EM Cases · Iron poisoning
Toddler iron overdose — chelation resus station
ACEM Fellowship OSCE resus station on severe paediatric iron poisoning, decontamination without charcoal, and desferrioxamine.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A toddler with maternal ferrous sulphate ingestion, radio-opaque tablets, high serum iron and early shock.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References6ShowHide
- [1]Tenenbein M. Toxicokinetics and toxicodynamics of iron poisoning. Toxicology Letters, 1998.PMID 10022330
- [2]Manoguerra AS, et al. Iron ingestion: an evidence-based consensus guideline for out-of-hospital management. Clinical Toxicology, 2005.PMID 16255338
- [3]Tenenbein M The role of whole bowel irrigation in the treatment of toxic ingestions. British Journal of Clinical Pharmacology, 2023.PMID 36639859
- [4]Baranwal AK, Singhi SC Acute iron poisoning: management guidelines. Indian pediatrics, 2003.PMID 12824662
- [5]Hoegberg LCG, Gosselin S, Buckley NA, et al. Recommendations from the Clinical Toxicology Recommendations Collaborative on the administration of activated charcoal in acute oral overdose. Clinical toxicology (Philadelphia, Pa.), 2026.PMID 41906697
- [6]Ioannides AS, Panisello JM Acute respiratory distress syndrome in children with acute iron poisoning: the role of intravenous desferrioxamine. European journal of pediatrics, 2000.PMID 10664227