The Top 7 Tox Articles of 2013

As we celebrate the year just ending, and welcome in 2014, let’s pause and remember some of the articles in the field of medical toxicology that most impressed TPR during 2013. The following 7 papers are listed in chronological order (links connect to TPR‘s discussion of each article): Pediatric Marijuana Exposures in a Medical Marijuana State. Wang GS et al. JAMA Pediatr 2013 July;167:630-3 With several states legalizing recreational marijuana — and many more allowing medical marijuana — cases of inadvertent pediatric exposure to cannabis will undoubtedly increase, and it is important for emergency practitioners to recognize presenting signs and symptoms.  This paper, from the University of Colorado and Rocky Mountain Poison Center — describes 14 cases in which findings of somnolence, lethargy, and ataxia were present. Overdose of drugs for attention-deficit hyperactivity disorder: clinical presentation, mechanisms of toxicity, and management. Spiller HA et al. CNS Drugs 2013 July;27:531-43. Since with the publication of DSM-5, the criteria for diagnosing attention-deficit hyperactivity disorder (ADHD) in children has been broadened considerably, emergency practitioners and medical toxicologists will most likely see more cases of overdose from ADHD drugs in 2014 and years going forward. This comprehensive article is tough reading, but the abstract makes most of the important points. Case 23-2013: a 54-year-old woman with abdominal pain, vomiting, and conf...
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical 2013 medical toxicology top articles Source Type: news