B-QuiCK: Suspected lead poisoning

B-QuiCK: Suspected lead poisoning

Assessment and diagnosis

• Review history for possible exposure source or engagement in high-risk activities, the quantity of lead potentially consumed, and the chronicity of exposure
• Evaluate whether any other people may also have been exposed, e.g. family members (particularly children or pregnant females)
• Assess for any current or historical gastrointestinal or neurological symptoms
• Request blood lead level testing if there is clinical suspicion of lead poisoning, in addition to a complete blood count, renal and liver function tests

Reporting

• If blood lead levels are ≥ 0.24 micromol/L, electronically report this to the Public Health Unit via the Hazardous Substances Disease & Injury Reporting Tool (HSDIRT) on your bestpractice Decision Support dashboard
• If this tool is not available, phone the Public Health Unit directly

Management

• As directed by the Public Health Unit. They will direct remediation efforts of the exposure source, and provide guidance on:
  • Repeat blood lead testing requirements for the individual; if levels do not decrease, contact the Public Health Unit for further advice
  • Whether additional blood lead testing is needed for family members
  • Whether secondary care assessment is required (chelation treatment may be needed in rare cases for severe acute poisoning)