Traumatismo medular neonatal y neuroimagen / Neonatal spinal cord injury and neuroimaging

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The pediatrician's role in the poison control movement and poison prevention.

When Oliver Wendell Holmes wrote "To guard is better than to heal, the shield is nobler than the spear!" he must have had in mind the origin, many years later, of the poison control center movement. In 1952, the American Academy of Pediatrics (AAP), through a survey by its newly appointed Committee on Accident Prevention, found that the most common medical emergency in children was poisoning. The study brought forth many requests for up-to-date information on toxic ingredients in household products, as well as for improved therapeutic measures. This gave impetus to the development and implementation of poison control centers in the United States, an endeavor practically all-pediatric oriented. Then, the development of safety closures and packaging and the Poison Prevention Packaging Act in 1970 rapidly followed. This is a historical account of the AAP's role and the combined efforts of practicing and academic pediatricians in a mid-20th century movement that has saved countless children's lives.

Acetaminophen: report of an unusual poisoning.

This is a report of an unusual acetaminophen poisoning in a 3-year-old girl who, three days after the ingestion of an estimated thirty-five 325-mg tablets of acetaminophen, had the highest levels of hepatic enzymes ever recorded at Duke Hospital. Although she was only moderately ill with an enlarged liver, she was discharged from the hospital on the seventh day in good condition. The liver enzyme levels returned to normal when last assessed, 50 days after ingestion. The importance of determining acetaminophen plasma concentration at different times to evaluate more precisely the plasma half-life is discussed, along with the current suggested therapy now being recommended for acetaminophen poisoning.