Curriculum Competencies and Objectives
PREFACE | PROFESSIONAL
CONDUCT AND ATTITUDES | SKILLS
DEVELOPMENT | BEHAVIOR
UNIQUE TO ADOLESCENCE |
ISSUES UNIQUE TO THE NEWBORN |
MEDICAL GENETICS AND DYSMORPHOLOGY | COMMON
ACUTE PEDIATIC ILLNESS |
COMMON CHRONIC ILLNESS AND DISABILITY | THERAPEUTICS
FLUID AND ELECTROLYTE MANAGEMENT | POISONING
PEDIATRIC EMERGENCIES | CHILD
ABUSE | CHILD
ADVOCACY | COMMON PEDIATRIC ILLNESS TABLE
CLINICAL ENCOUNTER TABLE | DIAGNOSIS LIST | CURRICULUM DEVELOPMENT PARTICIPANTS
Poisonings and ingestions are major preventable causes of childhood
morbidity and mortality. Poisoning control centers across the U.S.
receive more than millions calls a year regarding accidental and
non-accidental ingestions and exposures to toxic materials.
- Knowledge of the routes of absorption of toxins including the
gastrointestinal tract, the skin, and lungs.
- An understanding that a relationship exists between the mechanism
of injury, the child and the environment
- The concept of therapeutic index
- Describe the developmental vulnerability for poisoning and
accidental ingestions in infants, toddlers, children, and adolescents.
- List the ages at which prevalence of unintentional and intentional
poisonings is highest and the passive and active interventions
that decrease the incidence of childhood ingestions (e.g. locks
or safety caps). (CP)
- Describe the emotions of guilt and anxiety that may be present
in the parent, caregiver or child at the time of ingestion. (CP)
- Describe the environmental sources of lead, the clinical and
social importance of lead poisoning, and screening tools to identify
children at risk for lead poisoning. (CP)
- Describe the acute signs and symptoms of accidental or intentional
ingestion of acetaminophen (CP), iron (CP), alcohol (CP), narcotics
(CP) PCP (M), tricyclic antidepressants (M), volatile hydrocarbons
(M), and caustics (M).
- Describe the immediate emergency management of children with
toxic ingestions e.g. acetaminophen (CP), iron (CP), hydrocarbons
(M), and strong alkali (M).
- Describe the role of the Poison Control Center (1-800-222-1222)
and other information resources in the management of the patient
with an accidental or intentional ingestion. (CP)
- Describe the agents and acute signs and symptoms of intentional
chemical (e.g. cholinergic) or biologic agents. (M)
- Provide anticipatory guidance regarding home safety and appropriate
techniques to prevent accidental ingestions (see also Prevention)
- Elicit a complete history when evaluating an unintentional
ingestion or exposure to a toxic substance (including the substance,
the route of exposure, the quantity, timing, and general preventive
measures in the household) (U)
- Elicit a complete history surrounding the intentional ingestion
of a toxic substance (including the substance, route of exposure,
amount, timing, antecedent events, and stressors). (M)
here to link to the COMSEP Clinical Cases.