探索加拿大儿科急诊科大麻相关报告:一项横断面研究。

Cannabis (Albuquerque, N.M.) Pub Date : 2024-12-12 eCollection Date: 2024-01-01 DOI:10.26828/cannabis/2024/000255
Zina Zaslawski, Stevi Golden-Plotnik, Jessica Steer, Lynne Warda, Lauren E Kelly
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引用次数: 0

摘要

目的:最近的研究发现,加拿大成年人娱乐性大麻消费合法化增加了儿童急诊室(ED)的呈现。在这项描述性研究中,我们的目标是(1)了解加拿大儿科急诊医学(PEM)提供者对儿童大麻暴露相关临床表现的培训和知识,(2)描述2018年合法化后加拿大各地与大麻暴露相关的儿科ED表现。方法:2021年,经伦理委员会批准,加拿大儿科急诊研究(PERC)网络儿科急诊医学(PEM)医生被邀请通过REDCap进行匿名调查,分享他们对大麻相关紧急情况患者的知识、培训和经验。结果:共84/230名受邀医师(36.5%)完成了调查。近70%的PEM医生报告说,自大麻合法化以来,他们看到的与大麻相关的ED报告数量有所增加,而只有15%的医生报告说,报告没有增加。超过90%的受访者报告了与大麻相关的儿科急诊的平均或更高水平的知识。超过一半(n = 48,57 %)的人有兴趣继续深造,更喜欢正式的培训机会。ED的主要表现是意识水平下降,已知的无意(意外)摄入和呕吐。在评估开始时不知道吸食大麻的情况下,与知道吸食大麻的情况相比,要求进行更多的测试,但是,治疗计划是相同的(主要是支持性措施)。结论:大多数PEM供应商正在管理越来越多的大麻相关ED演示。PEM提供者应就家庭大麻使用问题改善与护理人员的沟通。当照顾者在家里透露大麻的存在时感到舒适时,如果他们的孩子出现在急诊室,它可以帮助防止对他们的孩子进行不必要的检查和干预。
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Exploring Cannabis-Associated Presentations to Canadian Pediatric Emergency Departments: A Cross-Sectional Study.

Objective: Recent studies found that recreational legalization of cannabis consumption for Canadian adults has increased presentation to the emergency department (ED) among children. In this descriptive study, our objectives were to (1) understand Canadian pediatric emergency medicine (PEM) providers' training and knowledge of clinical presentations associated with cannabis exposure in children and (2) describe pediatric ED presentations related to cannabis exposure across Canada following legalization in 2018.

Method: In 2021, following ethics board approval, 230 Pediatric Emergency Research Canada (PERC) network pediatric emergency medicine (PEM) physicians were invited to share about their knowledge, training, and experience with patients presenting with cannabis-associated emergencies using an anonymized survey administered through REDCap.

Results: In total, 84/230 (36.5%) invited physicians completed the survey. Almost 70% of the PEM physicians reported an increase in the number of cannabis-associated ED presentations they have seen since legalization, while only 15% reported no increase in presentations. More than 90% of the respondents reported an average or higher level of knowledge of cannabis-associated pediatric emergencies. More than half (n = 48, 57%) were interested in pursuing further training, preferring formal training opportunities. The main presentations to the ED were decreased level of consciousness, known unintentional (accidental) ingestion and vomiting. Significantly more tests were ordered when cannabis consumption was unknown at the beginning of the assessment, compared to when it was known, however, treatment plans were the same (mainly supportive measures).

Conclusions: Most PEM providers are managing an increasing number of cannabis-associated ED presentations. PEM providers should improve communication with caregivers around household cannabis use. When caregivers feel comfortable disclosing cannabis presence at home, it can help prevent unnecessary tests and interventions for their children if they present to the ED.

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