Recognition and emergency management of pediatric acute poisoning / 中国小儿急救医学

ABSTRACT

A working knowledge about the management of poisoning in children is essential for all pediatricians and nurses involved in acute pediatric care. Having an organized,efficient and consistent approach to the diagnosis and management of poisoned or potentially poisoned patients is paramount.When presented with a poisoned or potentially poisoned patient,considerations for both diagnosis and treatment may occur sequentially or simultaneously,depending on the clinical situation and severity of illness.The diagnostic arm consists of taking detailed toxicologic history,performing physical examination with attention to toxidrome recognition and carrying through certain diagnostic test that may provide useful information.The treatment arm involves emergency stabilizing the airway, breathing and circulation, deciding the decontamination method by clinical scenario, choosing the enhancing elimination procedure according to certain xenobiotics,and using specific antidote carefully when indicated.