Biomedical subjects
H C Mofenson
Publications and source records attributed to H C Mofenson.
Ingestions considered nontoxic.
The authors have compiled a list of common household products and drugs that are frequently ingested by children and may be considered nontoxic unless taken deliberately or in large amounts. An understanding of the nontoxic ingestion should prevent overtreatment and decrease emergency room visits.
Ingestions considered nontoxic.
We have compiled a list of common household products and drugs that are frequently ingested by children and may be considered nontoxic unless taken deliberately or in large amounts. An understanding of the nontoxic ingestion should prevent overtreatment, decrease emergency room visits, and allow physicians and poison control centers the opportunity to practice poison prevention. The reporting of all ingestions is encouraged to obtain information on the human experiment that occurs when a non-edible material is ingested. Only as we accumulate this knowledge will we be able to advise with a degree of certainty what treatment is needed.
Ingestion of small flat disc batteries.
Management of ingestions of small flat disc batteries has been controversial. The Nassau County Medical Center's Long Island Regional Poison Control Center has had 30 calls concerning battery ingestions in the past 16 months. In 1976, the National Clearinghouse for Poison Control Centers reported 42 battery ingestions for the entire nation. Only one of our cases required surgery because the battery remained in the cecum for five days. The battery was removed intact. Management guidelines for ingestions of batteries containing alkali or toxic metals are suggested.
Lidocaine toxicity from topical mucosal application. With a review of the clinical pharmacology of lidocaine.
A case is reported of an infant who experienced seizures while being treated with a topical lidocaine 2% solution (Xylocaine 2% Viscous) for teething. The pharmacology of lidocaine is reviewed to alert physicians to the potential dangers of topical mucosal application of these preparations.
Prevention of childhood injuries: morbidity and mortality--an overview.
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Aspiration accidents: choking and drowning.
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Hazards of battery ingestions.
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Paraquat intoxication: report of a fatal case. Discussion of pathophysiology and rational treatment.
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Emergency treatment of the choking child.
The Committee on Accident and Poison Prevention of the American Academy of Pediatrics concurs with the American Heart Association and the National Academy of Sciences-National Research Council recommendation that the relief of foreign body airway obstruction in infants and children should be achieved through a combination of back blows and chest thrusts. The four back blows are intended to produce an artificial cough resulting in increased pressure in the blocked respiratory passages. The four chest thrusts are added to give an additional sustained pressure increase to facilitate expulsion of a foreign body. The use of the abdominal thrust is not recommended and blind finger sweeps should be avoided. Infants should be held face down with the head lower than the trunk; older children can be placed across the thighs. The back blows are delivered with the heel of the hand. The chest thrusts are delivered as for external cardiac compression. Physicians and the general public should be familiar with recommended resuscitation techniques.
Emergency room care of the poisoned child.
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Drugs in sports.
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Gallbladder hydrops: complication of Kawasaki disease.
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Activated charcoal updated.
Activated charcoal, commonly recommended for treatment of chemical ingestions, is the residue from destructive distillation of various organic materials treated to increase its adsorptive power. Since there are no known side effects, the dose should be sufficiently large for optimum adsorption. In the literature, the recommended doses range from 30 gm to 120 gm, or in a charcoal-drug ratio of 10:1. For maximum effect, activated charcoal should be administered within 30 minutes of ingestion. It can be given while its effectiveness for a particular toxic substance is verified.