Multiprofessional Critical Care Review: Pediatric 2024 (MCCRCP24ON)-21_Evaluation and Management of Poisoned Child

21_Evaluation and Management of Poisoned Child

Pdf Summary

The document discusses the evaluation and management of poisoned children, highlighting key points such as the most common ingestions in 2019, pediatric toxin susceptibility factors, approaches to unknown ingestion cases, toxicologic physical exam parameters, and life-threatening issues related to neurologic, respiratory, cardiovascular, and hyperthermia conditions. It also covers the importance of monitoring labs, ECG changes, use of sodium bicarbonate, drug levels, enhanced elimination methods, and specific antidotes such as for acetaminophen, sulfonylureas, methemoglobinemia, calcium channel blockers, hyperinsulinemic-euglycemic therapy, glucagon, and lipid emulsions. Additionally, it addresses carbon monoxide poisoning, salicylates poisoning symptoms, management, iron toxicity effects, beta-blocker toxicity, ethylene glycol toxicity, and key takeaways related to treatment priorities, management of hypertension and hypotension, the limitations of urine screens, and contact information for the USA Poison Center. The document emphasizes the need for a comprehensive and systematic approach in assessing and managing cases of poisoning in children.

Keywords

poisoned children

common ingestions 2019

pediatric toxin susceptibility

unknown ingestion cases

toxicologic physical exam

life-threatening conditions

enhanced elimination methods

specific antidotes

poisoning management

USA Poison Center

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