Pediatric Toxicology Specialized Approach to the Poisoned Child

被引:20
作者
Calello, Diane P. [1 ,2 ,3 ]
Henretig, Fred M. [4 ]
机构
[1] Rutgers State Univ, New Jersey Poison Informat & Educ Syst, New Brunswick, NJ USA
[2] Morristown Med Ctr, Dept Emergency Med, Morristown, NJ 07960 USA
[3] Emergency Med Associates Res Fdn, Parsippany, NJ USA
[4] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Sect Clin Toxicol,Div Emergency Med,Poison Contro, Philadelphia, PA 19104 USA
关键词
Detergent pods; ECG; Hemodialysis; Pediatric; Poisoning; Salicylate; Supportive care; INTRAVENOUS N-ACETYLCYSTEINE; AMERICAN-ASSOCIATION; ACCIDENTAL INGESTION; LIPID EMULSION; YOUNG-CHILDREN; FATALITY; PATIENT; ERRORS; PHARMACOKINETICS; PHARMACODYNAMICS;
D O I
10.1016/j.emc.2013.09.008
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The poisoned child presents unique considerations in circumstances of exposure, clinical effects, diagnostic approach, and therapeutic interventions. The emergency provider must be aware of the pathophysiologic vulnerabilities of infants and children and substances that are especially toxic. Awareness is essential for situations in which the risk of morbidity and mortality is increased, such as child abuse by poisoning. Considerations in treatment include the need for attentive supportive care, pediatric implications for antidotal therapy; and extracorporeal removal methods such as hemodialysis in children. In this article, each of these issues and emerging poison hazards are discussed.
引用
收藏
页码:29 / +
页数:25
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