Overview of Toxicology Services

Toxicology is a rapidly growing part of the division that is committed to providing the most up-to-date training in the management of poisoning and overdoses and addiction medicine.  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’s also lecture throughout the year to multiple departments, to physicians groups at other hospitals, and at regional and national meetings.  Emergency medicine residents, in addition to other residents, fellows, and students, rotate on the service.  While on this rotation, residents are available for bedside consults for all toxicological emergencies and staff each patient with the on-call attending or fellow.  We also assist in the management of inpatients with substance use disorders.

The Toxicology service continues to collaborate with the Missouri Poison Center, as well as with industry.  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 serve as the HAZMAT physician for the Saint Louis Urban Search and Rescue Team, as well as assist with medical direction at the Cardinals and Blues games.  We also work closely with the toxicologists at Monsanto and the specialists at the St. Louis Zoo Herpetarium.  We also serve as toxicology specialists for industry and Dr. Halcomb works as a toxicologist at Monsanto.

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 are evaluated in the clinic.  In addition, the physicians also treat patients with substance use disorders, 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