Pediatric Toxicology: Diagnosis and Management of the Poisoned Child

Pediatric Toxicology: Diagnosis and Management of the Poisoned Child

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Product Details

ISBN-13: 9780071417365
Publisher: McGraw-Hill Companies, The
Publication date: 08/15/2004
Pages: 528
Product dimensions: 7.30(w) x 9.10(h) x 1.10(d)

About the Author

Timothy B. Erickson, MD, Associate Professor, Department of Emergency Medicine, Emergency Residency Program Director, Director, Division of Clinical Toxicology, University of Illinois at Chicago, Chicago, Illinois
Specialist in Clinical Toxicology; editor of Toxicology section in Strange/Pediatric Emergency Medicine. In addition to his work in pediatric toxicology, Dr. Erickson has garnered wide recognition for his work in educating emergency physicians about herbal toxicities.

William R. Ahrens, MD, Associate Professor of Clinical Emergency Medicine, Director of Pediatric Emergency Medicine, University of Illinois at Chicago, Chicago, Illinois
Specialist in Pediatric Emergency Medicine; co-editor of Strange/Pediatric Emergency Medicine and Just the Facts in Pediatric Emergency Medicine; contributor to Tintinalli’s Pediatric section

Steven E. Aks, DO, Assistant Professor of Emergency Medicine, Cook County Hospital, Chicago, Illinois
Specialist in Clinical Toxicology; contributor to Strange/Pediatric Emergency Medicine

Carl Baum, MD, Assistant Professor of Pediatrics, Division of Emergency Medicine, Director of Medical Toxicology, Yale-New Haven Children’s Hospital, Yale University School of Medicine, New Haven, Connecticut
Specialist in Pediatric Emergency Medicine and Clinical Toxicology. Dr. Baum is also a consultant for the State of Connecticut Poison Control Center.

Louis Ling, MD, Professor of Emergency Medicine, Division of Clinical Toxicology, University of Minnesota, Hennepin County Medical Center, Minneapolis, Minnesota
An accomplished toxicologist and great educator who edits Toxicology Secrets(Lippincott 2001) and co-edits Clinical Toxicology (Saunders 2000)

Table of Contents

Contributorsxiii
Forewordxix
Prefacexxi
Section IDevelopmental Considerations1
1General Principles1
2Pediatric Poison Prevention4
3Poison Control Centers10
4Maternal-Fetal Toxicology15
5Human Milk and Maternal Medications26
6Toxicity in the Premature Infant33
7Special Toxicologic Considerations in the Neonate43
8Special Toxicologic Considerations in the Toddler55
9Special Toxicologic Considerations in the Adolescent60
Section IIInitial Assessment and Advanced Life Support67
10Pediatric Toxicokinetics and Pharmacology67
11Pediatric Toxic Syndrome (Toxidromes)75
12Airway Management84
13Advanced Pediatric Life Support88
14Pediatric Hazardous Materials Exposure98
15Weapons of Mass Destruction104
Section IIIDecontamination, Antidotes, and Enhanced Elimination114
16Gastrointestinal Decontamination114
17Antidotes121
18Extracorporeal Removal of Toxins132
19Pediatric Toxicology in the Pediatric Intensive Care Unit144
Section IVDiagnostic Testing and Physical Assessment151
20Laboratory Testing151
21Fluids, Electrolytes, and Acid-Base Management160
22Thermoregulation171
23Organ System Toxicity177
24Radiologic Findings188
Section VNonprescription Drugs and Agents197
25Lethal Toxins in Small Doses197
26Nontoxic Exposures204
27Over-the-Counter Medications209
28Acetaminophen212
29Anticholinergic Poisoning219
30Aspirin224
31Nonsteroidal Anti-Inflammatory Drugs228
32Caffeine231
33Vitamins235
Section VIPrescription Drugs241
34Prescription Drugs241
35Antihypertensives, [beta]-Blockers, and Calcium Antagonists245
36Colchicine253
37Digoxin258
38Theophylline264
39Sedative-Hypnotics271
40Hypoglycemic Agents and Insulin277
41Antiepileptic Agents283
42Isoniazid292
43Antidepressant Overdose: Tricyclics, Selective Serotonin Reuptake Inhibitors, and Atypical Antidepressants297
44Lithium303
45Neuroleptic and Antipsychotic Drugs308
Section VIICommon Household Poisons319
46Household Poisons319
47Toxic Alcohols326
48Acids and Alkali333
49Hydrocarbons341
50Mothballs, Camphor, and Deodorizers347
51Organophosphates, Carbamates, Pesticides, and Herbicides352
52Rodenticides359
Section VIIIDrugs of Abuse371
53Drugs of Abuse371
54Amphetamines375
55Androgenic Anabolic Steroids and Athletic Performance-Enhancing Substances383
56Cannabinoids388
57Cocaine392
58LSD and Other Hallucinogens398
59Inhalants403
60Opioids409
61Drug-Facilitated Sexual Assault416
62Phencyclidine and Ketamine423
63Tobacco429
64Withdrawal Syndromes434
Section IXMetals441
65Metals441
66Arsenic445
67Button Batteries450
68Iron455
69Lead461
70Mercury468
Section XBlood and Cellular Toxins477
71Blood and Cellular Toxins477
72Carbon Monoxide480
73Cyanide486
74Methemoglobinemia492
Section XINatural and Environmental Toxins501
75Natural and Environmental Toxins501
76Herbal Products508
77Food Poisoning and Botulism515
78Marine Envenomations and Seafood Poisonings524
79Mushroom Poisoning533
80Poisonous Plants541
81Snake Envenomations548
82Arthropod Bites and Stings556
Section XIIISelf-Assessment Questions567
83Self-Assessment Questions567
Index593

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