Unintentional Pediatric Cocaine Exposures Result in Worse Outcomes than Other Unintentional Pediatric Poisonings

Armenian, Patil; Fleurat, Michelle; Mittendorf, George; Olson, Kent R.

doi:10.1016/j.jemermed.2017.03.017

Cited by 17 publications

(4 citation statements)

References 34 publications

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“…7 Case reports from the late 1980s and early 1990s also suggest that small children and infants can have detectable cocaine levels secondary to passive inhalation. 8 9 Eventually we were able to obtain further history from the caregiver suggesting that an acquaintance with a history of drug abuse had been spending time in the garage. Although the timeline of events leading up to the patient presenting to the trauma bay remains unclear, it is possible that the positive urine screen for cocaine was secondary to unintentional inhalation of or exposure to the drug.…”

Section: Discussionmentioning

confidence: 99%

Possible Triggers of Supraventricular Tachycardia in a Toddler Rescued from a Garage Fire: A Case Report

Shaw

Rafaat

Frugoni

2023

Journal of Child Science

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We describe the case of a previously healthy toddler with the finding of supraventricular tachycardia after being rescued from a garage fire. The patient's initial presentation was concerning for inhalational injury and a 2% total body surface area burn to the forehead. Additionally, the patient was noted to be extremely agitated in the trauma bay. Given the patient's agitation and the mysterious circumstances surrounding the fire, a urine toxicology was performed shortly after admission and was positive for cocaine. Passive cocaine inhalation, possibly during the fire, is a likely explanation for the child's arrhythmia.

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Section: Discussionmentioning

confidence: 99%

Possible Triggers of Supraventricular Tachycardia in a Toddler Rescued from a Garage Fire: A Case Report

Shaw

Rafaat

Frugoni

2023

Journal of Child Science

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“…Cave Kokain besitzt eine hohe Toxizität, und Ingestionsunfälle bei Kleinkindern können zu lebensbedrohlichen Zuständen führen [7,8].…”

Section: Symptomatik Und Toxizitätunclassified

Drogennotfälle bei Kindern und Jugendlichen – ein Update

Struckmeyer,

Katthän,

Nordmeyer

et al. 2023

Notfallmedizin up2date

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“…9 Physicians should contact the judicial authority and social services to promptly confirm potential drug use by caregivers and organise family follow-up. 10…”

Section: Answer To Questionmentioning

confidence: 99%

A well-appearing infant with a sudden anisocoria

Servidio

Peri

Tenore³

et al. 2020

Arch Dis Child Educ Pract Ed

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Case presentationA 10-month-old boy was admitted to the emergency department due to a sudden onset of left unilateral mydriasis (figure 1). His medical history was unremarkable. A minor head trauma 2 days before was reported, without alarming signs or symptoms. His mother was putting him to sleep, after coming back from work, when she noticed a different pupil size and promptly went to the ED with her husband. The parents denied any use of medications, including nebulised therapy or direct contact with plants. The child was well appearing and his vital signs were within the standard age limits. His extraocular motility was normal as well as the rest of his neurological and physical examination. Parents’ behaviour was somehow remarkable. Even though the child was not suffering, the mother seemed very worried while the father was nervous and aggressive, repeatedly asking for a discharge.Figure 1Left unilateral mydriasis.QuestionsWhat is the most likely diagnosis based on this clinical presentation?Local contact with a mydriatic substanceIntracerebral haemorrhageBrain tumourThird nerve palsyWhat would be the next step in the investigation to confirm this diagnosis?Brain CTBrain MRIFundus oculi examinationToxicological screening of urineHow is this condition managed, and what is the prognosis?Answers can be found on page XX

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Unintentional Pediatric Cocaine Exposures Result in Worse Outcomes than Other Unintentional Pediatric Poisonings

Cited by 17 publications

References 34 publications

Possible Triggers of Supraventricular Tachycardia in a Toddler Rescued from a Garage Fire: A Case Report

Possible Triggers of Supraventricular Tachycardia in a Toddler Rescued from a Garage Fire: A Case Report

Drogennotfälle bei Kindern und Jugendlichen – ein Update

A well-appearing infant with a sudden anisocoria

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