About Us | Subspecialties | Toxicology

Overview of Toxicology Subspecialty

Toxicology is a rapidly growing part of the division and is committed to providing the most up-to-date training in the management of poisoning and overdoses. We currently have four faculty members who participate in both bench and bedside research. They provide a vital consulting service to the medical center and the Missouri Regional Poison Center.  The toxicology attending also lecture throughout the year to multiple departments, to physicians or groups at other hospitals, and at regional and national meetings.  Our residency training consists of a one-month program in clinical toxicology. While on this rotation, residents are available for bedside consults for all toxicological emergencies and staff each patient with the on-call attending.  Additionally, the section's goal is to improve the residents' exposure to interesting toxicology cases. Toward that end, toxicology has forged alliances in the hospital, industry, and the community to heighten awareness of the toxicology service. We have incorporated areas of simulation into the curriculum, too.

The toxicology service is continuing to work with collaborations with the Missouri Poison Center as well as with industry. We are in the plans to expand our service to cover the VA in Saint Louis. In addition, we are working to expand our telemedicine coverage to the University of Missouri Columbia. We previously developed one of the first toxicology telemedicine services in the country. We also serve as the HAZMAT physician for the Saint Louis Urban Search and Rescue Team.

The attending toxicologists and toxicology fellow staff the Medical Toxicology and Addiction Medicine Clinic. The clinic is currently located in the Center for Outpatient Health. Physicians board-certified in Medical Toxicology and/or Addiction Medicine evaluate patients two to four times a month. Patients that were exposed to a chemical or toxin at home or at work, were envenomated, or looking for an independent medical exam can be evaluated in the clinic. In addition, the physicians also treat patients with addiction issues, which may include prescribing naltrexone or buprenorphine. Social work and pharmacy resources are available at the clinic. For an appointment or if you are interested in the clinic, please call or email the clinic coordinator Ms. Andrea Ramirez at (314) 362-4362 or ramirezan@wusm.wustl.edu.

Also see Toxicology Education

Ciguatera Poisoning from WUSTL PCF on Vimeo.

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EM Statistics
Adult ED Visits: 95,600
Pediatric ED Visits: 50,000
Trauma Center: Level 1
Residency Type: 1-4
Fellowship Programs: 5
FT Faculty: 40
Residents: 48