Temple A R
Pediatrics. 1984 Nov;74(5 Pt 2):964-9.
Physicians can significantly decrease the frequency and severity of poisoning by educating parents and families in poison prevention. Appropriate strategies for poison prevention education require an examination of epidemiologic characteristics of exposures and potential intervention techniques. Parents should be taught immediate first-aid steps, such as initiating basic life-support measures and irrigation and dilution, that can be taken before seeking medical assistance. Other consumer actions, such as inducing emesis, require medical supervision. The poison control center is the best source for information and advice on treating poisoning. To decrease the frequency of poisoning, parents should be taught to purchase, store, and handle potentially toxic products appropriately. The purchase of household chemicals and drugs in child-resistant safety packaging should be encouraged. To decrease the severity of poisoning, parents should post the phone number of the local poison center, be able to initiate first-aid measures, and keep ipecac syrup on hand. Ideally, a physician should establish a preventive education schedule and discuss poison prevention with parents at regular well-child visits, beginning when the child is very young.
医生可以通过对家长和家庭进行预防中毒教育,显著降低中毒的频率和严重程度。预防中毒教育的适当策略需要审视接触毒物的流行病学特征和潜在的干预技术。应教导家长在寻求医疗救助之前可采取的立即急救步骤,如启动基本生命支持措施以及冲洗和稀释。其他消费者行为,如催吐,则需要医疗监督。中毒控制中心是获取中毒治疗信息和建议的最佳来源。为了降低中毒频率,应教导家长正确购买、储存和处理潜在有毒产品。应鼓励购买采用防儿童开启安全包装的家用化学品和药品。为了降低中毒的严重程度,家长应张贴当地中毒控制中心的电话号码,能够启动急救措施,并备有吐根糖浆。理想情况下,医生应制定预防教育计划,并在儿童定期健康检查时与家长讨论中毒预防问题,从孩子很小的时候就开始。