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Clinical aspects of injury and acute poisoning in Korean pediatric patients

Korean Journal of Pediatrics 2008;51(2):116-121.
Published online February 15, 2008.
Clinical aspects of injury and acute poisoning in Korean pediatric patients
Joon Seok Park, Mi Jin Lee
Department of Emergency Medicine, College of Medicine, Konyang University, Daejeon, Korea The Academic committee of the Korean Society of Clinical Toxicology
소아의 응급질환 - 우리나라 소아 및 청소년의 손상과 급성 중독을 중심으로 -
박준석, 이미진
건양대학교 의과대학 응급의학교실, 대한임상독성학회 학술위원회
Correspondence: 
Mi Jin Lee, Email: emmam@catholic.ac.kr
Abstract
Unintentional injuries are the most important cause of morbidity and mortality in the pediatric population, and the home is the most common site of injury for children in Korea. The most common cause of injury was slip down. Fall down and burn were frequent in infant/toddlers group, automobile and bicycle accident more frequent in preschool children. Findings from the survey could then be used to provide targets for direct educational efforts by medical services and to direct environmental safety modifications tailored to the unique situation of each family. Pediatric toxic ingestions are treated commonly by pediatricians and emergency physicians. Significant injury after these ingestions is infrequent, but identifying the dangerous ingestion is sometimes a difficult task. By performing a detailed history, focused physical examination, and directed laboratory evaluation, an estimation of risk can be developed. According to recent Korean poison papers, there were bimodal peak of age distribution in poisoned children patient on the whole: infant and adolescents group. Various types of materials belonged the classes of drugs, household products, and industrial solvents. Most of the poisoned children patients had been poisoned accidentally, while most cases of adolescents poisoning had been intentional. More than half of the adolescents group had a suicidal purpose in Korea, so an understanding of the demographic factors associated with self-harm poisoning may provide useful information to improve prevention and treatment strategies.
Key Words: Injuries, Poisoning, Children, Korea


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