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These are
recommended procedures developed by the National Alliance for Drug
Endangered Children. Various localities may need to adjust the strategies
depending on their resources. As local, state and federal protocols are
approved and implemented, this information will be updated.
A child found in a
residence where Meth is used or manufactured should be transported
immediately to the nearest Emergency Department by emergency personnel if
there is an explosion, active chemicals at the scene or the child appears
ill (fast breathing, obvious burns, lethargy or somnolence).
At the Emergency
Room:
1) Complete medical evaluation
to assess acute medical needs.
2) Specific attention to the
pulmonary exam as the chemicals can cause acute respiratory problems. RRs,
O2 saturation and a CXR in the symptomatic child are the minimum required.
3) Blood tests as needed in
addition to a CBC, Chemistry Panel to include BUN/Cr and LFTS.
4) Collect urine for
toxicology. This should happen as soon as possible, but must occur
within six hours for optimal results. This should be submitted to a
lab that screens and reports for the level of detection of the test, not
just at NIDA standards. Chain of Evidence forms may be utilized or usual
medical protocols for urine toxicology screens may be followed.
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