The Metals Issue offers the opportunity to put into writing some of the impromptu comments I made at the conclusion of Dr. Allister Vale's eloquent keynote lecture on chelation therapy for plumbism...
SELBST, STEVEN M. MD; KULICK, ROY MD, MS; HENRETIG, FRED MD; BAKER, M DOUGLAS MD Author Information
AVNER, JEFFREY R. MD, Co-chairperson; ISAACMAN, DANIEL MD, Co-chairperson; BAKER, M. DOUGLAS MD; GAUSHE, MARY ANN MD; HEGENBARTH, MARY MD; HENRETIG, FRED MD; HODGE, DEE III MD; KASSUTO, ZACH MD; KLASSEN, TERRY MD; JAFFE, DAVID MD; KING, CHRISTOPHER MD; KRUG, STEVEN MD; ORENSTEIN, JULIAN MD; RUTHERFORD, MARY MD; SACCETTI, A L MD; SALOMON, MORTON MD; STENKLYST, PHYLLIS MD; TUNICK, MICHAEL MD; WILEY, JAMES III MD; ZECCARDI, JOSEPH MD
In 1991 the Centers for Disease Control and Prevention (CDC) published an update of their pamphlet Preventing Lead Poisoning in Young Children: A Statement by the Centers for Disease Control. 1 In this updated version, the CDC significantly lowered the recommended blood lead levels that physicians should consider unacceptable. Whereas previous recommendations, published in 1985, considered blood lead levels of 1.2 μmol/L (25 μg/dL) or greater to be indicative of lead poisoning, the new guidelines considered a blood lead level of 0.48 μmol/L (10 μg/dL) or greater to be toxic. The 1991 publication went on to state, Our goal is that all children should be screened [for lead poisoning] unless it can be shown that the community in which the child lives does not have a childhood lead poisoning problem. As a response to this lower threshold for lead toxicity and the recommendation by the CDC and others that all
The cases of two asthmatic adolescents who overdosed on albuterol are presented. Both patients were tremulous, tachycardic, and hypokalemic. Both were treated successfully with IV propranolol. Neither patient developed bronchospasm. The toxicity of albuterol overdoses and its treatment are discussed.
FLEISHER, GARY R. MD, Editor; Discussants; KEARNEY, THOMAS E. PharmD; HENRETIG, F. MD; TENENBEIN, MILTON MD
Proceedings of the Annual Meeting of the American Academy of Pediatrics, Section on Emergency Medicine: PDF Only