Toxicology

Wake, Bake, and Educate: What Are Minor Cannabinoids?

With the growing legalization and availability of THC products, pediatric ED visits related to edible ingestion are on the rise. Here on HipPEMcrates, we have covered the concerning trends, the lack of proper labeling, and the small doses needed for severe toxicity in children. The Philadelphia Poison Center recently issued an important alert outlining key definitions

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Clinical Scenario: The Baby Who Turned Blue

🧠 The Case A 5-month-old infant presents to the ED with: Initial Workup: “The blood drawn looked… brownish.” 🩸 The Turn: Chocolate Blood + Unexpected Hypoxia Blood gas reveals a methemoglobin level of 31.6%(normal is <1.5%) You immediately recognize this as methemoglobinemia—a condition where hemoglobin is oxidized (Fe²⁺ ➝ Fe³⁺) and can no longer carry

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The 3…Emerging Threats in Pediatric Poisoning

1. Edible Cannabis: A Growing Risk With the legalization of cannabis in many states, the availability of edible cannabis products has skyrocketed. These products—often packaged like everyday snacks such as candies, chocolates, or baked goods—are highly attractive to children. From 2017 to 2021, pediatric exposures to THC (the active ingredient in cannabis) in children under

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The 3…Toxicology Articles You Should Read Right Now

1. Management of Acetaminophen Poisoning in the US and Canada: A Consensus Statement Intentional overdoses are on the rise, with acetaminophen (Tylenol) remaining a common agent due to its widespread availability. This article reviews current best practices in managing acetaminophen toxicity, clearly defining acute ingestion as occurring within a 24-hour period. It also addresses the

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From Tylenol to THC: Small Patients, Big Threats

While respiratory illnesses like asthma and bronchiolitis are often the “bread and butter” of the Pediatric ER, drug overdoses and poisonings are rising at an alarming rate. Between 2019 and 2020, overdose-related deaths among children and adolescents surged by over 80%, making poisonings the third leading cause of death in this population—behind firearms and motor

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