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Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Resuscitate before you decontaminate — the poisoned child

A bedside structured clinical encounter testing recognition of a poisoned child, resuscitation before decontamination, taking the four-question ingestion history, reading the toxidrome, calling the Poisons Information Centre, deciding on activated charcoal within the first hour, communicating, safeguarding in parallel, handover and disposition.

structured clinical encounter (resuscitation and toxicology leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A two-year-old child is brought to the acute assessment area forty minutes after swallowing an unknown number of tablets from a grandparent's medication, with the container available.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses first-impression recognition, leadership of resuscitation before decontamination, the four-question ingestion history, reading the toxidrome, calling the Poisons Information Centre, deciding on activated charcoal within the first hour, communication, reassessment, safeguarding in parallel, handover and disposition. [1] [9]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References4ShowHide
  1. [1]Hoffman RJ, Nillas A Toxidromes and a general approach to poisoning Archives of disease in childhood, 2025.PMID 39978865
  2. [3]Hoegberg LCG, Shepherd G, Wood DM, et al. Systematic review on the use of activated charcoal for gastrointestinal decontamination following acute oral overdose Clinical toxicology (Philadelphia, Pa.), 2021.PMID 34424785
  3. [9]Berg SE, McCann SD Pediatric Toxicology: An Updated Review Pediatric annals, 2023.PMID 37036778
  4. [12]Bond GR The role of activated charcoal and gastric emptying in gastrointestinal decontamination: a state-of-the-art review Annals of emergency medicine, 2002.PMID 11867980
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