, USA.
Hon
Stephanie L
SL
Chang
Arthur S
AS
Schwartz
Michael D
MD
Algren
D Adam
DA
Schier
Joshua G
JG
Lando
James
J
Lewis
Lauren S
LS
D000059:Accidents / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D004781:Environmental Exposure / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D015386:Hazardous Substances / Q000009:adverse effects*; D006801:Humans; D011039:Poison Control Centers / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013997:Time Factors; D014186:Transportation / Q000331:legislation & jurisprudence; D014187:Transportation of Patients / Q000706:statistics & numerical data; D014481:United States; D037041:United States Government Agencies
D015386:Hazardous Substances