Evidence map›Paper›PMID 38464332›Full record

ArticleJournal of the American College of Emergency Physicians open2024

Acute opioid overdose in pediatric patients.

Stephen Sandelich, Gwen Hooley, George Hsu, Emily Rose, Tim Ruttan, Evan S Schwarz, Erin Simon, Carmen Sulton, Jessica Wall, Ann M Dietrich

Abstract read
In one paragraph

Article in Journal of the American College of Emergency Physicians open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. The Toxicology Investigators Consortium 2024 Annual Report.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026
    Article
  6. Article
  7. Article
  8. Nonfatal pediatric fentanyl exposures reported to US poison centers, 2015-2023.The American journal of drug and alcohol abuse · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Acute opioid overdose in pediatric patients.Journal of the American College of Emergency Physicians open · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Stephen SandelichDepartment of Emergency Medicine Penn State College of Medicine Penn State Milton S. Hershey Medical Center Hershey Pennsylvania USA.ORCID https://orcid.org/0009-0000-2940-4699
Gwen HooleyDepartment of Emergency Medicine Children's Hospital of Los Angeles Los Angeles California USA.
George HsuDepartment of Emergency Medicine Augusta University-Medical College of Georgia Augusta Georgia USA.
Emily RoseDepartment of Emergency Medicine Keck School of Medicine of the University of Southern California Los Angeles General Medical Center Los Angeles California USA.
Tim RuttanDepartment of Pediatrics Dell Medical School The University of Texas at Austin US Acute Care Solutions Canton Ohio USA.
Evan S SchwarzDivision of Medical Toxicology Department of Emergency Medicine University of California Los Angeles Los Angeles California USA.
Erin SimonDepartment of Emergency Medicine Cleveland Clinic Akron Ohio USA.
Carmen SultonDepartments of Pediatrics and Emergency Medicine Emory University School of Medicine Children's Healthcare of Atlanta, Egleston Atlanta Georgia USA.
Jessica WallDepartments of Pediatrics and Emergency Medicine Seattle Children's Hospital Harborview Medical Center Seattle Washington USA.
Ann M DietrichDepartment of Emergency Medicine Prisma Health Greenville South Carolina USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent increases in pediatric and adolescent opioid fatalities mandate an urgent need for early consideration of possible opioid exposure and specific diagnostic and management strategies and interventions tailored to these unique populations. In contrast to adults, pediatric methods of exposure include accidental ingestions, prescription misuse, and household exposure. Early recognition, appropriate diagnostic evaluation, along with specialized treatment for opioid toxicity in this demographic are discussed. A key focus is on Naloxone, an essential medication for opioid intoxication, addressing its unique challenges in pediatric use. Unique pediatric considerations include recognition of accidental ingestions in our youngest population, critical social aspects including home safety and intentional exposure, and harm reduction strategies, mainly through Naloxone distribution and education on safe medication practices. It calls for a multifaceted approach, including creating pediatric-specific guidelines, to combat the opioid crisis among children and to work to lower morbidity and mortality from opioid overdoses.

Indexed as

naloxoneopiate overdoseopioid epidemicopioid‐related disorderssubstance‐related disorders

Identifiers

PMID38464332
PMCPMC10920943

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.