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hello in this lecture were going to talk about the general approach to poisonings in the emergency department setting so what is a poisoning briefly its any illness thats caused by exposure to a toxic substance now in the emergency department setting thats most commonly going to be intoxication with recreational drugs or alcohol and overdoses with these same substances but poisoning also includes occupational and environmental exposures it includes deliberate self-harm so suicide attempts with various types of overdoses accidental ingestion of toxic substances and even chemical and biological weapon exposures the incidence of poisoning is unknown but its a very very common cause of Edie visits in the United States and its something that youll definitely see in emergency medicine practice anywhere in the world its a really important domain of emergency medicine expertise because we are always the first line people who see patients who are exposed to toxic substances and we reall