While traumatic injuries involving the hands, face, and, eyes during Independence Day celebrations are well-documented, systemic toxicity due to fireworks is less common but can also result in morbidity and mortality. Chemically, fireworks consist of an oxidizer potassium nitrate or perchlorate , reducer sulfur or chlorine , fuel carbon , a binder starch , and selected color metals.
Profound progressive hypokalemia causes severe ventricular dysrhythmias, hypertension, flaccid muscle weakness, respiratory failure, rhabdomyolysis and seizures.
Treatment Management includes aggressive repletion of potassium watch for rebound hyperkalemia and respiratory support. Intravenous magnesium is not recommended as it may cause precipitation of insoluble barium in the renal tubules. However, oral magnesium salts should be given to convert the soluble barium salts into their insoluble non-toxic form.
Decontamination with activated charcoal is not effective and gastric lavage can be considered with larger acute ingestions. Hemodialysis should be considered in patients not responding to aggressive repletion of potassium.
The child presented to ED one hour later with obtundation and profuse vomiting and diarrhea. WBC count was 20K and an abdominal radiograph was negative for radiopaque foreign bodies.
There are several forms of arsenic. Inorganic trivalent arsenic arsenite is the most toxic. Acute ingestion of mg of trivalent arsenic can be fatal. Pentavalent arsenate is also toxic, but less so than the trivalent form. The organic form, found environmentally in some seafood bivalve mollusks and algae, is essentially non-toxic.
Cardiovascular effects include prolonged QT intervals and may lead to torsades de pointes. We also use third-party cookies that help us analyze and understand how you use this website.
These cookies will be stored in your browser only with your consent. You also have the option to opt-out of these cookies. But opting out of some of these cookies may affect your browsing experience. Necessary Necessary. Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website.
These cookies do not store any personal information. Non-necessary Non-necessary. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website. The dangers posed to human lives by the use of firecrackers are not limited to physical injuries, or sometimes death.
There are also instances when firecrackers cause poisoning, particularly among young children. The Department of Health DOH says firecracker poisoning usually happens when a child accidentally swallows it after mistaking it for a delicious candy because of its attractive packaging. According to DOH Assistant Secretary Gerardo Bayugo, as the department intensifies its campaign against the use of firecrackers during the coming New Year's Eve revelry, especially among children, they are also reminding the parents to safeguard their kids from the dangers of firecracker ingestion.
J Plast Reconstr Aesthet Surg ; Cobley S. A firework in the mouth. Br Dent J ; An explosion in the mouth caused by a firework. J Plast Reconstr Aesthet Surg ;e
0コメント