Thyroid Hormones
HIGH-YIELD FACTS Print Section Listen Acute ingestions are generally benign but may be delayed in onset (2–4 days). Ingestions of greater than 5 mg warrant measurement of T4 concentration at…
EMERGENCY MEDICINE
Acetaminophen
HIGH-YIELD FACTS Print Section Listen Widely available in both prescription and OTC products, acetaminophen is a common pediatric overdose. Acetylcysteine is the antidote for acetaminophen overdose and can be given…
Iron Poisoning
HIGH-YIELD FACTS Print Section Listen Estimation of risk of iron poisoning is based upon conversion of the ingested iron salt to elemental iron with >60 mg/kg being associated with significant…
Cardiovascular Drugs
HIGH-YIELD FACTS Print Section Listen β-Blocker and calcium channel blocker poisoning have significant morbidity, and their hallmark is bradycardia and hypotension. If standard Pediatric Advance Life Support (PALS) protocols do…
Sedative Hypnotics and Anticonvulsants
HIGH-YIELD FACTS Print Section Listen The hallmark of the care of children with sedative hypnotic poisoning is meticulous supportive care with particular attention to the support of airway and breathing….
Nonsteroidal Anti-Inflammatory Drugs
HIGH-YIELD FACTS Print Section Listen Nonsteroidal anti-Inflammatory drugs (NSAIDs) are relatively devoid of toxicity in the overdose setting. Patients who develop toxicity exhibit central nervous system or gastrointestinal signs and…
General Approach to the Poisoned Patient
HIGH-YIELD FACTS Print Section Listen The cardinal principle of the management of the poisoned patient is meticulous supportive care. Gastrointestinal decontamination plays a limited role in the routine management of…
Gynecologic Disorders of Infancy, Childhood, and Adolescence
HIGH-YIELD FACTS Print Section Listen Congenital vaginal obstruction may present as an abdominal mass or bulge at the introitus. Treatment of asymptomatic labial adhesions is not indicated. For symptomatic relief,…
