A 16-item survey was mailed to the directors of 618 paramedic training prog
rams in the United States to determine (1) the number of lecture hours devo
ted to toxicology topics and (2) how often paramedic training includes a ro
tation in a poison control center. The response rate was 82%. Toxicology ac
counts for approximately 2% of paramedic students' total training. Cardiova
scular drug toxicity and hazardous materials are discussed far over 60 minu
tes by more than 50% of paramedic training programs. Four paramedic program
s have no lecture time on cyclic antidepressant overdoses and one program h
as no lecture time on carbon monoxide poisoning. Eighty-one percent (377 of
467) have access to a regional poison control center; 11% (42 of 377) use
the poison control center as a paramedic training site. Some US paramedic t
raining pro grams spend insufficient time covering topics that have signifi
cant out-of hospital morbidity, Although poison control centers are often a
vailable. they are underutilized for paramedic training. Copyright (C) 1999
by W.B. Saunders Company.