Poisoning remains a critical and potentially life-threatening presentation in the ICU, requiring prompt and systematic evaluation and intervention. Globally, poisoning accounts for a significant number of ICU admissions, with trends varying by region. Data from the American Association of Poison Control Centers (AAPCC) indicate thousands of poisoning incidents annually, highlighting both accidental and intentional exposures. Studies from India reveal a high prevalence of pesticide poisoning, often leading to severe outcomes due to the toxicity of agents involved and delays in treatment. Mortality rates are notably higher in intentional poisonings compared to accidental exposures, underscoring the urgency of effective management strategies [1–3].