Insecticides
Caller sets off fogger in room. Blocks entry way with towels and stays in home.
Misuse – unintentional: unintentional improper or incorrect use of a nonpharmaceutical substance. This is different from intentional misuse in that exposure was unplanned or not foreseen by the patient. Examples: person who forgot he put bleach in a mug to clean it, then took a drink from the mug.
Boyfriend calling stating his partner drank 4oz of Clorox Bleach. Boyfriend claims partner is ASX at this time but is concerned for partners mental well being.
Suspected suicide: exposure resulting from inappropriate use of a substance for self destructive or manipulative reasons.
Caller is a 13 year old male. He was told by a friend that he could make his methamphetamines stronger by using crushed chlorine tablets. After smoking the mixture he states he feels lightheaded, and is having chest pains.
Abuse: intentional improper or incorrect use of a substance where the victim was likely attempting to gain a high, euphoric effect, or psychotropic effect. Recreational use of drugs.
Caller accidentally gave her child APAP, but didn't tell FOC who also gave child APAP. APAP was given 1 hour apart from each other.
Therapeutic error: unintentional deviation from proper therapeutic regimen that results in wrong dose, incorrect route of administration, given to wrong person, given the wrong substance. Examples: both parents dose child by accident, 10-fold neonatal ICU dosing errors, pharmacy dispensing errors.
Caller was opening a bag of soil and found a piece of glass in it.
Contaminated product: exposure occurred to a substance that was a contaminant in a product. Examples: mold found in tea, a chemical processing error that led to higher levels of a certain metabolite. Usually unintentional. .
Caller had bait gel in hand, was opening syringe and some of the gel shot into their eye
Application mishap: exposure occurred during the application of substance. Example: a cleaner is being sprayed and some squirts in the eye.
Caller thinks that their roommate is putting pine sol in their shampoo. Caller is stating the shampoo has a strong pine odor and their scalp is itchy.
Tampering: exposure occurred to a substance which was purposefully placed in a product that did not belong there.
Caller put pool clarifier into spa water. After waiting recommended amount of time and not using any other chemicals. Caller got in the spa and has an oozing itchy rash all over their body.
Adverse chemical reaction: adverse reaction to something other than a plant, drug, food, or cosmetic/personal care item. Examples – pesticides, cleaning products.
Caller was using the Burt's Bees Mascara. She had it on for 15 min and her eyes started to swell.
Adverse reaction, cosmetic: adverse reaction to personal care product or cosmetic item intended to be in contact with body. Example: skin rash from eye makeup.
Caller sprayed the product to treat her plants and it the nozzle was misdirected and spray her in the eyes.
Product package failure: exposure occurred because the product packaging failed – a lid broke, the nozzle misdirected the spray.
Caller was mixing an insecticide concentrate and while pouring water into their container it overflows onto their hands and feet.
Handling/transferring/mixing: exposure occurred during the handling or transfer of a substance, or during the mixing/dilution of that product.
Callers mother found a cup filled with what she thought was apple juice on the table 20 minutes ago and decided to drink it. Caller stating she had placed Pine Sol in the cup an hour ago. There was an unknown amount of product, undiluted, and mother cannot tell caller how much she ingested. She is extremely confused on why her daughter is worried and daughter can smell product on her breath.
Vulnerable adult: a vulnerable adult (developmentally delayed, mentally ill, patient with Alzheimer disease) gains access to a product.
Caller stated they had a bag of bromide tablets that they were getting ready to use on their pool. Caller became distracted and their 2 year old son grabbed a tablet off the floor, and stuck it in their mouth.
Child/pet direct access: child or pet is exposed from directly accessing the product.
Caller used the Burt's Bees Cold Sore Treatment on her lips due to a cold sore. She followed directions, but wants to make sure she is going to be okay because she's never used it before.
Normal use / no over exposure: no known over-exposure occurred, but the person recently used a product and now thinks a side effect has been caused by the product.
Caller was spraying the lawn using a backpack sprayer. Caller states they noticed their back was all wet. Once they took the backpack sprayer off caller noticed a hole in it.
Equipment failure: exposure occurred because the equipment being used to apply the substance failed (not the package the product came in). Example: a sprayer being used to apply a product malfunctions.
After reading directions, caller sprays an outdoor product into their car.
Misuse- intentional: intentional improper or incorrect use of a substance for reasons other than pursuit of a psychotropic effect.
Caller had a clogged drain and applied liquid plumber. When the liquid plumber did not work, they called the Plumber to come to their home. The plumber unaware that the caller had already used Liquid Plumber on the drain, then applied an industrial strength drain cleaner which resulted in a large fire which burned the callers arms.
Fire/explosion: exposure is due to a fire or explosion involving the substance.
Callers name is Becky. She was sitting at the pool with her friend Veronica. Becky recently started dating Brad and Veronica had a crush on Brad. Being annoyed and upset that Becky was dating him Veronica saw a bag of granular chlorine and poured some into Becky's water bottle. Becky is now experiencing chest pain, vomiting, and throat irritation.
Malicious act: patients who are victims of another’s intent to harm them. Includes cases where the person thinks he has been poisoned by someone even if you doubt the patient’s psychological stability. Includes suspected child abuse involving a poison or overdose.
Caller was driving home with 2 big bottles of shampoo and conditioner. She noticed an odor coming from her back seat. The bottle had tipped over spilling all over her car.
Spill / release – transport: exposure is due to a spill or release involving a substance in transportation (rail, truck, air, etc).
Caller was applying seeds to the lawn and the wind blew some in to their mouth.
Application mishap: exposure occurred during the application of substance. Example: a cleaner is being sprayed and some squirts in the eye.
At the Nutrien Plant a worker was walking by the fertilizer mixing machine, the mixture fell all over the workers face, arms, and legs as he was walking by. The machine had a hole in the structure.
Spill / release – non-transport: exposure is due to a spill or release of substance not in transport (home, workplace, industrial plant, etc).
Caller was calling from a restaurant. She stated that she drank tea from their tea pitcher and it tasted like bleach. She asked the cashier why the tea tastes like bleach, and was informed that they just cleaned the tea pitched and did not rinse it out. After ingesting the tea she started to feel queasy and anxious.
Contaminated product: exposure occurred to a substance that was a contaminant in a product. Examples: mold found in tea, a chemical processing error that led to higher levels of a certain metabolite. Usually unintentional.
Caller is the pool man. He mixed chemicals for spa use instead of pool use. He decided to discard the excess into the grass which was going downhill. The excess chemicals ran down the hill into Mrs. Doubtfires vegetable garden that she uses for her nightly dinner salads. Mrs. Doubtfire suddenly collapsed of a heart attack after ingesting vegetables from her garden.
Runoff, environmental: exposure occurred from run-off of an applied substance. Example: pesticide which ran downhill and contacted vegetation it wasn’t meant to touch.
School nurse calling because she has a 16 yo that was sent home wither parents because the teen was eating the Burt's Bees Lip Balm. She does not know why the teen ingested it.
Unknown, intent unknown: an exposure that is determined to be intentional but the specific motive is unknown.
MOC stating that she was spreading fertilizer on her lawn and when she turned around her son was picking it up off the grass and eating it.
Child/pet direct access: child or pet is exposed from directly accessing the product.