© 2002 Archives of Disease in Childhood
LEADING ARTICLE
Poisoning
Poisoning in children 1: General management
1 Department of Pediatrics, Yale University Medical School, USA
2 Department of General Paediatrics, Royal Victoria Infirmary, Newcastle upon Tyne, UK
3 Accident and Emergency Department, Birmingham Children’s Hospital, Birmingham, UK
Correspondence to:
Correspondence to:
Dr K Berry, Accident and Emergency Department, Birmingham Children’s Hospital, Steelhouse Lane, Birmingham B4 6NH, UK;
kathleen.berry@bhamchildrens.wmids.nhs.uk
Basic principles in the management of poisoning
Keywords: poisoning; antidote
| The first 150 words of the full text of this article appear below. |
In this, the first of a series of five articles, we deal with basic principles in the management of poisoning in children.
A working knowledge of the management of poisoning in children is essential for all those involved in acute paediatric care. An estimated 52 000 people attended accident and emergency departments with poisoning in 1997, the majority of whom were children.1 Table 1
shows the commonest agents involved.
|
View this table: [in a new window] Table 1 Common agents involved in poisoning1 |
Wherever possible the constituents of the substance ingested and its dosage per kilo body weight should be identified as accurately as possible.
In younger children the substance taken is often easily identifiable but the dosage can be difficult to ascertain. Some idea of the maximum amount of substance that could have been ingested can be gathered from comparing the number of tablets, or volume of liquid remaining, with details on packaging.
Care must be taken
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