Pediatric toxicology exposures are common, though deaths are rare. Key factors include determining substance and dose ingested, which can be difficult. While many exposures are harmless, some like button batteries or hydrocarbons can cause severe injury. Outcomes depend on prompt diagnosis and management, including decontamination or enhanced elimination. Poison centers provide expert guidance on substance toxicity and treatment.

1. Overview of Pediatric Toxicology Unknown Exposures Trivial Ingestions Sometimes Severe Morbidity/Mortality Michael Wahl MD, FACEP, FACMT Emergency Physician, Evanston Northwestern Healthcare Medical Director, Illinois Poison Center

11. The #1 reason for injury-related hospitalization between 18 and 35 months is poisoning

17. Pediatric Exposures Reported to AAPCC (National Data)

28. Ipecac

29. Ipecac

30. Syrup of Ipecac

34. Charcoal Bond, Annals of EM, 2002

35. Charcoal

36. Charcoal

38. Charcoal

42. Gastric Lavage

43. Gastric Lavage Bond, Annals of EM, 2002

56. Antidotal Therapy Acetaminophen NAC Arsenic, mercury, gold BAL Atropine Physostigmine CO Oxygen CN CN antidote kit Ethylene glycol, methanol Ethanol, 4-MP Iron Deferoxamine Nitrites Methylene blue Opiates Naloxone Lead EDTA, BAL, Succimer Organophosphates Atropine, Pralidoxime

73. Calcium Channel Blockers