B-QuiCK: Suspected lead poisoning

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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


  • 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


  • 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)
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