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Information for clinicians to share with patients and their families
Source: the Regional Center for Poison Control and Prevention

Cozy fires, family gatherings, decorations and gifts are all part of what makes the holiday season so special. But these traditions introduce new objects into the home that can be hazardous to small children. As the holiday season approaches, the Regional Center for Poison Control and Prevention, based at Children's Hospital Boston, reminds caregivers to update patient families about poison prevention, ensuring that every family has a happy, safe holiday season.

Carbon Monoxide (CO)
CO is an odorless, colorless, poisonous gas that's created from burning fuel. To prevent carbon monoxide poisoning:

  • Install a carbon monoxide detector in your home.
  • Have a professional technician inspect the gas-burning appliances and venting and chimney systems in your home at the beginning of each winter.
  • Make sure appliances and chimneys have proper airflow.
  • Don't use the oven or gas range for heating your home, and never let the fireplace or space heater run while you sleep.
  • After a snowfall, be sure to shovel around the home heater's exterior ventilation areas.
  • Check vehicle exhaust pipes and don't leave children in the car while it's running.
  • Store kerosene and gasoline out of the reach (and sight) of children.

If you suspect a poisoning, it's important to act fast and act smart! First, call the Regional Center for Poison Control and Prevention's emergency hot line at (800)-222-1222.

  • Chemical poisons like cleaners should be rinsed or washed off the skin with tap water immediately.
  • For inhalation of poisonous fumes, get the child outside into fresh air as quickly as possible. If there is any question about her ability to breathe, call 911 first and then the poison center.
  • When eye exposures occur, rinse with lukewarm water for 15 minutes. There is no need to force the eye open.
  • Finally, if poison is ingested, don't administer syrup of ipecac or home-activated charcoal. These can cause injury if administered improperly.
For further information, call the Regional Center for Poison Control and Prevention at (800)-222-1222 or visit www.MARIpoisoncenter.org.

Antifreeze
Antifreeze is a common automotive product that can cause severe poisoning or even death if swallowed.
  • Always store antifreeze in its original container. Because antifreeze is sweet, children may drink it.
  • Keep antifreeze and windshield washer fluid in a locked cabinet.
Decorations and Gifts
  • Avoid using holly berries and mistletoe if you have young children in the home. These plants can be poisonous if swallowed. Christmas cacti and poinsettias aren't poisonous if eaten, but they may cause mild stomach upset. Also, the sap of the poinsettia plant can cause a skin rash.
  • Be sure Christmas trees are secure in their stands. Hang breakable ornaments high on tree branches.
  • Keep ornaments out of children's reach. Heirloom and/or older ornaments may contain lead; angel hair and glitter can irritate the eyes and skin; and aerosol products, such as artificial snow, should not be used without proper ventilation.
  • Keep snow globes out of reach, since they're made of plastic and calcium carbonate.
  • Be sure candles are out of children's reach. Keep an eye on lit candles and put them out as soon as they get low. Most importantly, be sure to blow them out before going to bed.
  • Keep all oil lamps out of children's reach since oils come in a variety of soft-drink colors. If swallowed, lamp oil is drawn into the lungs from coughing, which can lead to pneumonia. Even lamp oil that is spilled can be aspirated.
  • Other common holiday items to keep away from children include bubble lights, batteries and air freshener sprays.
Entertainment
  • Keep all tobacco out of reach of children and empty ashtrays promptly. Consuming tobacco products in small amounts can cause nausea and vomiting and even convulsions.
  • Remember that ethanol is the main ingredient (often 50 percent or more) in cologne, perfume, aftershave and mouth wash. These items, packaged in colorful bottles, can be appealing to children. Just two ounces of perfume can cause severe poisoning in a young child.
  • Offer guests a locked cabinet in which to store their medicine, so children can't access it.
  • When traveling with children, check your new surroundings carefully and move pills, vitamins, medicines, cosmetics and cleaning products out of their reach.
  • When attending holiday gatherings, be sure to inform your hosts about your children's food allergies.

This article was adapted from content provided by
Children's Hospital Boston to Yahoo! Health.
For more pediatric health information from Children's,
visit http://health.yahoo.com.

©2006 Children's Hospital Boston. All rights reserved.

All information provided on diagnosis and therapy reflects the care environment of Children's Hospital Boston and related physician practices.
It is not a substitute for the professional judgment of a qualified heath care provider based upon actual examination of a patient's condition
and history. Therefore, it should not be construed as medical advice for any particular patient's condition, and may need to be altered in
different care environments. Please contact us if we can be helpful in answering any questions or to arrange for a visit or consult.