A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach?

  title={A 10-year review of cannabis exposure in children under 3-years of age: do we need a more global approach?},
  author={Isabelle Claudet and Mathilde Le Breton and Camille Br{\'e}hin and Nicolas Franchitto},
  journal={European Journal of Pediatrics},
AbstractPediatricians working in an emergency environment are confronted with children admitted to emergency departments for intoxication on a daily basis. We carried out a retrospective cohort study of children admitted to a pediatric emergency department due to unintentional cannabis exposure over a 10-year period from 2004 to 2014. Twenty-nine children under the age of 3 were admitted with a positive cannabis urine test. Eighty-seven percent of intoxications occurred at the family home… 

Unintentional cannabis exposures in children pre- and post-legalization: A retrospective review from a Canadian paediatric hospital.

The authors' data confirm increased paediatric hospital visits related to unintentional cannabis exposures post-legalization, and consideration of this clinical presentation is critical for acute care providers.

Evaluation of Acute Cannabis Intoxication in Pre- School Children Admitted to Poison Control Center –Ain Shams University Hospitals

The prevalence of acute cannabis toxicity in pre-school children (less than 6yrs) has dramatically increased and can be evaluated simply by using PSS, and public education is very necessary to decrease the problem.

Pediatric cannabis intoxication trends in the pre and post-legalization era

The recreational cannabis legalization in Canada is associated with increased rates of severe intoxications in children, and edible ingestion is a strong predictor of ICU admission in the pediatric population.

Cannabis Product Ingestions in Pediatric Patients: Ranges of Exposure, Effects, and Outcomes.

There was a low incidence of need for respiratory support in the population, but hospital admission was more common, and severe symptoms, need, and hospital admission were more frequent in younger children, and larger studies are needed to explore the relationship between THC dosage, age, and incidence of adverse outcomes.

Cannabis Intoxication, a Neglected Cause of Altered Level of Consciousness in Children: A Case Series

Three cases of toddlers who were admitted to the emergency department over a 12-month period with ALC due to cannabis intoxication are reported, highlighting how clinical presentation of cannabis intoxication can be variegated.

Accidental Acute Cannabis Intoxication Presenting as Seizure in Pediatrics Patients

Physicians should consider cannabis ingestion in their differential diagnosis when a child presents with seizures and other neurological impairments, due to the appealing nature of edibles and its easy consumption.

THC intoxication in a 16-month-old child.

A 16-month-old previously healthy child with normal development presented with decreased level of consciousness, apneas, and seizure requiring intubation and treatment for status epilepticus.

Acute pediatric cannabis intoxication: A scoping review.

increasing incidence of acute cannabis intoxications concurrent with liberalization of cannabis legislation is clear, however, evidence around clinical management is limited and further research exploring HCPs and families experiences and information needs around cannabis intoxication is warranted.



Cannabis poisoning in children

Paediatric intensivists must be aware of the various symptoms caused by cannabis ingestion in children and prompt urine screening for the presence of cannabinoids, combined with rapid reporting of results, may avoid unnecessary additional investigations, such as brain imaging and lumbar puncture.

[Accidental cannabis poisoning in children: experience of the Marseille poison center].

Parental Cannabis Abuse and Accidental Intoxications in Children: Prevention by Detecting Neglectful Situations and At-Risk Families

Cannabis intoxication in children should be reported to child protection services with the aim of prevention, to detect situations of neglect and at-risk families, and to point out the need to consider accidental cannabis ingestions as an indicator of neglect.

Evaluation of Changes in Poisoning in Young Children: 2000 to 2010

Poisoning in young children increasingly involves pharmaceuticals and is associated with an increased number of serious outcomes and children treated in a health care facility, which are related to increased availability of medications in the home and poison prevention education efforts should include a focus on the availability of these products.

Sudden onset unexplained encephalopathy in infants: think of cannabis intoxication

Healthcare personnel of emergency rooms, urgent care centers, and general clinics should be aware of the potential risk of cannabis ingestion in young infants and highlight the importance of including cannabis intoxication in the differential diagnosis of infants with unexplained changes in their mental status.

Pediatric marijuana exposures in a medical marijuana state.

A new appearance of unintentional marijuana ingestions by young children after modification of drug enforcement laws for marijuana possession in Colorado is found and the consequences of unintentionalarijuana exposure in children should be part of the ongoing debate on legalizing marijuana.

Coma due to cannabis toxicity in an infant

  • A. AppelboamP. Oades
  • Medicine
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine
  • 2006
The youngest recorded case of coma due to cannabis ingestion in an 11-month-old girl is reported, highlighting the importance of considering toxicological causes and the parental recreational drug history in young children who present with an altered level of consciousness.

Association of unintentional pediatric exposures with decriminalization of marijuana in the United States.

Decriminalization of Cannabis – potential risks for children?

A case of a 1.5‐year‐old infant who presented with unexplained coma that was later proved to be associated with the ingestion of cannabis is reported, highlighting the importance of considering cannabis ingestion in the differential diagnosis of infantile and toddler coma.

Cannabis potency and contamination: a review of the literature.

Systematic scientific testing of cannabis is needed to monitor current and ongoing trends in cannabis potency, and to determine whether cannabis is contaminated, and whether increased potency and contamination translates to harm for users.