Update on antidotes for pediatric poisoning.

Marjorie Lee White, Erica L Liebelt

Journal: Pediatric emergency care 2006;22(11):740-6; quiz 747-9

PMID: 17110870

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Abstract

Antidotes are playing an increasing role in therapy for pediatric poisonings. Although initial response to all pediatric poisonings begins with basic stabilization, knowledge of specific antidotes, their mechanisms of action, safety profile in pediatrics, and dosing regimens can be life-saving for pediatric victims of nerve gas exposure, acetaminophen toxicity, methanol and ethylene glycol ingestion, and snakebites. This article presents an overview of the pathophysiology, symptoms, antidotes, and emergency management of these toxicological emergencies.

Address: Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA. [email protected]

DOI: 10.1097/01.pec.0000245174.21041.bc

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MeSH Terms: Acetaminophen, Acetylcysteine, Administration, Oral, Adolescent, Antidotes, Antivenins, Child, Child, Preschool, Cholinergic Antagonists, Cholinesterase Inhibitors, Crotalid Venoms, Emergencies, Ethylene Glycol, Female, Fomepizole, Humans, Immunoglobulin Fab Fragments, Immunoglobulin Fragments, Infant, Infusions, Intravenous, Injections, Intramuscular, Male, Methanol, Poisoning, Practice Guidelines as Topic, Pyrazoles, Snake Bites, Syringes