The Reality of Poisoning

The Reality of Poisoning

As parents, grandparents, and child-care providers we all want to keep our children safe and secure, allowing them to live their full potential.  Prevention and knowledge of the leading cause of childhood injury; poisoning is a step toward reaching this goal. In the United States, everyday 300 children between the ages 0 to 19 are treated in the emergency department, two children die, as a result of being poisoned. It’s not just the chemicals in our home marked with clear warning labels that can be dangerous to children.

Everyday items in your home, such as household cleaners and medicines, can be poisonous to children as well. Active, curious children will often investigate; sometimes try to eat or drink anything that they can get into. Many household cleaners and medicines look like harmless items; candy, food, juice, or other type of beverage.

Pills look like candy

Cleaning products look like beverages 

Cleaning products look like food

Thankfully, there are ways you can help poison-proof your home and protect the children you love.

Prevention Tips

Lock them up. Keep medicines and toxic products, such as cleaning solutions, in their original packaging where children can’t see or get them.

Know the number. Put the national poison control center phone number, 1-800-222-1222, on or near every telephone in your home and program it into your cell phone. Call the poison control center if you think a child has been has been poisoned, they can be reached 24 hours a day, seven days a week. Call 911 if you have a poison emergency, if your child has collapsed or is not breathing.

Read the label. Follow label directions and read all warnings when giving medicines to children.

Don’t keep it if you don’t need it. Safely dispose of unused, unneeded, or expired prescription drugs and over the counter drug, vitamins, and supplements. To dispose of medicines, remove all identifying information, mix them with coffee grounds, kitty litter, soil, and water, and throw them away. You can also turn them in at a local take back program or during National Drug Take Back events.

Glow Sticks

One of the most popular items around Halloween is glow sticks, necklaces, bracelets, and wands.  The average Poison Control Center receives about 50 calls in a 24 hour period for exposures to these items on Halloween. Children and pets can bite into them or get the liquid in their eyes. The big question is what is in these glow products and is it harmful. There are three main ingredients in glow sticks; dibutyl phthalate, hydrogen peroxide, and the fluorescent color. The product is not activated until a glass vial on the inside of the plastic is broken allowing the liquids to mix together creating the glow. These products are low in toxicity but can be very irritating to the eyes, skin, and mucus membranes (mouth).

What to do for ingestion

• Don’t be alarmed if your child’s lip and tongue glow for a few minutes
• Wipe the mouth with a clean wet washcloth; go over the tongue and around the gum line
• Give the child a small glass of water or milk, 4 ounces for a child under four, and 8 ounces for a child older.

For eye exposure:

• Irrigate or flush eyes with generous amounts of room temperature water for 10-15 minutes.
• Call the Poison Control Center for persistent irritation, swelling, pain, or sensitivity to light.

For skin exposure:

• Remove any cloth that is wet with the liquid
• Wash the exposed skin areas thoroughly with soap and water

The glow stick or product is minimally toxic and does not cause long term damage to a child. If the child ingests a taste it may cause some irritation, nausea, or vomiting. It’s the same with pets in the animal get a hold of the product. Follow the above steps for the different exposure types. Questions call your local Poison Control Center 1-800-222-1222. The Poison Control Center is available 24 hours a day, 7 days a week, 365 days per year.

Poison Prevention Tips

Poison Prevention Tips

An interesting fact is most poisoning exposures occur when the product is in use. Here are a few tips to help reduce the chance of a poison exposure in your home or work place.

·         Store all household products and medicines out of reach and sight of small children and pets.
·         Store all medications separately from household products and household chemicals away from food.
·         Always read the label before using and follow the instructions on medicines, cleaners, pesticides, automotive, lawn and garden products for their proper use. Some of the first aid instructions on the product labels are often incorrect or dangerous.
·         Never store potential poisons in containers used for eating and drinking. Store all potential poisons in their original, labeled containers. Leave the original labels on all products.
·         Never refer to medicine as candy to a young child.
·         Attempt to avoid taking medication in front of small children.
·         Turn on a light when taking or giving a medication.
·         When you are using household chemical products and medicine, never let them out of your sight, even if you must take them along when answering the telephone or doorbell.
·         Clean out your medicine cabinet periodically.
·         Use child resistant closures; nothing is really child proof but a deterrent.
·         When in doubt call local Poison Control Center; 1-800-222-1222

The call is a free and confidential service provided by trained health care providers for poison exposures and prevention. The call could save an unnecessary expense of a trip to the emergency room.

1-800-222-1222

In the United States every 15 seconds a Poison Control Centers receives a call. The interesting factor is more than half the phone calls are made by an adult taking care of the child, when the child ingests or is exposed to a poisonous substance. The substances can include medicine, household chemical, and pesticides. The Center for Disease Control reports there is approximately 2 million poison exposures in the United States every year, more than 57% of the exposures are children under the age of 6. Approximately 30 children die every year related to accidentally poisonings. For children the most common exposure of household products includes; cleaning substances, medications, cosmetics, personal care products, foreign body ingestion  and plants. A staggering statistic of the majority of accidental poisonings is 90 percent occur in the home.

Children under the age of 6 are very curious and like to explore. It only takes a moment for a small child to find and swallow a poisonous substance. Distractions such as the telephone, doorbell, or cooking something on the stove is more than enough time for a little one to find something to get into. The Poison Control Center is the 9-1-1 for poison emergencies. The national line is toll-free and automatically routes the call to the local Poison Control Center, 1-800-222-1222. The center is staffed 24 hours a day, seven days a week with medical professionals; Registered Nurses, Pharmacists, Physicians, and Poison Information Specialists. It is recommended having the 1-800-222-1222 number posted by the home phone (landline) and saved as a favorite in an individual’s cell phone.

Helpful information to have when calling the Poison Control Center:

• Age of the victim
• Weight of the victim
• Existing health conditions or problems
• Substance or product involved, and the type of exposure-swallowed, inhaled, skin contact, or splashed in eyes. You may be asked to read the label exactly to help provide the necessary treatment recommendations.
• Time the exposure occurred
• Any type of first aid given- washed face, flushed eyes with water. The Poison Control Center does not recommend inducing vomiting; it can make the situation worse.
• Any symptoms the victim may have; vomiting, choking, irritation to skin or eyes
• The location and which hospital is nearest

Not all products are labeled correctly to deal with suspected poisonings. An example may be ingestion of dish soap and the recommendation is to drink several glasses of water. Depending on the size of the person ingesting this product can change the recommendations. Small children do not do well drinking several glasses of water at once and may vomit. Some products do not have warning labels; this does not mean the product is safe for ingestion.  Looking up product information on the internet is not always reliable and providing the correct information, an individual’s best opportunity is to call the Poison Control Center.

Button batteries, harmful for small children, elderly, and pets

Have you ever noticed the amount of toys or products that use those small harmless looking button batteries? Those flat silver discs used in toys like remote control cars, musical greeting cards, bathroom scales, watches, flameless candles and many other types of home electronics. Some are lithium batteries in which pose the greatest potential for harm. There is an average of 3,500 button battery ingestions reported annually to Poison Control Centers. Swallowing batteries is not a new trend for children, elderly adults, or pets to ingest. The concern is over the years is the development of stronger, larger lithium cell batteries, increases the risk of potential severe complications to the individual following the ingestion. Most parents and adults are unaware of the potential for danger from these little items.

Deaths from battery ingestions are rare, per the poison center information there were 10 documented deaths in the past 6 years. Small children, elderly adults, and pets may view the battery as candy, medication, or food. The greatest concern is if the battery gets lodged in the esophagus. The battery has low voltage current that can be completed if it comes in contact with the right environment (a throat or esophagus), and cause severe damage; burns, erosions. One of the physicians from the Journal of Pediatrics did a test, he uses a hot dog and inserted a button battery in it to get an idea how it would react. The hot dog casing is similar to the esophagus of a human; the battery cooked the hot dog.

Possible complications from an ingestion of the battery, is the risk of getting lodged in the vocal cords or esophagus. This can cause serious injury to the vocal cords and digestive tract. Depending on the size of the battery the greater the risk, the larger the battery increase chance for serious injuries. The button battery has popular appeal and the manufacturing industry has shifted towards using this more frequently. Federal safety rules require toys that use the batteries to have a battery compartment that requires the use of screws as a deterrent for access to children. Unfortunately there are not such regulations or rules for devices intended for adult use, bathroom scales, watches, greeting cards, flameless candles or other electronic devices.

Children and pets will find the battery loose and ingest it without an adult even being aware. The common age of ingestion in children is 6. Elderly adults can also be at risk for ingestion of a button battery, thinking its medication when in fact it may be a hearing aid battery. There is a 2 hour window following battery ingestion before symptoms may be observed before complications can occur. Once burning occurs the damage may continue even when the battery has been removed. A majority of the time the ingestions are not witnessed. Children have been able to breathe with a disc battery in the airway; it is not an obvious ingestion and the child will not appear in distress. Children or pets may present with symptoms that are nonspecific; coughing, wheezing, vomiting, drooling, and refusing to eat are possible symptoms. This can be diagnosed as something else such as stomach flu or pneumonia. Information for handling ingestion in children, elderly, and pets is similar.

Tips for battery safety

• Search your home, and any place a child has potential to go for any device or gadget that may use disc lithium batteries
• Secure disc lithium battery controlled devices out of sight and reach of small children. Keep loose batteries locked up or in a safe area.
• Pass the information on to family members, babysitters, friends, and caregivers these important tips.

What to do is a disc battery has been ingested

• Go to a local emergency room immediately.  Inform health care providers of your concern that your child may have ingested a disc battery; if possible provide the identification number found on the battery package.
• Do not let the child eat or drink anything until a chest x-ray is completed to determine if a battery is present.
• Do not induce vomiting

For more information contact:

• National Battery Ingestion Hotline at 202-625-3333
• Poison Control Center 1-800-222-1222