@article{ref1,
title="Acute barium toxicity from ingestion of "snake" fireworks",
journal="Journal of medical toxicology",
year="2009",
author="Rhyee, Sean H. and Heard, Kennon",
volume="5",
number="4",
pages="209-213",
abstract="INTRODUCTION: Ingestion of fireworks has been infrequently reported in the medical literature. We describe a case of acute barium poisoning following firework ingestion. CASE REPORT: A 35-year-old male with a history of severe mental retardation presented with vomiting and diarrhea following ingestion of 16 small fireworks (&quot;color snakes&quot; and &quot;black snakes&quot;). His condition rapidly deteriorated and he developed obtundation, wide complex dysrhythmias, and respiratory failure. Approximately 12 hours following ingestion, his serum potassium level was 1.5 mmol/L with a serum barium level of 20,200 mug/mL (reference range<200 mug/L). The patient eventually recovered with ventilatory support and potassium supplementation. DISCUSSION: Although firework ingestion is uncommon, clinicians should be prepared for potentially severe complications. In the case of barium poisoning, treatment consists of potassium supplementation, along with respiratory and hemodynamic support.<p /> <p>Language: en</p>",
language="en",
issn="1556-9039",
doi="10.1007/BF03178269",
url="http://dx.doi.org/10.1007/BF03178269"
}