Foreign Body & Battery Ingestion

Twistadmin Poison Alerts

“Kids Swallow the Darndest Things” News headlines earlier this year sounded the alarm,  “Toddler Dies After Ingesting Button Battery,” and “Child Nearly Dies After Swallowing Magnets.”  Oral exploration of small objects is a typical behavior of young children. Occasionally the object being mouthed is swallowed, and parental anxiety goes off …

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Synthetic Cannabinoids

Twistadmin Poison Alerts

Be on alert there are reports in both the media and to poison centers, of what appears to be an emerging drug of abuse. Often patients are calling the substance “synthetic marijuana.”. No one, however, positively has identified the actual chemical involved in these exposures. Calls to some of the …

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The FLACK about FLAKKA

Twistadmin Poison Alerts

New recreational drugs are hitting the international scene at a rapid-fire pace – by some estimates one novel substance a week.  In 2015, one of these made the news in Florida and was also reported in other states across the country.  This drug goes by the name of  “flakka,” derived …

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Carbon Monoxide Poisoning: Risk without Warning Properties

Twistadmin Poison Alerts

You knew it for the Board exam….but do you know it when you see it?  Carbon monoxide poisoning should feature prominently on the differential diagnosis for non-specific, flu-type symptoms during cold weather. Risk without warning properties Carbon monoxide (CO) is a tasteless, odorless, colorless, non-irritating gas that gives no warning …

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Why Call The Poison Center

Twistadmin Poison Alerts

All things are poison.  It is only the dose that differentiates a poison from a remedy.” – Paracelsus (1493-1541) Yes, but what’s the crucial dose?  The Specialists in Poison Information at the Missouri Poison Center are ready to figure that out. Difficult or Unusual Cases The Missouri Poison Center (MPC) can …

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Perils of Physostigmine

Twistadmin Poison Alerts

Classic Anticholinergic Toxidrome Hot as Hades (hyperthermia) Red as a beet (cutaneous flushing) Blind as a bat (mydriasis and loss of accommodation) Dry as a bone (reduced sweating and secretions) Mad as a hen (delirium and hallucinations) Does this describe a patient recently treated in your emergency room?! These symptoms …

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Nicotine – Acute Toxic Hazard in E-Cigarettes

Twistadmin Poison Alerts

Acute nicotine toxicity in children is on the rise due to the increase in “vaping” with electronic cigarettes by adults. E-cigarettes utilize nicotine and flavoring dissolved in a solution of propylene glycol, polyethylene glycol, and/or vegetable glycerin. When a small quantity of this liquid is passed over an interior heating …

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High-dose Insulin Euglycemic Therapy (HIET)

Twistadmin Poison Alerts

High-dose Insulin Euglycemic Therapy (HIET) is an advanced first-line treatment for life-threatening Calcium Channel Blocker (CCB) overdose. Its use has also proven efficacious in severe Beta Blocker (BB) poisoning, as well as combined exposure to both agents. HIET restores cardiac output and ameliorates associated symptoms while conventional therapies such as …

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Perplexing Paresthesias

Twistadmin Poison Alerts

PERPLEXING PARESTHESIAS – Could Your Patient Have a Pyrethroid Insecticide Exposure? The National Pesticide Information Center (NPIC), a cooperative effort between Oregon State University and the EPA, has noted that over the past ten years, there have been some significant changes in the types of insecticides that have been seen …

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Molly Are These Your Bath Salts?

Twistadmin Poison Alerts

Drug abuse with synthetic substances is not a new phenomenon, but it is interesting and can be challenging to health care providers.  Patterns of abuse and the types of drugs being abused changes over time.  There has been a dramatic increase in the use of synthetic drugs, including bath salts, …

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Button Batteries

Twistadmin Poison Alerts

The least considered… As the seasons turn so do the types of calls the Missouri Poison Center receives on the hotline.  From summer stings and sunscreen we now turn our attention to the winter’s mix of cold medicines, antifreeze, and one substance that often is not thought to be much …

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