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Toxic Ingestion Clinical Pathway – Emergency Department, ICU and Inpatient

Emergency Department, ICU and Inpatient Clinical Pathway
for Children with Known or Presumed Toxic Ingestion

Child with suspected or known toxic ingestion
 
 

ED Triage

Notify Poison Control Center (PCC)
1-800-222-1222
 
 

Critically Ill

 
 
 
 
 
 
Asymptomatic
and
No Ingestion Red Flags
Symptomatic
or
Asymptomatic with Ingestion Red Flags
 
 
  • Consider
    • POC glucose
    • ECG
 
 
Ingestion of known substance
and
Symptoms consistent with expected toxidrome and substance effects
Ingestion with intent to self-harm
or
Symptoms not consistent with expected toxidrome and substance effects
 
 
 
 
 
 
Management
 
 
Discharge or admit as clinically indicated

 

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