1 Hour
Credit (s)

Learning Objectives

At the end of this episode, participants should be able to:

  • Understand the signs and symptoms of toxic substance ingestion or medication overdose in children, including vital sign changes and their implications for diagnosis
  • Recognize the differences between toxicological presentations in children and adults, with a focus on dose-related effects and unintentional exposures in children
  • Gain knowledge about specific toxic substances that can lead to distinct clinical presentations, such as hypoglycemia, liver injury, and dysrhythmias, in order to better diagnose and manage pediatric cases of poisoning

Intended Audience:

This online course is designed for pediatricians, family physicians, nurses, as well as other health care providers and managers.


In this episode, you will hear from Dr. Cyrus Rangan who delves into the complex world of toxicology, focusing on pediatric cases involving toxic substance ingestion and medication overdose. Dr. Rangan provides valuable insights into recognizing the signs and symptoms of toxic exposures in children, highlighting the rapid and sometimes subtle transitions from a seemingly healthy state to severe illness. Differentiating between pediatric and adult presentations is emphasized, with an emphasis on dose-related effects and unintentional exposures in children. Specific toxic substances, such as medications leading to hypoglycemia, liver injury, and dysrhythmias, are discussed, aiding healthcare professionals in diagnosing and managing these critical cases.

Assessment and Earning CME Credit:

To receive CME credit for this course in Armenia, you must take the CME quiz at the end of this page. You have 3 chances to get a 70% to pass. Once you pass the quiz, we will send your information to the Armenia Ministry of Health for credits.


Dr. Cyrus Rangan

Dr. Cyrus Rangan

Dr. Cyrus Rangan is the Director of the Bureau of Toxicology and Environmental Assessment at the Los Angeles County Department of Public Health. Dr. Rangan specializes in medical toxicology, investigating the potential environmental or toxicological causes of disease clusters. In addition, Dr. Rangan serves as the Assistant Medical Director of the California Poison Control System, directing poison control efforts – which nationally helps keep nearly 70% of all poison control calls in the home and out of emergency departments – for the county of Los Angeles. Dr. Rangan also acts as a medical toxicology consultant for Children's Hospital Los Angeles, providing bedside consultations for toxicology cases and educating both parents and medical staff on diagnosis, management, and prevention of poisoning. In recognition of his services, Dr. Rangan has received many awards, including eight Outstanding Community Physician Awards from Children's Hospital, as well as recognition by the board of the Los Angeles Unified School District (LAUSD) for his contributions to environmental safety in LAUSD schools.