16 Lifesaving Lessons from Real-Life Poison Control Center Calls
We talked to poison centers across the country to discover the most common emergencies they handle. Here are the case-by-case dangers they shared—and their insider recommendations on avoiding accidental poisoning.
Cautionary tales from the poison control call center
Poison control call centers are a great free resource for expert advice and help concerning poison emergencies. Let these calls be a lesson to you. Read on for safety lessons and how to prevent poisonings.
Lesson: Lock up laundry pods
The poison control center calls: A 2-year-old swallowed part of a laundry detergent pod before spitting out the rest. She was found to be very sleepy and drooling, and a scope of her airway and esophagus showed swelling and burns. Due to lung injury she remained on a ventilator for two days and in the hospital for four. In a separate instance, a 83-year-old female with dementia ingested a laundry pod and developed breathing difficulties and a swollen tongue. Because the family had decided to keep her comfortable and off life support, she died within 48 hours. Detergent pods are one of the things food poisoning experts never eat.
How to prevent laundry pod poisoning
“Cleaning products like laundry detergents are among our most common calls, but when laundry pods came out we suddenly saw very severe effects way out of proportion to regular detergents,” says Barbara Insley Crouch, PharmD, MSPH, executive director of the Utah Poison Control Center. “People need to realize pods pose a greater danger than typical detergent because they’re more concentrated, plus they’re so colorful they look like candy.” From March 2012 to April 2013, the number of monthly laundry pod exposures leapt by 645.3 percent, according to the journal Pediatrics. In fact, the danger of laundry pods has become so great that in 2015 Consumer Reports said “we strongly urge households where children younger than 6 are ever present to skip them altogether.” If you go to the emergency room because of poisoning, note these emergency room secrets staff won’t tell you.
Lesson: Beware button batteries
The poison control center call: A 3-year-old was coughing, spitting, and pointing to his mouth, and his mother realized the button battery was missing from the TV remote. An X-ray showed the battery lodged deep in the esophagus, and the procedure to remove it took hours because the battery had caused so much damage (“blackened” tissue had to be flushed out). The child was hospitalized for three days, ate through a nasogastric tube for two weeks, and couldn’t return to a normal diet for three months. Here are the crucial items you should always have in your emergency kit.
How to prevent button battery poisoning
Batteries are in tons of easy-to-access places—greeting cards, kids’ light-up shoes, remote controls—and button batteries, particularly the lithium variety, are especially dangerous. “The chemistry of lithium batteries is such that damage can occur almost within minutes,” says Crouch. “Some can erode right through the esophagus if not removed in time.” One of the biggest problems is the delay in diagnosis because a parent seeing a child in distress can’t always know a battery is to blame. “The children who have died more often than not died because no one realized they swallowed a battery.” Keep kids safe by taping battery compartments shut and putting battery-powered devices up and out of reach.
Lesson: Don’t put chemicals in other containers
The poison control center calls: An adolescent went to an emergency room after taking a large swallow from a Snapple bottle that in fact contained concentrated pesticide. A family member had borrowed the pesticide from a friend and put it in the bottle to transport. In another case, some diluted Mr. Clean had been put in a cup to clean jewelry. The caller’s 86-year-old father later saw the cup and drank, thinking it was water. In another instance, after basketball, an 18-year-old male took two swigs from a Gatorade bottle found in his friend’s Jeep. It turned out to be windshield wiper fluid put in the bottle for portability. Here’s how to save your own life in scary emergencies.
How to prevent accidental poisonings
Accidental poisonings often result from chemicals being stored in alternate containers (especially Gatorade bottles because the drink comes in so many colors anything can look normal). “We recommend keeping chemicals in their original packaging,” says Michael Lynch, MD, medical director of the Pittsburgh Poison Center, adding that packaging should ideally be marked with Mr. Yuk stickers that children have been taught to recognize. “If you do have to store a chemical in another container, label it and keep it on a high shelf away from food and drinks.” In addition, if you’re working with chemicals in open containers—for example, putting jewelry cleaner in a cup or draining chemicals in the garage—stay with them at all times, says Lynch. Prepare for the worst with these proven skills to survive emergencies.
Lesson: Ask visitors to mind their meds
The poison control center calls: A 3-year-old was found unresponsive in the morning, and at the hospital she had very low blood glucose. It turned out the grandfather had dropped some pills—including a diabetes medicine—days earlier but he wasn’t sure he’d found them all. A urine test confirmed the child had put one in her mouth, and she was treated for three days. Another time, a babysitter set out her own anti-inflammatory medication to take with breakfast and stepped away long enough for a 2-year-old to take a couple. The child was taken to the emergency room then pediatric ICU then by helicopter to Primary Children’s Hospital. She ultimately had no lasting damage. These are the sneaky things you touch every day that could be toxic.
How to prevent medication poisoning
Visitors don’t necessarily observe the same safe storage practices that parents do—and visiting seniors bothered by arthritis are especially likely to have transferred their pills to easy-to-open containers. “Invite your guests to store their pills in whatever safe place your household has identified for your own medications,” says Lynch. “Ideally a high cabinet out of the way, preferably locked.” (By the way, poison centers see children opening “childproof” pill bottles all the time.) Conversely, when you’re visiting a close family member, do a safety sweep. “Take a cruise through their bedroom looking for pill bottles on the bathroom counter, nightstand, or dresser,” says Alfred Aleguas Jr, BS Pharm, PharmD, D.ABAT, managing director of the Florida Poison Information Center in Tampa. When visiting someone you don’t know as well, simply close bathroom and bedroom doors to keep your kids out of places where your hosts’ pills are most likely kept.
Lesson: Monitor for carbon monoxide
The poison control center calls: A family of two adults and five children awoke at night with headache, nausea, confusion, loss of balance, and episodes of passing out. It turns out the furnace was leaking carbon monoxide. At the hospital all seven family members were found to have elevated levels of carbon monoxide. The children underwent hyperbaric oxygen therapy, during which they were placed in a coffin-sized glass enclosure filled with pressurized oxygen. Fortunately, the entire family did well. In another case, an elderly couple with a history of dementia accidentally left their car running in the garage then went to sleep in their bedroom above the garage. Family members were unable to arouse them the following day. The husband had passed away, and the wife required treatment with a ventilator and hyperbaric oxygen, but suffered severe, permanent brain injury.