Publication date: Available online 10 April 2017
Source:The Journal of Emergency Medicine
Author(s): Patil Armenian, Michelle Fleurat, George Mittendorf, Kent R. Olson
BackgroundUnintentional pediatric cocaine exposures are rare but concerning due to potentially serious complications such as seizures, dysrhythmias, and death.ObjectivesThe objectives were to assess the demographic and clinical characteristics of pediatric cocaine exposures reported to the California Poison Control System.MethodsThis is a retrospective study of all confirmed pediatric (< 6 years of age) cocaine exposures reported to the California Poison Control System from January 1, 1997–September 30, 2010. Case narratives were reviewed for patient demographics, exposure details, clinical effects, therapy, hospitalization, and final outcome.ResultsOf the 86 reported pediatric cocaine exposures, 36 had positive urine drug testing and were included in the study cohort. The median age at presentation was 18 months (range: 0–48 months), and 56% were male (n = 20). The most common clinical manifestations were tachycardia and seizures. The most common disposition was admission to an intensive care unit (n = 14; 39%). Eleven cases (31%) were classified as having a major effect as per American Association of Poison Control Centers case coding guidelines. One child presented in asystole with return of spontaneous circulation after cardiopulmonary resuscitation and multiple vasoactive medications. The proportion of cocaine exposures with serious (moderate or major) outcomes (66.7%; 95% confidence interval 50.3–79.8%) was higher than other pediatric poisonings reported to the American Association of Poison Control Centers during the study period (0.88%; 95% confidence interval 0.87–0.88).ConclusionsAlthough pediatric cocaine exposures are rare, they result in more severe outcomes than most unintentional pediatric poisonings. Practitioners need to be aware of the risk of recurrent seizures and cardiovascular collapse associated with cocaine poisoning.
http://ift.tt/2ow07XT
http://ift.tt/2owlmJb
Ιατρική : Τα αισθητικά συστήματα της όρασης,ακοής,αφής,γεύσης και όσφρησης.
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δημοφιλείς αναρτήσεις
-
Needle tract seeding after percutaneous biopsy of sarcoma: Risk/benefit considerations : To evaluate histologic subtype and grade, which i...
-
Complex‐centric proteome profiling by SEC‐SWATH‐MS The study presents an integrated framework for targeted, complex‐centric analysis based o...
-
Nonsyndromic supernumerary bilateral parapremolars : Vineeta Singhal, D Deepa Journal of Oral Research and Review 2017 9(2):82-84 Su...
-
Current treatments for generalized pustular psoriasis are unsatisfactory. We applied recently-developed techniques for transcriptomic analys...
-
Abstract In this work, the Kalman Filter (KF) and Takagi–Sugeno fuzzy modeling technique are combined to extend the classical Kalman linear...
-
Abstract Malakoplakia is a rare inflammatory condition that typically occurs in the urinary tract. The cutaneous form is less prevalent, an...
-
Calcium supplements To: How Too Much Calcium Can Break Your Bones 13.7k Shares 4.1k 241 Posted on: Monday, January 9th 2012 at 7:15 am ...
-
Description A 65-year-old man presented with fever and painful swelling at the back for last 2 weeks. His prior history was significant for...
-
Abstract Purpose To determine the differences in acromegaly diagnosis, treatment, and follow-up among Turkish endocrinologists, and to inv...
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου