Acute Cannabis Toxicity.

@article{Wong2019AcuteCT,
  title={Acute Cannabis Toxicity.},
  author={Kei Wong and Carl R. Baum},
  journal={Pediatric Emergency Care},
  year={2019}
}
The change in legal status of cannabis (the botanical species Cannabis sativa, commonly known as marijuana) in the United States has had significant impact on pediatric drug exposures. In states with decriminalization of recreational and medicinal use of cannabis, emergency department visits and poison control center calls for unintentional pediatric cannabis intoxication are on the rise in the last few decades. Exploratory or unintentional ingestions of cannabis-containing products (as opposed… Expand
7 Citations
Herbal Preparations of Medical Cannabis: A Vademecum for Prescribing Doctors
TLDR
A practical and helpful guide for prescribing doctors is provided, including suggested posology, titration strategies and cannabinoid amounts in herbal preparations obtained from different sources of medical cannabis. Expand
Cannabis Product Ingestions in Pediatric Patients: Ranges of Exposure, Effects, and Outcomes.
TLDR
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. Expand
Risk Management in First Aid for Acute Drug Intoxication
TLDR
The emergency department is very important to manage intoxicated patients; however, the hospitalization of these patients is often not necessary, and, when hospitalization is needed, semi-intensive therapy is a feasible solution. Expand
The emergency department care of the cannabis and synthetic cannabinoid patient: a narrative review
TLDR
As cannabis becomes more widely available with the adoption of state medical cannabis laws, ED-related cannabis visits will likely rise, and physicians will become more vigilant about recognizing and treating some new cannabis-related life-threatening conditions. Expand
New Designer Drugs.
TLDR
The opioid epidemic and several emerging opioids, including buprenorphine, loperamide, fentanyl, fentanyl derivatives, and others, and Kratom, a plant occasionally used for opiate detoxification, along with the sedatives etizolam and phenibut, will be discussed. Expand
Recent Trends in Marijuana-Related Hospital Encounters in Young Children.
TLDR
The observed dramatic increase in marijuana-related hospital encounters highlights the need for prevention strategies aimed at reducing unintentional marijuana exposures in young children, even in states without legislation permitting marijuana use. Expand

References

SHOWING 1-10 OF 82 REFERENCES
Cannabinoid toxicity in pediatrics
TLDR
Clinicians should provide guidance for pediatric patients and their caregivers to reduce the risk of accidental cannabis exposure, particularly with high concentration products, and consider chronic cannabis exposure when evaluating certain complaints, such as chronic vomiting or educational performance at school. Expand
A 21st Century Problem: Cannabis Toxicity in a 13-Month-Old Child.
TLDR
The case of a 13-month-old female presenting with self-limiting altered mental status and lethargy is reported, with a subsequent diagnosis of tetrahydrocannabinol exposure on confirmatory urine gas chromatography-mass spectrometry. Expand
Pharmacology and effects of cannabis: A brief review
  • C. Ashton
  • Medicine
  • British Journal of Psychiatry
  • 2001
TLDR
Cannabinoids derived from herbal cannabis interact with endogenous cannabinoid systems in the body and cause dose-related impairments of psychomotor performance with implications for car and train driving, aeroplane piloting and academic performance. Expand
Cannabis, cannabinoids, and health
TLDR
The objective of this article is to summarize current developments concerning cannabis and the spread of synthetic cannabinoid (SC) use, and to further explore the benefit-risk profile of medical cannabis use. Expand
Cannabis Intoxication Case Series: The Dangers of Edibles Containing Tetrahydrocannabinol
TLDR
In general, pediatric patients had more severe symptoms and longer hospital length of stay, and, uniquely, a majority presented with leukocytosis and elevated lactic acid levels. Expand
Cannabis poisoning in children
TLDR
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. Expand
Prenatal cannabis exposure - The "first hit" to the endocannabinoid system.
TLDR
It is argued that young women who become pregnant should immediately take a "pregnant pause" from using marijuana, as perturbations of the intrauterine milieu via the introduction of exogenous CBs alter the fetal ECSS, predisposing the offspring to abnormalities in cognition and altered emotionality. Expand
Cannabis hyperemesis syndrome: A case report review of treatment
TLDR
A case where a 32 year old male has excessive nausea and vomiting after prolonged use of daily cannabis is described, which shows that further studying of cannabis and its effects are still needed. Expand
A case series of marijuana exposures in pediatric patients less than 5 years of age.
TLDR
This is a retrospective case series of marijuana exposures that have presented to the emergency department (ED) in children less than 6 years of age in Colorado. Expand
Tasty THC: Promises and Challenges of Cannabis Edibles.
TLDR
The current state of research regarding edibles is explored, highlighting the promises and challenges that edibles present to both users and policy makers, and the approaches that four states in which recreational cannabis use is legal have taken regarding regulating edibles are described. Expand
...
1
2
3
4
5
...