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Professional Conduct
& Attitude
Skills
Knowledge
Health Supervision
Growth
Development
Behavior
Nutrition
Prevention of Illness
Issues Unique to Adolescence
Issues Unique to Newborns
Medical Genetics
Common Illnesses & Problems
Common Chronic Illnesses/Disabilities
Therapeutics
Fluid & Electrolyte Management
Poisoning
Pediatric Emergencies
Child Abuse
Child Advocacy
Clinical Cases
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Medical Student Curriculum Guide
Knowledge—Poisoning Prevention
& Treatment
Rationale
Poisonings and ingestions are major preventable causes of childhood morbidity
and mortality. Poison control centers across the U.S. receive more than 2
million calls a year regarding accidental ingestions and exposures to toxic
material.
Learning Objectives
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Describe the epidemiology and developmental vulnerability for poisoning
and accidental ingestions of infants, toddlers and children.
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Discuss the reasons for intentional ingestions in adolescents, including
substance abuse, experimentation and suicide.
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Describe the clinical manifestations, toxicity, and basic management of
ingestions of iron, lead, acetaminophen, tricyclics, caustic agents,
hydrocarbons, aspirin, and exposure to carbon monoxide.
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Describe the resources available to the physician for acute poisoning
management, including Poison Information Control Centers and textbooks.
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Know how/when to stop the absorption of an ingested substance.
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Identify the environmental sources of lead and discuss its clinical and
social importance of lead poisoning.
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Demonstrate sensitivity to the emotions of guilt and anxiety that may be
present in the parent or caregiver at the time of an ingestion.
Competencies
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Provide anticipatory guidance regarding home safety and appropriate
techniques to prevent accidental ingestions.
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Elicit an appropriate history surrounding an ingestion (type, route,
amount, timing), showing sensitivity to the emotions of guilt and anxiety
that may be present in the parent or caregiver.
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Demonstrate knowledge about the use of the poison control center and other
information resources in the management of the patient with an ingestion.
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