ACEP Now

FEBRUARY 6, 2024

found 100 percent of pediatric urine specimens fluoresced even in the absence of ethylene glycol. corroborated that most pediatric urine samples fluoresce under UV light and found considerable interrater variability. Pediatrics. Artifactual elevation of lactate in ethylene glycol poisoning. 2 Parsa, et al. J Emerg Med.

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Pediatric EM Morsels

MARCH 17, 2023

Call your friends … at the Poison Center! Your state poison center and local toxicologists are a wealth of knowledge and help for management and treatment. Management of pediatric snake bites: are we doing too much? J Pediatr Surg. Pediatr Nephrol. But that puts them at risk for snake bites in some areas.

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ACEP Now

JANUARY 9, 2024

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. In the emergency department, consultations were made with the regional poison-control center and the regional lead center. Discussion Lead poisoning is a serious health concern.

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Sensible Medicine

NOVEMBER 10, 2023

Specifically, the COVID19 shot was added to pediatric schedule, as if it is a necessary vaccine, but it is not. The White House and FDA poisoned public perception of kids vaccines with this regulatory fiasco. Enter the CDC, the agency took the COVID19 shot and added it to the pediatric schedule, placing it alongside vaccines like MMR.

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Sensible Medicine

SEPTEMBER 3, 2024

Your supervisor says, “Look, the plant has some similarities to poison ivy. When we tested a treatment for this rash in mice, a specific prescription strength poison ivy cream cleared it right up. But this cream is not FDA approved for “freaky plant rash“, it is only approved for poison ivy.

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Don't Forget the Bubbles

JANUARY 17, 2024

Forrester reported data from the Texas Poison Centers surrounding 110 cases of superabsorbent polymer bead ingestions between 2011 and 2016. Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. BMC Pediatrics , 20 , pp.1-5. Arch Pediatr.

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Emergency Medicine Cases

NOVEMBER 30, 2021

Sarah Reid on differentiating septic arthritis from transient synovitis in pediatric limp, Anand Swaminathan on managing tracheostomy complications in the ED, Nour Khatib on rural medicine and ethylene glycol poisoning, Justin Morgenstern on RCTs for ketamine in patients with severe agitation.

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RebelEM

JUNE 7, 2023

Clinicians are encouraged to call their local regional toxicologist and poison control center whenever a caustic ingestion poisoning is suspected. Management Always consider calling your local toxicologist or regional poison control center, as even substances with a neutral pH may have caustic potential. Pediatr Emerg Care.

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Emergency Medicine Cases

DECEMBER 8, 2020

In this month's EM Quick Hits podcast: Anand Swaminathan on lateral canthotomy, Emily Austin on pediatric cannabis poisoning, Reuben Strayer on an approach to hyperthermia, Brit Long on diagnosis and management of malignant otitis externa, Jesse McLaren on ECG diagnosis of occlusion MI in patients with BBB and Peter Brindley on prone CPR.

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EMDocs

DECEMBER 6, 2024

In the late 1990s, iron was the leading cause of poisoning deaths reported to poison control centers for children less than 6 years of age. Ferrous sulfate tablets are radiopaque and can be visualized on radiographs, however not all preparations are radiopaque (pediatric chewable and liquid preparations). 2 L/hr in adults.

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ALiEM

NOVEMBER 15, 2023

Although poisoning by ingestion of cyanogenic foods is much more common in tropical countries, there have been reported cases in the US [1, 3]. What are the symptoms of cyanide poisoning? How to you treat cyanide poisoning? [1, grams (50 mL) Pediatrics: 250-412 mg/kg (1-1.65 mL/kg) not to exceed 50 mL or 12.5

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EMDocs

JANUARY 17, 2024

8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 8) Over the next 24 years, numerous peer reviewed publications on benzonatate poisoning appeared in the medical literature. (3, 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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EMDocs

JUNE 7, 2023

2,7 Organophosphate poisonings in agriculturally-centered communities are of public health concern in developing countries. Millions are poisoned, and hundreds of thousands die each year worldwide. Millions are poisoned, and hundreds of thousands die each year worldwide. 7 May lead to respiratory failure.

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Taming the SRU

JUNE 7, 2023

CPC: Rheumatic Fever - Carbon Monoxide Poisoning - Pediatrics: Toxicology - Combined EM/IM: Competency CPC: Rheumatic Fever WITH Drs.

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EMDocs

NOVEMBER 19, 2024

of exposures reported to poison control centers in 2021 were related to antipsychotics or sedative-hypnotics with the majority of those exposures occurring in patients 20 years of age or older. Consult a medical toxicologist or regional poison control (at 1-800-222-1222 in the United States). Front Psychiatry. Clinical Toxicol.

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EMDocs

NOVEMBER 6, 2024

Unusual strychnine poisoning and its treatment: report of eight cases. 2022 Annual Report of the National Poison Data System ® (NPDS) from America’s Poison Centers ® : 40th Annual Report. Case report: Survival after deliberate strychnine self-poisoning, with toxicokinetic data. Strychnine poisoning.

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Broome Docs

MAY 31, 2024

Effect of Noninvasive Airway Management of Comatose Patients With Acute Poisoning: A Randomized Clinical Trial. JAMA Pediatr. 2023 Dec 19;330(23):2267-2274. doi: 10.1001/jama.2023.24391. 2023.24391. PMID: 38019968 write something here Justin’s longer / Full write up here. 2024 Apr 1:e240167. doi: 10.1001/jamapediatrics.2024.0167.

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EMDocs

SEPTEMBER 7, 2023

In mass poisoning cases, DEG has been substituted as a solvent in oral medications and in topical medicinal products. 4 Despite the policy changes in the United States, epidemic poisonings involving DEG continue to impact adults and children on a global scale with 14 mass poisonings occurring since the Sulfanilamide Disaster.

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EMDocs

JULY 30, 2024

When should I suspect PNU poisoning? How do I treat PNU poisoning? Background: N-3-pyridylmethyl-N-p-nitrophenylurea (PNU, Pyrinuron, Pyriminil) was released in 1975 as a “safe” poison to use against mice resistant to anticoagulant rodenticides.¹ Fortunately, PNU poisoning is rare. Clinical Pediatrics.

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EMDocs

AUGUST 3, 2023

These local protocols vary from the labeled dosing; contacting and using your local poison center’s protocol is recommended. Extracorporeal treatment for acetaminophen poisoning: recommendations from the EXTRIP workgroup. Pediatr Emerg Care. Clin Toxicol (Phila). 2015;53(10):941-949. Clin Toxicol (Phila). Epub 2014 Aug 18.

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Taming the SRU

APRIL 17, 2023

Poison centers across the United States receive over 100,000 reports of exposures to toxic plants annually. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure. The majority of ingestion cases occur in pediatric patients and are often minor due to low quantities of exposure.

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Poisoning Hyperthermia / Hypothermia Anaphylaxis Pediatrics 52

Northwestern EM Blog

MARCH 28, 2022

Clinical Findings of Methanol Poisoning CNS sedation Seizures Rapid, Deep Breathing Hypotension Ocular findings: Blindness Afferent pupillary defect Optic disk hyperemia Mydriasis Ethylene Glycol Toxicity Similarly, the toxic metabolites of ethylene glycol cause end-organ damage at levels greater than 20mg/dl.

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Pediatric Emergency Playbook

JULY 1, 2020

Traditional Approach: Secretory -- poisoned mucosal villi -- "the sieve" Cytotoxic -- destroyed mucosal villi -- "the shred" Osmotic -- malabsorption -- "the pull" Inflammatory -- edema, motility -- "the push" Lots of overlap, difficult to apply to clinical signs and symptoms. Pediatrics. Pediatrics 1980; 65:1125.

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ACEP Now

JULY 8, 2023

1 The authors evaluated four parameters for their ability to predict severe illness in the pediatric ED setting: altered mental status, abnormal capillary refill, abnormal peripheral pulses, and cold or mottled extremities. Dr. Jones is assistant professor of pediatric emergency medicine at the University of Kentucky in Lexington.

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ALiEM

NOVEMBER 1, 2023

Curr Opin Pediatr 2006;18(2):174-9.  PMID 24072332 Baranwal AK, Singhi SC: Acute iron poisoning: management guidelines. Indian Pediatr 2003;40(6):534-40.  In: Nelson LS, Goldfrank LR et al (eds): Goldfrank’s Toxicologic Emergencies. McGraw-Hill Education; 2019 Madiwale T, Liebelt E. Iron: not a benign therapeutic drug.

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EMDocs

JUNE 25, 2024

Typically for adults with a TBSA of at least 20% or 10% in pediatric patients. Systemic poisoning from inhaled toxins, obstruction of the upper airway from heat injury and edema, and chemical injury to the lower respiratory system from smoke inhalation. IOs and central lines are also options.

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EMDocs

JUNE 8, 2024

Posttraumatic Iridocyclitis – Injuries; Poisoning.” 2023, www.merckmanuals.com/professional/injuries-poisoning/eye-trauma/posttraumatic-iridocyclitis?query=Traumatic+Iritis+and+Chemical+Iritis. PDQ Pediatric Treatment Editorial Board. Murchison, Ann P. Merck Manuals Professional Edition , Merck Manuals, 12 Nov.

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ACEP Now

OCTOBER 10, 2023

The patient’s urine was obtained and compared with the urine of his emergency physician using a Wood’s lamp, and the patient’s was found to be brightly fluorescent, supporting the presumptive diagnosis of EG poisoning. After resolution of EG poisoning, he was transferred to psychiatry and ultimately discharged home without complication.

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Poisoning Pediatrics Research Wellness 52

Taming the SRU

MAY 1, 2023

Subsequent exposure results in a T-cell mediated response (Type IV hypersensitivity reaction) Plants: Toxicodendron species (poison ivy, poison oak, poison sumac) Also present in foods, including pistachio, cashew, and mango.

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ACEP Now

MAY 10, 2024

A recent 5-year retrospective study of 1,197 pediatric patients at a single institution studied 759 kids (63.4 A recent 5-year retrospective study of 1,197 pediatric patients at a single institution studied 759 kids (63.4 percent of ED pediatric patients compared to 92.9 So how successful are we at extracting the EAC FB?

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ACEP Now

SEPTEMBER 11, 2023

5 Pediatric discharges were reported by 2,784 hospitals in 2000 and the number of reporting hospitals increased to 4,179 in 2012. This database systematically and randomly samples pediatric discharges from participating hospitals. Summary The incidence of pediatric acute rheumatic fever in the United States appears to range from 0.51

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PEMBlog

OCTOBER 19, 2023

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. Cannabinoid poisoning D. He was ultimately admitted to the general pediatric service for further management. Rev Paul Pediatr. This is the fourth of the four cases. Hepatic hemangioma C. PMID: 3296130.

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EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Therefore, many recommendations are extrapolated from the pediatric literature. not ED specific) Food poisoning is responsible for 5% of AGE but results in 30% of deaths. Salmonella, most common o 5.3% Fish tastes normal.

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ACEP Now

SEPTEMBER 13, 2023

pediatric sickle cell centers and suggested poor splenic function in 94 percent of sickle cell anemia (SCA) patients by 5 years of age; 28 percent of children had poor splenic function at 1 year of age and the authors noted that initial splenic dysfunction rose sharply after 6 months of age. J Pediatr Pharmacol Ther. 2010;15(3):152-9.

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Pediatric Education

JUNE 18, 2023

The past medical history showed a history of poison ivy reaction the year before. You don’t seem to be having an allergic reaction to it, and it also doesn’t look like this is poison ivy or something else like that that you might have fallen into. J Pediatr Surg. Pediatr Dermatol. Pediatr Dermatol.

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ACEP Now

SEPTEMBER 5, 2024

Jones is associate professor at the department of emergency medicine & pediatrics and the program director of pediatric emergency medicine fellowship at the University of Kentucky in Lexington, Kentucky. References Zhou L, Li S, Wang W, et al.

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PEMBlog

APRIL 26, 2023

Listen Gun Violence and Safety (2023) – Brad Sobolewski, MD, MEd – featuring Kit Carney, MD & Kristen Humphrey, MD – PEM Currents: The Pediatric Emergency Medicine Podcast [link] Subscribe Advocacy and education resources Be SMART Campaign Be SMART emphasizes the importance of responsible gun ownership and secure gun storage.

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