@article{ref1,
title="Pediatric poisoning management: how clinical practice can benefit from forensic approach",
journal="Journal of forensic sciences",
year="2024",
author="Basilicata, Pascale and Marisei, Mariagrazia and Guadagni, Rossella and Sibilio, Michelina and Niola, Massimo and Pieri, Maria",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Pediatric population represents the most vulnerable and at risk for unintentional poisoning, with children younger than 6 years old accounting for nearly half of poison exposures. Poisoning is a time-dependent emergency. The need to reach a scientific agreement on diagnostic protocol and treatment seems to be crucial to reduce morbidity and mortality. Starting from a buprenorphine pediatric intoxication case, this article highlights the limits and pitfalls of the traditional diagnostic approach. Diagnosis of drug intoxication was achieved after several days when an in-depth diagnostic investigation became necessary and complete forensic toxicological analyses were performed. <br><br>RESULTS evidenced an alarming lack of an unequivocal diagnostic protocol in case of suspect intoxication in structures not provided with a forensic toxicological service/unit. Collection of biological specimens according to forensic protocols at hospitalization plays a paramount role in the definitive diagnosis of intoxication. A diagnostic algorithm that focuses on medical history and biological specimen collection timing is herein proposed, in order to unify emergency approaches to the suspected poisoned child.<p /> <p>Language: en</p>",
language="en",
issn="0022-1198",
doi="10.1111/1556-4029.15517",
url="http://dx.doi.org/10.1111/1556-4029.15517"
}