You have arrived at a home where the parents found their 13-year-old son in the garage inhaling propane from the family grill. Your assessment reveals the patient to be alert and oriented, with an open airway. His breathing is labored, and his pulse is rapid for his age. When conducting the secondary assessment, which of these findings or history would be of the greatest concern?

Toxicological emergencies are caused by substances that impair health or cause death by entering the body or touching the skin. These emergencies include: intentional overdose, unintentional poisoning, occupational exposure, environmental hazards, envenomation, biologic and chemical warfare, and radiation illness.  Toxicological emergencies are often complex and require a deep understanding of pharmacology. For example, carbon monoxide poisoning can cause mild to severe symptoms, including headache, nausea, dizziness, confusion, seizure, and coma. Other important findings in poisoning may... Show more

Toxicological emergencies are caused by substances that impair health or cause death by entering the body or touching the skin. These emergencies include:
intentional overdose, unintentional poisoning, occupational exposure, environmental hazards, envenomation, biologic and chemical warfare, and radiation illness. 

Toxicological emergencies are often complex and require a deep understanding of pharmacology. For example, carbon monoxide poisoning can cause mild to severe symptoms, including headache, nausea, dizziness, confusion, seizure, and coma. Other important findings in poisoning may include: muscle rigidity, tremors, and fasciculations. 
 

Here are some tips for treating poisonings:
For poisons taken internally:
Look into the victim's mouth and remove all tablets, powder, or any material that is present
Examine the mouth for cuts, burns, swelling, unusual coloring, or odor 

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