Effective management of poisoning requires adequate availability of antidotes, with supportive measures, in hospitals that provide effective emergency care. Poisoning is a paramount public health issue that is responsible for frequent visits to the emergency department and hospital admissions. This is the first study that the authors are aware of that demonstrates that the e-Delphi technique can consolidate recommendations of experts in emergency medicine to provide a list of essential antidotes. The development of an essential antidote list, with expert consensus, is one of the initial steps in securing a foundation for appropriate provision of antidotes at all healthcare institutions. The optimal approach for ensuring adequate availability of antidotes is continuous monitoring of local poisoning incidence and antidote requirements through collaborations between academic researchers and emergency care clinicians. ![]() ![]() This resulted in the development of an essential antidote list with 43 antidotes. Round 3 was a confirmatory round, where the expert group agreed on their previous rounds’ opinions. Round 2 had two antidotes (out of seven newly suggested ones) reaching consensus. Round 1 of the e-Delphi resulted in 41 antidotes reaching consensus and seven new antidotes suggested by the expert panel. Consensus was gained if ≥75% of the expert panel agreed on the inclusion of the antidote, without any strong disagreements. A purposive sample of healthcare professionals from governmental and private hospitals were selected for this study (n = 30). The e-Delphi method was used, with three rounds of voting, to determine expert consensus on an essential antidote list for hospitals in Kuwait. An electronic survey with 47 essential antidotes was developed. The aim of our study is to generate a nationally relevant essential antidote list for emergency care hospitals in Kuwait using the e-Delphi method by establishing consensus through a multidisciplinary expert group of healthcare providers. In order to assist hospitals to reduce costs and improve patient care, an essential antidote list can be used as an initial foundation for securing sufficient antidote availability at healthcare institutions. ![]() Antidote stocking represents a major challenge to hospitals all over the world, including Kuwait.
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