Year : 2013  |  Volume : 4  |  Issue : 2  |  Page : 95-102

Insufficient stocking of cyanide antidotes in US hospitals that provide emergency care

1 Department of Pharmacy, David Grant Medical Center, CA, USA
2 Department of Pharmacy, Wilford Hall Medical Center, CA, USA
3 Department of Emergency Medicine, Wilford Hall Medical Center, CA, USA

Correspondence Address:
Lucas Gasco
Department of Pharmacy, David Grant Medical Center, 60 MDTS/SGQP, 101 Bodin Circle, Travis AFB, CA
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Source of Support: The research was funded by the Surgeon Generalís Office (SG) Funding Support for Research Grant #FWH20100067E, Conflict of Interest: None

DOI: 10.4103/0976-500X.110875

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Objective: To identify the influence of catchment area, trauma center designation, hospital size, subspecialist employment, funding source, and other hospital characteristics on cyanide antidote stocking choice in US hospitals that provides emergency care. Materials and Methods: A web-based survey was sent out to pharmacy managers through two listservs; the American Society of Health-Systems Pharmacists and the American College of Clinical Pharmacy. A medical marketing company also broadcasted the survey to 2,659 individuals. We collected data on hospital characteristics (size, state, serving population, etc.,) to determine what influenced the hospital's stocking choice. Results: The survey response rate was approximately 10% ( n = 286). Thirty-eight hospitals (16%) stocked at least 4 antidote kits. Safety profile, recommendations from a poison control center, and ease of use had the strongest influence on stocking decisions. Conclusions: Survey of 286 US hospital pharmacy managers, 38/234 (16%) hospitals had sufficient stocking of cyanide antidotes. Antidote preference was based on safety, ease of use, and recommendations by the local poison center, over cost.

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