Emergency & Clinical Toxicology

Antidote-first decision support for poisoning & overdose.

MediTox runs 38 rules-based antidote protocols next to an AI reasoning pipeline. The physician at the bedside gets precise, guideline-grounded dosing in seconds, and a specialist on video when the case calls for one.

38Antidote modules
8Clinical tools
2,121Training cases
<10sTo first dose
MediTox anamnesis entry screen
Antidote decision · NAC
◆ Hard stop · check LFTs
FDA medical-device aligned HIPAA ISO 27001 ISO 13485 7-year audit retention
The pipeline

Rules run first. AI reasons second. Nothing hallucinates a dose.

Every query runs through a three-tier engine. The antidote calculations execute before the model writes anything, so the AI starts from real dosing numbers instead of inventing them.

Primary

Antidote modules

38 deterministic protocols compute indications, weight- and renal-adjusted dosing, hard stops, and monitoring. This is the layer the rest of the system trusts.

  • YES / CONDITIONAL / NO verdicts
  • Dose steps + hard-stop alerts
  • EXTRIP dialysis criteria
Reasoning

LangGraph AI agents

Physician & Pharmacist agents reason over retrieved literature and can invoke 8 clinical tools for gaps the rules don't cover.

  • Hybrid BM25 + BioBERT retrieval
  • FlashRank + BGE reranking
  • Tool-calling for math & lookups
Fallback

Deterministic rules

If the model is down, a rule-based chain still identifies toxins, drafts treatment, and screens interactions. It works with or without the AI.

  • Probabilistic toxin ID
  • Treatment recommendation engine
  • Medical safety guardrails
Antidote-first, by design. A module's YES or CONDITIONAL decision defines the toxin and takes dosing priority; the AI only fills in substances the protocols don't cover. Every response clears the safety guardrails before it returns.
Capabilities

Built for the resus bay, not the demo stage.

Everything a toxicology workup needs, structured and sourced, with a safety check on every answer.

💉

38 antidote protocols

NAC, Digibind, atropine/pralidoxime, HIE/calcium, glucagon, naloxone, fomepizole, hydroxocobalamin, lipid emulsion, antivenoms, and more. Each one returns dosing, hard stops, and monitoring.

🧠

Multi-agent reasoning

A LangGraph workflow with Physician, Pharmacist and Human-Review agents, PostgreSQL-backed state, and 8 registered clinical tools.

🔬

Clinical calculators

Anion and osmolal gap, Rumack-Matthew nomogram, NAC dosing, toxidrome analysis. The agents call these on their own while reasoning.

⚠️

Drug-interaction engine

SIDER4 + EPA ToxValDB power drug-drug, drug-toxin and patient-specific screening with severity scoring and monitoring plans.

🩺

Structured anamnesis

A 41-field intake covering vitals, 20 labs, comorbidities, and resource availability. Voice entry works too, and module-aware triage hides the fields a given toxin doesn't need.

🛡️

Safety guardrails

Every response is validated for medical accuracy, harmful-pattern detection and clinical appropriateness before it reaches the clinician.

🎥

On-demand specialist consults

When a case runs past the bedside, the physician connects to a live medical toxicologist over secure video. The handoff is de-identified, so the specialist sees the clinical picture without the patient's identity. Filter by language and specialty, check who's available and their per-minute rate, and rate the consult afterwards.

LiveKit HD video Real-time language translation De-identified handoff Availability & per-minute rate Post-call rating
The mobile app

One flow: anamnesis, antidote, and a specialist when you need one.

Flutter app for iOS & Android, wired to the same clinical engine.

Anamnesis entry with voice input
Step 01 · Capture
Structured anamnesis
Enter vitals, GCS and symptoms by tap or voice. Smart triage surfaces only the fields the suspected toxin needs.
Consult a specialist screen
Step 02 · Consult
On-demand specialists
Filter toxicologists by language and specialty, see live availability and per-minute rate, and connect instantly.
Clinician profile screen
Step 03 · Profile
Your clinician profile
Credentials, evaluation and consultation totals, wallet token balance, and recent queries. One-tap quick tools too: calculator, toxidrome, antidotes, drug search, body map, and more.
Consultant experience

The consult, from handoff to rating.

The whole specialist workflow: de-identified handoff, HD video, and a post-call review.

Patient handoff screen
Handoff
De-identified patient detail
The specialist sees vitals, labs, toxidrome, and suspected substances, with the patient's identity stripped out.
Video call screen
Video
HD consult with real-time translation
HD video over LiveKit, with automatic language translation running live. Both sides see the same clinical picture.
Rating screen
Review
Post-call rating & notes
Rate 1–5 stars, add follow-up notes for the department. Every consult logged for audit and quality improvement.
Get started

Put a toxicologist in every resus bay.

MediTox is in active clinical validation with emergency physicians and medical toxicologists. Request access for your department or partner with us on evaluation.