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Snake Bites and Children

Pediatric EM Morsels

If you are managing a snake bite from a snake that does not typically reside in the U.S., please utilize other resources and local Toxicology experts for help with management protocols. as far west as Texas Cottonmouths/Water Moccasins live in the southeastern U.S. in wetlands, rivers, and lake areas Coral snakes inhabit the southern U.S.

CDC 130
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Case Report: A Child with a Rash and Lead Poisoning History

ACEP Now

Incidentally, the day after ED visit number one, the mother was called by the child’s pediatrician advising her to bring him for evaluation of lead poisoning. Blood type and screen, COVID-19 tests, and ECG were all within normal limits. Discussion Lead poisoning is a serious health concern. μg/dL, hemoglobin of 6.4

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ToxCard: Bupropion

EMDocs

3 Always get an EKG to assess for cardiotoxicity, including widened QRS and prolonged QTc, although this may not be evident right away. 3 Cardiotoxicity 3 All patients need an EKG and cardiac monitoring. 6,15 Discuss cases of overdose, including pediatric exploratory ingestions, with a medical toxicologist or your local poison center.

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ToxCard: Organic Mercury Poisoning

EMDocs

Diagnosis and Management: Whole blood mercury concentrations are the most useful for diagnosis of organic mercury poisoning, as organic mercury undergoes little urinary excretion. 6 The neurotoxicity caused by organic mercury poisoning is permanent, thus, you must act fast. Adverse Drug React Acute Poisoning Rev. Am J Cardiol.