Fast Facts in Childhood Poisoning Sumitha Nayak
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1Fast Facts in Childhood Poisoning2
3Fast Facts in Childhood Poisoning
Sumitha Nayak MD DNB PGDMLS PGDGC Consultant Pediatrician The Children's Clinic Bengaluru, Karnataka, India Foreword Padmaja Aradhya
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This book has been published in good faith that the contents provided by the authors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the authors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the authors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Fast Facts in Childhood Poisoning
First Edition: 2013
9789350906323
Printed at
5Dedicated to
All my little patients who have helped me, through the years, to hone my skills as a pediatrician.
All my teachers, who taught me the skills of pediatrics.
My close friends and colleagues, who have inspired me to attempt to reach higher goals.
Above all, my family, who has stood behind me always, in all my endeavors and constantly encouraged me to reach for the stars.
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7Foreword
Common poisons available in households differ according to the nationalities. They depend on the culture, economic status, beliefs and needs of the people. Therefore, poison control policies need to be designed according to cultural and societal requirements. Here in the United States of America, poison control to a large extent, has been easier as there is a centralized poison control center where we can make a phone call and read out the label of whatever the child has consumed and we will be guided through with appropriate management. Unfortunately, in India there is no such centralized poison control.
Dr Sumitha Nayak has written this book, which would be of great help to physicians who are managing childhood poisonings in their clinics and hospitals. For instance, kerosene oil, which is available in almost every home, can be consumed by a child, the management of which can be difficult for, say, a pediatrician in Greece or any other country. This book offers management of such incidences and will give a quick reference and treatment and help avoid long-term complications. Organophosphorus compounds can be very dangerous in any patient, pediatric or adult. To recognize even the symptoms of organophosphorus compounds can be quite formidable and daunting if you do not know what to look for. Every Indian physician is aware of scorpion bites and snake bites, which are common in India and the management of which can be very difficult without knowing exactly what to look for. This book will be quite handy and helpful in the exercise and control of such incidences. Drugs like tricyclic antidepressant can affect the cardiovascular system and the management of which becomes not only urgent, but also life saving. Every pediatrician is aware of lead poisoning, which can result in encephalopathy in young kids. Recognition of these common, but lethal incidences can lead to a better outcome for the patients and make for a better physician. Last, but not least, the medications, which are commonly kept at home, like 8paracetamol and non-steroidal anti-inflammatory drugs can be quite dangerous in young children even when taken in small quantities.
I am writing a foreword for my good friend, Dr Sumitha Nayak for the second time and I wish her all the best in her endeavors. This is a very valuable book and I hope to see a lot more books by her, which would be of practical use to the physician community worldwide.
Padmaja Aradhya MD
Diplomate American Board of Psychiatry and Neurology (Neurology), Diplomate American
Board of Electrodiagnostic Medicine, Diplomate American Board of Psychiatry and Neurology (Neuromuscular Medicine), Diplomate American Board of Psychiatry and Neurology (Vascular Neurology)]
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9Preface
Fast Facts in Childhood Poisoning is a concise book covering all aspects of childhood poisonings. This book was conceptualized when, as a postgraduate student, I was faced with the daunting task of handling poison cases, in an emergency situation, with no time to open the large textbooks to check every step in the management of the patient. I felt the need for a handy book, which could be easily carried in the coat pocket and which would act as an immediate guide for all the needs of the case, in terms of investigations to be done, emergency management and definitive management, specific antidotes and as well as follow-up care. In short, the book must provide comprehensive and current information on the management of poison cases.
This book has attempted to cover all the needs in a convenient and easy to follow format, with tables, diagrams and algorithms and wherever indicated mnemonics for easy recall. It also covers topics related to prevention of poisoning, counseling for prevention of poisoning and follow-up care. Extensive research has ensured current management and standard international practices for every topic.
It is an invaluable book for all pediatricians, intensivists, physicians and students who handle cases of poisoning in children.
Sumitha Nayak
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11Acknowledgments
My deep gratitude to Prakash, my dear husband, who has given me unconditional support through all my trials in life and has always encouraged me to follow my dreams and reach for the stars.
Nikhil and Nishant, my dearest and loving sons, who have always been my best critics and have assisted me whenever I have faltered in the use of technology.
To my family, dear friends and well-wishers who have spared their valuable time and encouraged me with their good wishes.
And above all, to my beloved parents, who taught me to stand on my feet and always encouraged me to stretch out and reach for the impossible.