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These datasets underpin the analysis presented in the agency's work. Most data may be viewed interactively on screen and downloaded in Excel format. All countries. Topics A-Z. The content in this section is aimed at anyone involved in planning, implementing or making decisions about health and social responses. Best practice. We have developed a systemic approach that brings together the human networks, processes and scientific tools necessary for collecting, analysing and reporting on the many aspects of the European drugs phenomenon. Explore our wide range of publications, videos and infographics on the drugs problem and how Europe is responding to it. All publications. More events. More news. We are your source of drug-related expertise in Europe. We prepare and share independent, scientifically validated knowledge, alerts and recommendations. About the EUDA. This project involves the collection of data on emergency department presentations with acute drug toxicity in participating countries in Europe. More centres are currently being recruited to increase the European value, representativeness and utility of this data source. This data explorer is part of European Drug Emergencies Network Euro-DEN Plus : data and analysis , which also provides more detailed analysis and links to further methodological resources. Most presentations involve reported use of more than one drug. Mixing drugs can result in some interactions and can potentiate the effects of a single drug. It might therefore be difficult to determine the effect of a particular drug. Therefore, the mention of alcohol in the table below refers only to those presentations that involved illicit drugs, misuse of prescription medicines for recreational purposes or new psychoactive substances NPS. These particular presentations represent only a small proportion of all the acute alcohol toxicity presentations seen in hospital emergency services. Another limitation and possible bias of these data is that information on whether or not alcohol has been co-reported is not systematically collected in all centres. The proportion of presentations for which this information is available is reported in the table below. This needs to be kept in mind when comparing the proportion of presentations in which alcohol was involved, across centres and over time. Acute drug toxicity presentations with a medicine are included only when licensed pharmaceutical preparations both prescription and over-the-counter medicines are misused for recreational purposes. Click on the 'Show source tables' button below to access all of the data used to generate the data explorer on this page. Show source tables. Homepage Quick links Quick links. GO Results hosted on duckduckgo. 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Breadcrumb Home Media library Data explorer. Acute drug-toxicity presentations to emergency services by year, hospital and reported drug Euro-DEN plus. Data explorer. Acute drug-toxicity presentations to emergency services by year, hospital and reported drug Euro-DEN plus Publication date. Jump to a table: Jump to a table: Table 1. Table 2. All patients coming to ED is first checked by the emergency doctor and upon their request by clinical toxicology doctor. Not available Belgium Antwerp With both long-term drug users and recreational use Patients managed by ED. With referral to ICU, internal medicine or psychiatry as required. No dedicated toxicology department, though two toxicologists in the ED team. Bulgaria Sofia Pirogov Specialist toxicology clinic and teaching facility. Referral clinic for toxicology pathology for the country. Located in the centre of Sofia, the hospital is located near night life settings. Mostly young people - heroin users, recreational stimulant users, party goers, but there are also older people with long-term drug addiction, included clients in methadone programs. Cyprus Nicosia Denmark Roskilde Population served increases significantly in the summer with tourists from other parts of Estonia and abroad. Estonia Tallinn In Estonia opioid overdoses are mainly treated on scene and patients are rarely admitted to ED. Finland Helsinki Specialists on-call from the Paris Poison Centre and the medical and toxicological intensive care unit are consulted for specific or severe cases, respectively. Georgia Tblisi Users prefer sympathomimetics NPS, cocaine, amphetamines, etc. Among opioids, heroin does not play a dominant role, rather fentanyl and methadone. Cannabinoids and pregabalin are in the foreground. ChemSex, due to the proximity of a gay neighborhood. Mixed urban and rural population Large rural town population of 41, Large catchment area. Drugs ingested in context of parties and nightclubs primarily. Main drug groups are heroin, cocaine and stimulants. Teaching hospital ED in teaching hospital North inner city serving a domiciled population Initial management of toxicological emergencies is in the ED with admission under general medicine or critical care if required. Israel Haifa The north district is known for its low socioeconomic status. Nearby is the main psychiatric hospital of the Northern Israel. Mainly wide cannabis usage in the area, but also heroin and cocaine. Out of office hours by ER Physician or internal physician. During office hours Toxicology Service are on site The Israel Poison Information Center - the only service of its kind in the country - located at Rambam Health Care Campus and provides expert advice on poisonings to the healthcare system and the general public. Italy Monza The type of users is very different: heroin users, recreational stimulant users, party goers with cannabis most used. Italy Rozzano Several patients with psychiatric problems and substance abuse who do not usually belong to our ER because they do not have psychiatry Latvia Riga Lithuania Vilnius This is a clinical department which consists of 6 ICU beds and 15 general ward beds. Alongside is a psychiatry ward with 17 beds. Malta Msida Malta is the smallest national capital in the EU. A tourist destination with its warm climate with numerous recreational areas. Most common recreational overdoses are cocaine crack on the rise , cannabis, synthetic cannabinoids, and heroin. Party goers presentations tend to be highest from April-Sept with another small peak in November There is no formal toxicological service, with poisoned patients being treated in the Emergency Department, intensive care, paediatric wards or general medical wards. North Macedonia Skopje Primary care emergency institution City of Oslo Located in the city centre, close to both main nightlife areas, safe consumption room, and open opioid addict scene. Main patient groups: ethanol both binge drinking and chronic high alcohol consumption , injecting opioid and amphetamine users, and club scene drug users. Norway Oslo OUH All kind of people elder than 18 years are attending. People below 18y attend to a child-Hospital also located in the OUH-area. After stabilization, patients are sometimes continued to local hospitals. The area around centre is a settlement area where people live and work and in connection to several travelling possibilities: bus, tram and subways. Type of people using drugs: young people attending to private parties and from the city night-life, and people in all ages using drugs in combining also because of addiction. Young and elder heroin users, GHB users, recreational stimulant users, party goers etc. In our Department of Acute Medicine, the intensive care unit has 10 beds and the Observational unit has 17 beds for observational use for several medical needs. Most severely poisoned patients from a catchment area of approximately 3 million people. The Department consists of an observational unit of 17 beds with a medical intensive care unit of 12 beds and it hosts the Norwegian CBRNe Centre of Medicine. All five Clinical consultants for the National Poisons Control Centre are also employed at the same department. Poland Gdansk The cities of Gdansk, Gdynia and Sopot Triplecity form a large port with numerous night clubs and a large academic centre about , people. Only cases with serious toxicity are admitted. Romania Bucharest Patients under 18 years old with acute overdoses are admitted to the centre. Slovakia Bratislava Largest medical facility in Slovakia Wider city centre of Bratislava and one of three EDs in the University Hospital located in this city area The common public area of the capital of Slovakia, city of Bratislava NTIC, is a national clinical toxicology service providing advice and information to the health care providers, the general public, and other national organizations. NTIC has about toxicological consultations per year. Stimulant drugs more common than heroin and opioids. A high use of cannabis and GHB. Patients in the ER are seen by internists, with consultant toxicologist on-call. Centre for Clinical Toxicology has 6 monitored beds and 15 beds in a general ward. Excluding infectious disease, paediatric, surgical, neurological and psychiatric emergencies. Psychiatric evaluation and treatment is provided by a detached Psychiatric clinic. Toxicology Laboratory of the Institute of Forensic Medicine performs toxicological analyses. Spain Barcelona Many of our patients are recreational drug users and also participants in chemsex sessions. Spain Palma de Mallorca No formal reference consultant is on-call for toxicology Switzerland Basel Switzerland Bern This last association has staff present during certain nightlife events and propose a safe place to discuss about drugs, information and support. Patients treated in the ED and discharged or admitted as appropriate Switzerland Lugano Urban and rural areas. ER located near open drug scene and night life settings; commonly seen in ER are mostly recreational stimulant users. Serves as referral centre for Southern Switzerland. Management of poisoned patients involves the emergency physician, supported by the consultant clinical pharmacologist and toxicologist when needed. If required, management continues in medicine or critical care wards. The Netherlands Amsterdam Many of the drug related patients are national or international tourists. Drug use is mostly related to social events, although people with chronic use are also seen. In case of severe toxicity, intensive care medicine, internal medicine, the hospital pharmacist and a clinical toxicologist will be involved. The Netherlands Utrecht However, the city center also has a hospital with an ED. The hospital is located within Utrecht Science park. There are student housing facilities on the park and one restaurant, but other than that there is little to do and it is surrounded by grass-lands. The type of people are mostly recreational stimulant users and partygoers The UMC Utrecht is the regional referral center also known as a level 1 trauma center for the Central Netherlands region with a catchment area of 1. These patients are seen in the ED by specialists on call from acute internal medicine or intensive care. United Kingdom London Additionally, presentations are from street homeless and hostel dwellers. South east London. It has a diverse socioeconomic resident population. Central west and northwest London High numbers of stimulant recreational drug users, patients using drugs for chemsex and high rates of homelessness in the local area. Support from a local liaison psychiatry team. Related Frequently asked questions FAQ on acute drug toxicity presentations to hospital emergency services. Main subject. Target audience. Copyright status. Related assets in the Media library Previous slide. Next slide. Needle and syringe distribution and opioid agonist treatment coverage in relation to WHO targets. Number of European countries implementing opioid agonist treatment, up to Clients in opioid agonist treatment. Coverage of opioid agonist treatment in or the most recent year and in the previous estimate. Located in city with very large student population 63 students on a population of , very active party scene week and weekends , a few large night clubs in the area. All poisonings are treated by the emergency physicians in the ED, if needed admitted to ITU and treated by intensivists. Specialist toxicology clinic and teaching facility. The centre is located in the main public hospital of the capital city, however it is not located near an open drug scene or nightlife settings. The users more commonly presenting are recreational stimulant users cocaine , cannabis users as well as people with high risk use such as heroin and methamphetamine. Poisoned patients are initially managed within the ER and, if further treatment is needed, admitted to the general medicine wards or intensive care unit. Emergency patients are seen by internists or anesthesiologists. Western part of Estonia. Poisoned patients are initially managed within the Emergency Room and, if further treatment is needed, may be admitted to the general medicine wards or intensive care unit. Outside the town centre so recreational drug users may be admitted to one of the other two hospitals. Patients are initially treated by the emergency medicine doctors in ER and if further treatment is needed, the patients are transferred to intensive care or general medicine wards. The area is a usual open drug scene with opioid users. Poisoned patients are admitted directly and treated separately from the general medical ER at the department of Clinical Toxicology. Large rural town population of 41, Initial management of toxicological emergencies is in the ED with admission under general medicine or critical care if required. Night-time economy venues, street homeless and hostel dwellers. During office hours Toxicology Service are on site. The Israel Poison Information Center - the only service of its kind in the country - located at Rambam Health Care Campus and provides expert advice on poisonings to the healthcare system and the general public. Monza is a quiet, wealthy medium-sized city with no special problems about drugs, although wealth may contribute to the use of recreational drugs. These patients are seen by ER medical staff and the consultant toxicologist is on-call by telephone from Poison Control Centre. Outskirts south of Milan, near night clubs and discos. Several patients with psychiatric problems and substance abuse who do not usually belong to our ER because they do not have psychiatry. A nearly whole country catchment area. Party goers presentations tend to be highest from April-Sept with another small peak in November. There is no formal toxicological service, with poisoned patients being treated in the Emergency Department, intensive care, paediatric wards or general medical wards. Centre includes a Poisons Information Centre and Detoxification department admission only during office hours. Located in the city centre, close to both main nightlife areas, safe consumption room, and open opioid addict scene. In Norway patients cannot present directly to hospitals, but have to be assessed in primary care or by the ambulance service first. The most severe poisoned patients in the region. Staff specialises in internal diseases, clinical toxicology and emergency medicine. Teenagers and young people using especially cannabis and recreational drugs, in clubs, private parties, street, school or universities. Emergency Department ED in a teaching hospital which is the reference institution in the country for clinical toxicology. Seen in the Emergency and Clinical Toxicology Clinic by specialists of internal medicine with sub-specialisation in clinical toxicology. Wider city centre of Bratislava and one of three EDs in the University Hospital located in this city area. NTIC, is a national clinical toxicology service providing advice and information to the health care providers, the general public, and other national organizations. Centre of the city, with many nightlife venues around. Leading tourist destination - large migrant population of tourists and seasonal workers especially during summer months, with over 8 million foreign tourists each year. Primary hospital for a resident population of about , and as a reference hospital for over a million people. The ER treats poisoned patients on arrival; poisoned patients are reviewed by a member of the Clinical Toxicology Unit when on-duty or during office hours. Several safe consumption rooms in Basel, opioid abuse often, recreational stimulant users, no open drug scene in Basel. Primary care facility walk-in patients and tertiary referral centre for hospitals in the greater Bern area. A small city and there are some local night clubs and a drug treatment facility in the vicinity. Poisoned patients are seen by the emergency physicians with clinical pharmacologists and toxicologists on-call when specialised advice is needed. From night-time economy venues. Specialized clinical pharmacology and toxicology unit providing consultancy to and collecting data from EDs of a network of 4 public academic teaching hospitals in Southern Switzerland. OLVG is a city centre hospital in Amsterdam. Not located near open drug scene or safe consumptions rooms. The type of people are mostly recreational stimulant users and partygoers. The UMC Utrecht is the regional referral center also known as a level 1 trauma center for the Central Netherlands region with a catchment area of 1. Drugs used in the local streets, abandoned squatted houses and private residences and in local night-time economy venues. Deprived area with low income and education attainment households where whole families may use and deal drugs, usually synthetic cannabinoids. These patients are seen by the emergency medicine specialty program residents and their instructors. Patients are seen by the Clinical Toxicology service during office hours in the ER, intensive care or general medical wards and out of hours a consultant toxicologist is on-call. ED in teaching hospital. High numbers of stimulant recreational drug users, patients using drugs for chemsex and high rates of homelessness in the local area. Patients are managed initially within the Emergency Room and, if needed, may be admitted to the Acute Medical Unit or critical care areas under the care of a General Physician. Please consider the total number of presentations in a centre for a given year when interpreting percentages.

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