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I share those concerns.  I have been involved in the management of ARDS
which was caused / or worsened/ by the aspiration of charcoal.  One child
required ECMO.
 
 
 
 
>>I am very interested in the opinions of the participants on this list
>>regarding the use of charcoal in"unproven" circumstances.  Is there
>>any one out there who shares my dislike for charcoal, or has my
>>opinion been unduely colored by my unfortunate experiences?
>>Alice D. Ackerman, M.D.
>>University of Maryland Medical System
>>(410) 328-6957 (phone)
>>(410)328-0680 (fax)
>>[log in to unmask]
>>
>>My concerns about the "reflex" use of activated charcoal were first raised
>by Milton Tenebein (Ann Emerg Med May 1991;20:529-531.) This paper addreses
>multiple doses of activated charcoal but could be applied to single doses
>given without a clear indication.
>
>Tom Grattan-Smith
>Prince of Wales Children's Hospital
>Randwick
>Sydney
>Australia
>
>
 
Jean A. Wright, MD MBA
Medical Director, Egleston Children's Hospital
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