Identification and initial management of intoxication by alcohol and other drugs in the pediatric emergency room

• Main Authors: Thiago Gatti Pianca (Author), Anne Orgle Sordi (Author), Thiago Casarin Hartmann (Author), Lisia von Diemen (Author)
• Format: Book
• Published: Elsevier.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1678-4782; 10.1016/j.jped.2017.06.015
• Keywords: Binge drinking; Substance abuse; Substance-related disorders; Pediatric emergency medicine; Pediatrics; RJ1-570
• Source: Jornal de Pediatria, Vol 93, Iss suppl 1, Pp 46-52

Abstract Objective: To review the screening, diagnosis, evaluation, and treatment of intoxication by alcohol and other drugs in children and adolescents in the emergency scenario. Data source: This was a narrative literature review. Data summary: The detection of this problem in the emergency room can be a challenge, especially when its assessment is not standardized. The intentional and episodic use of large amounts of psychoactive substances by adolescents is a usual occurrence, and unintentional intoxication is more common in children younger than 12 years. The clinical picture in adolescents and children differs from that in adults and some particularities are important in the emergency scenario. After management of the acute condition, interventions targeting the adolescent at risk may be effective. Conclusion: The diagnosis and treatment of intoxication by alcohol and other drugs in adolescents and children in the emergency scenario requires a systematic evaluation of the use of these drugs. There are few specific treatments for intoxication, and the management comprehends support measures and management of related clinical complications.