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07-27-15 Are e-cigarettes still a concern?

Question of the Week

July 27, 2015

Are e-cigarettes still a concern?

The following is TN Poison Center data that was submitted to the FDA from Tennessee Department of Health.  There are two interesting facts.  The number of exposures has markedly increased-from 30 exposures in 2013 to 157 exposures in 2014 and potentially more in 2015.  However, the Poison Center kept most of these patients at home and prevented ED visits that were unnecessary and costly.   For discussion of e-cigarettes, please see previous Question of the Week for April 7, 2014. (www.tnpoisoncenter.org and click on the FOR HEALTH CARE PROFESSIONALS” tab)

EXPOSURE ROUTES (by year)

Year

Ingestion

Inhalation/nasal

Ocular

Dermal

Unknown

2011

4

1

0

0

0

2012

11

1

0

0

0

2013

24

2

3

1

0

2014

115

12

12

17

1

2015 (1st half)

48

3

8

6

0

MANAGEMENT SITES

Year

At home

HCF

Treated/Released

HCF

Admitted non-critical unit

HCF

Admitted to psych

HCF

Lost to follow up/left AMA

Unknown site

2011

3

1

1

0

0

0

2012

9

2

0

0

1

0

2013

23

4

0

0

3

0

2014

102

28

0

0

16

1

2015 (1st half)

43

14

0

1

4

0

Data analysis performed by John Benitez MD, MPH and Cheri Wessels  BSN, MBA, CSPI. 

This question prepared by:  Donna Seger, MD  Medical Toxicologist