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Emergency Medicine Journal 2006;23:718-720; doi:10.1136/emj.2006.034926
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

TOXICOLOGY: AN AUSTRALIAN PERSPECTIVE

Toxicology case of the month: ingestion of two unidentified tablets by a toddler

D McCoubrie1, L Murray2,3,4, F F S Daly1,3,4 and M Little2,3,4

1 Royal Perth Hospital, Perth, WA, Australia
2 Sir Charles Gairdner Hospital, Perth, WA, Australia
3 University of Western Australia, Perth, WA, Australia
4 New South Wales Poison Information Centre, New Children’s Hospital, Westmead, NSW, Australia

Correspondence to:
Correspondence to:
L Murray
Emergency Department, Sir Charles Gairdner Hospital, Perth, WA, Australia; lindsay.murray{at}health.wa.gov.au

ABSTRACT

An asymptomatic 18 month old child presents to the emergency department of a small district hospital shortly after ingesting two unidentified tablets. A small number of pharmaceuticals and illicit drugs may produce life threatening toxicity in a small child if ingested even in one or two dose units and the onset of toxicity may be delayed for some agents. Following risk assessment, a rational management plan is devised and the child is carefully monitored. The patient is observed overnight and discharged home the following day.

Keywords: acute poisoning; child; tablets


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