Do you know your school’s medication policy?

Many children need to take medications during the school day. A child may take a medication regularly, such as Ritalin for attention deficit disorder, or have a medication that they use only at certain times, such as an inhaler for asthma attacks.Inhaler

Even if your child doesn’t currently take any medications, it’s likely they will need to some point, even if it’s just for a few days—maybe an antibiotic, or an over-the-counter pain reliever like ibuprofen or acetaminophen.

As a parent or guardian, you should know your school’s medication policy. You may be able to find the policy on the school’s website or in the student handbook. The policy will include information about:

  • Forms you or your doctor need to fill out
  • When your child needs a doctor’s note for the medication
  • Who can drop off the medication at the nurse’s office
  • What types of packaging are OK
  • Who is allowed to give your child medication
  • What happens if your child refuses to take the medication

Remember that medication is the top cause of poisoning among all age groups. For tips on prevention these poisonings, see our medication page.

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Jack o’lantern mushroom is a trick, not a treat

Jack o'lantern mushrooms photo by Jason Hollinger
Jack o’lantern mushrooms by Jason Hollinger, Creative Commons

In time for Halloween, jack o’lantern mushrooms are starting to show their faces. We had a call related to this mushroom last week, and they are common from July to October.

Eating a jack o’lantern won’t kill you, but it can leave you very sick, with some of the worst throwing up, stomach cramps or diarrhea you can imagine.

People sometimes eat jack o’lanterns thinking they are chanterelles, which are edible. The two types of mushroom can look pretty similar, and they bloom at the same time. Jack o’lanterns grow in large groups from a single base or stem (as in the picture), whereas chanterelles each have their own stem. In addition, jack o’lanterns have “gills” underneath the head, while chanterelles have ridges or folds.

These differences can be hard to tell. Remember, to avoid mushroom poisonings, only eat wild mushrooms that have been identified by someone with expert training.

If you think someone has eaten a poisonous mushroom, call the poison center at 1-800-222-1222, or chat with a poison specialist online.

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Get rid of your old medications this Saturday

The U.S. DEA is sponsoring another medication take-back day this Saturday at locations throughout the country. The DEA has been offering these events twice a year for a few years now and they offer a great opportunity to get rid of medications in your home that have expired or you no longer need. You can find a take-back location near you at the DEA’s website.

This could be the last time the DEA offers a national take-back day. Demand for this service has been so great that the DEA recently announced a new regulation that would allow pharmacies, hospitals and other facilities to become authorized drop-off sites. These sites would be able to take unused medications year-round.

Before now, patients had no way to get rid of controlled substances, like prescription pain medications, other than to give them to law enforcement. This meant that many people just kept their unneeded medications in their medicine cabinet, threw them in the trash or flushed them down the toilet, which can lead to their getting into the water supply.

Getting rid of medications safely is important. It can keep young children from accidentally swallowing them, and keep teens and adults from misusing or abusing them. Most youth who have abused prescription pain medications say they got the pills from a family member or friend. Using someone else’s prescription medication, especially pain medication, stimulants and depressants, can be unsafe, and even addicting, even if the person isn’t trying to get high.

It will take a while for the new collection sites to be up and running. In the meantime, be sure to take advantage of this Saturday’s take-back day. It’s the perfect time to clean out your medicine cabinet.

For more information about the new regulation, read the Department of Justice press release.

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Take these safety steps before you turn on your furnace

Thermostat
Photo by Jason Coleman, Creative Commons
 

When was the last time you had your furnace checked?

It’s getting to be that time when folks in northern New England are turning on their heating systems. Remember that furnaces and other equipment that burn fuel can put carbon monoxide into your home if they aren’t working properly.

Carbon monoxide is a dangerous gas that in severe cases can kill you. You can’t see carbon monoxide, and it has no smell, so the only way to know if it’s in your home is with a working carbon monoxide alarm.

Before you turn on your furnace, consider having it checked by a heating service technician.

Test the batteries in your carbon monoxide alarm, and if you don’t have one, visit your local hardware store to pick one up. Place a carbon monoxide alarm near each sleeping area in your home, and have at least one on each floor.

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Synthetic cannabinoids in Manchester

Packets of Smacked, thought to be a synthetic cannabinoid, which was involved in a number of recent overdoses in Manchester, NH.

Packets of Smacked, thought to be a synthetic cannabinoid, which was involved in recent overdoses in Manchester, NH. Photo by Jeffrey Hastings.

New Hampshire Governor Maggie Hassan recently declared a state of emergency following a number of overdoses in Manchester related to a synthetic cannabinoid called “Smacked!” that is being sold at convenience stores. The state of emergency made it easier for police to confiscate and destroy this product.

Synthetic cannabinoids are made up of herbs that have been sprayed with chemicals similar to THC, which is found in marijuana. The patients in the Manchester cases have had more severe symptoms than what we usually see with this type of drug. It’s hard to know for certain what’s causing these reactions.

These drugs are not regulated and we don’t always know what’s in them. It’s possible that they contain particular synthetic cannabinoids that are more dangerous, or there could be other drugs mixed in that are causing the severe symptoms. It’s also possible that the patients in these cases were using additional drugs, such as bath salts or heroin, which could be contributing to the reactions.

Packets of Green Giant and Geeked Up, two synthetic cannabinoid products, found in Manchester, NH

Packets of Green Giant and Geeked Up, two synthetic cannabinoid products, found in Manchester, NH. Photo by Jeffrey Hastings.

Synthetic cannabinoids have been on the Northern New England Poison Center’s radar since 2010, and calls to the NNEPC about them peaked in 2012. The number of calls has dropped significantly since then, probably because of legislative and law enforcement efforts to control these products.

The NNEPC has developed a fact sheet with more detailed information on synthetic cannabinoids.

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Don’t trifle with a pigskin poison puffball

Pigskin Poison Puffball

Pigskin Poison Puffball Photo by Eric Steinert, Creative Commons 3.0

In the last week, the NNEPC has seen a few cases of people eating a mushroom called the pigskin poison puffball (scleroderma citrinum). As you might guess from the name, this mushroom won’t agree with your stomach, and eating some could leave you throwing up for quite awhile.

There are lots of these pigskin poison puffballs out right now. They are usually 1-4 inches wide and 1 or 2 inches tall and yellowish brown with rough warts on the outside. The spores inside are typically a deep black or purplish black, as in the picture here, but they can also be a lighter gray or brown.

The pigskin poison puffball is sometimes taken for an edible puffball or mistaken with a truffle.

To avoid mushroom poisonings, only eat wild mushrooms if they have been identified by a trained mushroom expert.

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Marijuana at home can be a risk for children

Medicinal marijuana is increasingly available in Northern New England, meaning the drug can be found in more and more homes. Like any other substance, if marijuana is available in the home, young children may be able to get into it.

Marijuana can have serious effects in kids. An amount that might cause very small effects in an adult can create a much stronger reaction in a young child.

Edible marijuana—like brownies, cookies and candy—can be an especially big problem. Kids don’t know the difference between a marijuana brownie and a regular brownie, and they may eat more than one, giving them an even bigger dose.

Fortunately, most children who get into marijuana do not have serious effects—typically they become very drowsy and their pupils get large.

But in other cases, children can become so drowsy that you cannot wake them up. In very rare situations, children have briefly gone into a coma—they could not be woken up and had trouble breathing.

All children who swallow marijuana need to be watched at a hospital.

For more information on marijuana, call the Northern New England Poison Center at 1-800-222-1222 or chat online.

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Snorting Smarties: Not so smart, but not because of maggots

There’s been a lot of media attention in the last few days about snorting Smarties candy, after a school in Rhode Island sent home a letter warning parents about the dangers.

This is not a new trend; kids have been snorting candy for a long time. While there are some minor health concerns, especially for kids who have asthma, much of the coverage has been overblown–kids are not going to have maggots growing in their noses.

As our director, Dr. Karen Simone, explained in an article in the Bangor Daily News, what parents should be concerned about is that kids are imitating drug-abuse behavior:

“My biggest concern would be that these kids at this age are thinking that it’s cool to pretend that they’re abusing drugs,” Simone said.

This is a good opportunity for parents to talk to their kids about drug abuse. The National Institute on Drug Abuse has resources for parents.

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If I lose power, can I save my food?

Winter storms often bring power outages. When you lose power, how long does the food in your refrigerator stay safe?

If you keep the doors closed, your refrigerator can keep food at a safe temperature for about 4 hours. After that, most perishable foods will need to be thrown away, especially meat, poultry, fish and dairy products.

If the outage is going to last more than a few hours, you can keep food safe a little longer by putting it in a cooler with ice packs.

Food in your freezer will stay safe for about 24 hours if the freezer is half full and for about 48 hours if it is completely full, as long as you keep the door closed. If the food starts to thaw, but still has ice crystals in it, it can be safely refrozen. This can hurt the quality of some food, but it will be safe to eat. If the food has thawed all the way, with no ice crystals, it will likely need to be thrown out.

In general, food needs to be kept below 40 degrees to be safe to eat. Food that is held above 40 degrees for 2 hours or more enters the “danger zone,” where food poisoning can happen. One way you can prepare for power outages is to keep appliance thermometers in your refrigerator and freezer. This can make it easy to tell if the temperature stayed in the safe zone, below 40 degrees.

Whenever you’re in doubt, throw it out.

For more detailed information on what to keep and what to throw out, see the USDA’s Food Safety Q&A for Emergencies.

If you have questions about food safety during a power outage, call the poison center at 1-800-222-1222 or chat online.

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Broken snow globe? There may be more than water inside

Many people think that snow globes are just filled with water. But some globes, especially ones from overseas, actually have a small amount of ethylene glycol (antifreeze) mixed in. This can help keep the water from freezing during shipping, but ethylene glycol can be very harmful if you swallow it.

While a child probably would not be able to swallow enough to have a problem, it’s possible for a cat or dog to lick up enough to harm them.

If your snow globe breaks, keep children and pets away while you clean up. Use paper towels to absorb the spill, and then throw the used towels away.

If you think someone swallowed some of the liquid, or if someone got it in their eyes, call the poison center at 1-800-222-1222 or chat online. If your pet licked up some of the liquid, call your veterinarian.

Stay safe this holiday season: Keep snow globes up high, out of the reach of young children. If you need to dust your snow globe, put it on a table or another place where it cannot easily fall and break.

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Holiday safety tips

New Hampshire educator Laurie Warnock recently appeared on ConcordTV’s “On The Beat” to talk about the poison center and offer some holiday safety tips.

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Three tips for buying safe Christmas toys

Dinosaur ToyBuying Christmas presents for kids is always a challenge. We can’t help you pick out the perfect gift, but we can help you make sure your gifts are safe and age-appropriate with these tips.

  1. Buy age-appropriate toys.
    If you’re like me, you think your children are smarter than their age, and you might want to buy them a toy that is recommended for an older child. As tempting as this is, it is not a good idea. The U.S. Consumer Product Safety Commission (CPSC) provides toymakers with guidelines designed to keep potentially harmful toys out of the hands of young children. The recommended ages are based on what is safe and fun for each age.
     
  2. Give new toys – not used or antique ones.
    Used toys can have missing or loose parts that may be a choking or strangling risk. Older toys may also have lead paint or other harmful materials. Learn more about lead poisoning.
     
  3. Do your homework beforehand.
    Search online for the latest toy recalls or safety alerts. The CPSC keeps a list of recalled toys and other safety information.

 

 

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