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A Summer of Bites, Bottles, and Best Sellers!

Poison Breakfast Grab Bag...

Gaylord Lopez, PharmD, DABAT

Executive Director

LEARNING OBJECTIVES

  • Outline the various services of the GaPC
  • Review common calls routed to us this summer
  • Describe toxic effects of toxins presented

THIS IS US

POISON

CENTER

SERVICES

  • Human Poisonings
  • Animal Poison Center
  • Drug Information Center
  • Public Health Activities
  • COVID-19 call center
  • Contact Tracing
  • OSHA referrals
  • Stroke call center (MSN)

POISON CENTER SERVICES

OTHERS

  • Public Education
  • Professional Education
  • ITP
  • Health Fairs
  • Safe Kids Partnerships

POISON

FACTS and

FIGURES

  • Nationally- >2.1M poisoning exposures
  • Georgia- >78K

75%- general public (phone, web chat, email)

  • 25%- RNs, MDs, Rxs, EMS, Others
  • Most common type of unintentional injury (MVA, Falls)

POISON FACTS and FIGURES

Hotline Staffing (Specialists in Poison Information (SPIs)

  • NOT "operators"
  • Pharmacists
  • Nurses
  • Physicians

WHO

WHAT

WHERE

WHY

2019

WHO, WHAT, WHERE, WHY

RISK FACTORS

RISK FACTORS

CURIOSITY

MOBILITY

SUPERVISION

STORAGE

RECENT USE

CRC'S

DIDN'T SEE THAT COMING...

4. TOPICALS

3. VITAMINS

2. ANALGESICS

DID NOT SEE THAT COMING...

1. COUGH AND COLD'S

NON-DRUG

  • CLEANING PRODUCTS
  • PLANTS
  • PERSONAL HYGEINE

THAT'S INTERESTING!

MOST LETHAL TOXINS

4. ANTI-DEPRESSANTS

3. CCB'S

THAT'S INTERESTING!

2. ACETAMINOPHEN

1. CARBON MONOXIDE

CASE 1

BITES

  • 24 y.o. mowing, emptying clippings, wearing flip flops
  • Pinprick sensation to L foot
  • SNAKE!- attempts pick-up?
  • 2nd strike!- top R hand
  • Next 15-30"- pain, swelling

CROTALIDS

  • rattlesnakes, water moccasins, copperheads

VENOMOUS SNAKES IN GEORGIA

ELAPIDS

  • coral snakes

Diagnosis is often based on presenting signs and symptoms...however knowing the type of snake can be helpful

Diagnosis and Identification

Can you ID the snake based on the description?

  • Deciduous forests
  • 3-5 ft long
  • Grey with blk chevrons
  • Passive disposition

Gas station?

TIMBER RATTLER

  • Largest venomous in North America
  • Dark brown "diamonds"
  • Hunts "ambush style"
  • Strikes @ 175 mph

Girl's best friend

EASTERN DIAMONDBACK RATTLER

  • Common in wetlands, creeks, marshes
  • 3-4 feet long
  • Drab brown with black cross bands-- belly is dull yellow
  • Threat stance if disturbed

Footwear?

COTTONMOUTH

  • Found in wooded areas, terrestrial habitats
  • Lt brown w/ dark hourglass cross-bands..."hershey kisses"- 2-3' long
  • Diet of mice, lizards, insects
  • Sit and wait predator

Metal

Head

COPPERHEAD

  • Name derived from habit of eating other snakes
  • Docile- active in the evening
  • "Constrictor" type snake
  • Immune to pit viper venom

Elvis

BAD A$$

A.K.A.

KING SNAKE

RED

ON

  • South GA resident
  • 1-2 ft long
  • Black nose w/ yellow, black and red bands
  • Short fixed fangs

YELLOW

...kill a fellow

RGB

#ff7f50

CORAL SNAKE

FACTS/FIGURES

Snake Stats- GaPC facts

  • "season"- April-Oct (90%)
  • Since 2016- 2310 cases
  • ~460 / year
  • 2020 YTD- 508 cases!
  • Males > Females (63%)
  • 27% - <19 yo
  • Age group with most cases?

Facts and Figures

TREATMENT

Snake bites- Do's/Dont's

  • DO...go to ER asap!
  • No cutting
  • No sucking
  • No tourniquets
  • No ice
  • No electric shock
  • No pain meds

Treatments Antidotes

<25%

BOTTLES

BOTTLES

BOTTLES

Case 2

IT'S JUST NOT ADDING UP

  • Metro area hospital calling about 8yo child who just arrived
  • Father states child was a bit "dizzy" the day prior
  • RN states child has "history" of drinking ??hand sanitizer?? during MATH CLASS!!
  • Child exhibiting slurred speech, dizziness, drowsiness- appears intoxicated

Just the facts

  • High alcohol content
  • Some products scented
  • Readily available
  • High demand/use
  • No CRC
  • Benefits vs Risks
  • Toxic effects under appreciated

Hand Sanitizer Facts

Hand Sanitizer case

Case 2 con't

TAKE AWAY THE KEYS!

  • Vital signs WNL
  • Blood glucose- WNL
  • LFT
  • Slightly acidotic
  • Eating, still appears intoxicated

Alcohol level- .180!!

note: legal intox= 0.08

BEST SELLERS

BEST SELLERS

BEST SELLERS

CASE 3

DON'T BLAME THE KID!

  • Mom calling about 5 y.o. who drank a couple of mouthfuls worth of bleach
  • She was cleaning and poured product into a red solo cup for later dilution
  • Instructed child take his vitamin and follow with a drink of water
  • Child consumed, then started to gag, cough, then vomit

BEST SELLERS-

BLEACH

CLEANERS

CASE 4

BEST SELLERS- DISENFECTANTS

  • Unidentified female calling from metro area police department
  • Wanted to remain anonymous
  • Calling in concerned about her safety/health as well as for others in her department
  • Newly implemented procedure

WHAT IN THE

ACTUAL #!&$

PRIOR TO ENTERING-SPRAYED DOWN HEAD TO TOE WITH...

BEST SELLERS-DISINFECTANTS

DISINFECTANTS

CONTACT US

georgiapoisoncenter.org

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