Recommendations

Clinical Toxicology Collaborative

• Clinical Toxicology Recommendations Collaborative Guidelines
• Clinical Toxicology Recommendations Collaborative Definitions and Process

Choosing Wisely
In a collaborative effort, AACT jointly with ACMT are active participants in the Choosing Wisely campaign. Choosing Wisely promotes conversations between clinicians and patients to allow patients to choose care that is supported by evidence; not duplicative; free from harm and truly necessary. The complete list of this joint effort is available here.

Lipid Workgroup
In a collaborative effort, AACT has engaged with multiple professional societies to establish a multidisciplinary workgroup to evaluate the evidence for intravenous lipid emulsion therapy in acutely poisoned patients. Ad hoc consultants were employed in the rigorous evaluation of the literature. Members volunteered in the rigorous evaluation of the literature to produce clinical recommendations and published the following knowledge translation articles.

• Methodology for AACT evidence based recommendations on the use of intravenous lipid emulsion therapy in poisoning
  

Recommendations/Position statement by Published Year

• April 2019: Guidelines for reporting case studies and series on drug-induced QT interval prolongation and its complications following acute overdose
• September 2017: ACMT and AACT Position Statement: Preventing Occupational Fentanyl and Fentanyl Analog Exposure to Emergency Responders 
• September 2016: Evidence based recommendations on the use of intravenous lipid emulsion therapy in poisoning
• December 2014: Position Statement: Whole Bowel Irrigation
• October 2014: Expanding access to naloxone in the United States
• February 2013: Position Statement: Lavage
• February 2013: Position Statement: Ipecac Syrup
• November 2011: Snakebite Position Statement
• July 2009: Position Statement: Cathartics
• October 2008: Position Statement: Single Dose Activated Charcoal
  
• November 2004: Position Statement: Multi Dose Activated Charcoal
• March 2004: Position Paper on Urine Alkalinization

Systematic reviews

• Systematic review of the effect of intravenous lipid emulsion therapy for non local anesthetics toxicity
• Systematic review of the effect of intravenous lipid emulsion therapy for local anesthetic toxicity
  
• Systematic review of clinical adverse events reported after acute intravenous lipid emulsion administration
  
• Review of the effect of intravenous lipid emulsion on laboratory analyses