Magnet Injuries in Children: An Analysis of the National Poison Data System from 2008 to 2019

Leah K Middelberg1, Alexandra R Funk2, Hannah L Hays3

  • 1Nationwide Children's Hospital, Columbus, OH; Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH.

The Journal of Pediatrics
|January 31, 2021
PubMed

Insights

Pediatric magnet foreign body injuries surged 444% after high-powered magnet sets returned to market. This highlights the urgent need for preventative measures and legislation to protect children from these dangerous exposures.

Area of Science:

  • Pediatric emergency medicine
  • Public health surveillance
  • Consumer product safety

Background:

  • Magnet foreign body ingestion poses a significant risk to children.
  • Previous market removal of high-powered magnets led to a decrease in reported injuries.

Purpose of the Study:

  • To analyze trends and outcomes of magnet foreign body injuries in pediatric patients.
  • To investigate the correlation between magnet set availability and injury incidence.

Main Methods:

  • Retrospective analysis of the National Poison Data System (NPDS) from 2008-2019.
  • Inclusion criteria: patients <19 years with magnet exposure (ingestion, inhalation, injection, dermal).
  • Data collected: demographics, injury type, medical outcomes, and temporal trends.

Main Results:

  • 5738 magnet exposures reported; majority in males (<6 years old) and unintentional.
  • A 33% decrease in cases occurred when high-powered magnets were off the market (2012-2017).
  • A 444% increase in cases (1249/year) followed the reintroduction of high-powered magnets (2018-2019).

Conclusions:

  • Increased magnet injuries strongly correlate with sales periods of high-powered magnet sets.
  • The 444% rise in injuries since 2018 necessitates immediate preventative strategies.
  • Legislative action and enhanced public awareness are crucial to mitigate pediatric magnet-related harm.
Abstract

Related Concept Videos

Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
1.3K
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
1.0K
Potential Due to a Magnetized Object01:24

Potential Due to a Magnetized Object

Magnetic dipoles in magnetic materials are aligned when placed under an external magnetic field. For paramagnets and ferromagnets, dipole alignment occurs in the direction of the magnetic field. However, the dipoles align opposite to the field in the case of diamagnets. This state of magnetic polarization due to the external field is called magnetization. Magnetization is defined as the dipole moment per unit volume. It plays a similar role to polarization in electrostatics.
The vector...
652
Magnetism01:30

Magnetism

Magnets are commonly found in everyday objects, such as toys, hangers, elevators, doorbells, and computer devices. Experimentation on these magnets shows that all magnets have two poles: one is labeled north (N) and the other south (S). Magnetic poles repel if they are alike and attract if unlike. Moreover, both poles of a magnet attract unmagnetized pieces of iron.
An individual magnetic pole cannot be isolated. No matter how small, every piece of a magnet contains a north pole and a south...
7.5K