A Case Series of Marijuana Exposures in Pediatric Patients Less than 5 Years of Age

Autor/inn/en	Wang, George Sam; Narang, Sandeep K.; Wells, Kathryn; Chuang, Ryan
Titel	A Case Series of Marijuana Exposures in Pediatric Patients Less than 5 Years of Age
Quelle	In: Child Abuse & Neglect: The International Journal, 35 (2011) 7, S.563-565 (3 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2011.03.012
Schlagwörter	Child Abuse; Marijuana; Mental Retardation; Physicians; Identification; Patients; Drug Therapy; Preschool Children; Hospitals; Records (Forms); Symptoms (Individual Disorders); Poisoning; Drug Use; Clinical Diagnosis; Family Environment; Food; Primary Health Care; Child Welfare; Welfare Services; Colorado + Suchen Sie Ihr Suchwort? Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Geistige Behinderung; Physician; Doctor; Arzt; Identifikation; Identifizierung; Patient; Pre-school age; Preschool age; Pre-school education; Preschool education; Vorschulalter; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Krankengymnast; Krankenhaus; Formularsammlung; Psychiatrische Symptomatik; Drug consumption; Substance abuse; Drogenkonsum; Familienmilieu; Lebensmittel; Gesundheitsvorsorge; Kindeswohl; Fürsorgeeinrichtung
Abstract	Objective: In Colorado, there has been a large increase in medical marijuana dispensaries and licenses for the use of medical marijuana over the past year. This is a retrospective case series of marijuana exposures that have presented to the emergency department (ED) in children less than 5 years of age. Methods: We performed a retrospective chart review of electronic health record from October 2009-March 2010 for patients less than 5 years of age with the ICD-9 code 969.6 (poisonings by psychodysleptics, hallucinogens) at a tertiary care, freestanding children's hospital. Results: A total of of five patients all less than five years of age who presented to the emergency department with symptoms of somnolence whose ultimate diagnosis was marijuana exposure. Four of the five home environments had the presence of medical marijuana cards. Conclusion: With the increasing use of marijuana for medical purposes and the expansion of marijuana into food products, exposures/ingestion in children are likely to increase in the future. Therefore, in medical marijuana jurisdictions, primary care and ED physicians should consider marijuana exposure/ingestion in the differential diagnosis of the child who presents with altered mental status, to enlist the services of a Child Protection Team where available, and to report such exposures/ingestion to the local child protective services. (Contains 1 table.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10