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Grand Rounds: Pediatric and Adolescent Ingestions: An Ongoing Problem


By Martha Blackford, PharmD, Laura Markley, MD, and Kara Weichler, DO , Akron Children's Hospital, Akron, OH

Objectives (Educational Content) :

1. Recognize trends for national data on pediatric and adolescent ingestions and present findings from our 6-year retrospective review. 2. Consider the role of the primary care pediatrician in preventing ingestions and advocating for safety. 3. Examine the concept of 'Adolescent-Proofing' the home.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

New information for the primary care physician on ingestion prevention.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:


Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.


Drs. Blackford, Markley and Weichler have all indicated that there are no relevant financial or other relationships with any commercial interests and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Gummin DD, et al. 2020 Annual report of the American association of poison control centers’ national poison data system (NPDS): 38th annual report. Clin Tox 2021; 59: 1282-1501.

Poison Center Data Snapshot – 2016. Available at: reports/12 21 2017 2016 Annua.pdf. Accessed February 27th 2018.

Bateman, ST. Pediatric poisonings: Do they really need that PICU bed? Ped Crit Care Med. 2017; 18: 727-728.

Evan KM, Armsby CC, Bateman ST. Poisoning requiring admission to the pediatric intensive care unit: A 5-year review. Clin Toxicol 2014; 52:519-524.

Lacroix J, Gaudreault P, Gauthier M: admission to a pediatric intensive care unit for poisoning: A review of 105 cases. Crit Care Med. 1989; 17:748-750

Patel MM, Travers CD, Stockwell JA, Geller RJ, Kamar PP, Grunwell JR.  Analysis of interventions required in 12,021 children with acute intoxications admitted to the PICUs.  Ped Crit Care Med 2017; 18:e281-e289. Retrieved from

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