Round 32 (Pediatric Vomiting)

You are working at Clerkship General when you see your next patient : a 3 year old male accompanied by his father with chief complaint of vomiting. 











Initial Vitals











* Temp 98.6* HR 50* RR 20* BP 95/55* O2 100%











Critical Actions











* Identify the history of ingestion* Check a blood glucose* Call Poison Control* Treat with DigiBind* Treat subsequent anaphylaxis











Further Reading:











EMCrit – Digoxin Toxicity











The Tox and the Hound – Digoxin: to bind or not to bind