๐Ÿšฌ Chapter 759.1 ยท Tobacco

Nelson Textbook of Pediatrics 22nd Edition | Tobacco use & exposure: secondhand smoke (SHS) โ€“ 7,000 chemicals, 70 carcinogens; thirdhand smoke (THS) โ€“ residual toxins on surfaces; maternal smoking effects (SIDS, low birthweight, orofacial clefts, learning problems); e-cigarettes/vaping (EVALI); CEASE program (Ask-Counsel-Treat); Tobacco 21 legislation.

๐ŸŒ paeds.online โ€” Pediatric Learning Platform

๐Ÿ“‹ 30 Clinical Scenarios โ€” Tobacco Use & Exposure in Children

๐Ÿ“‡ Highโ€‘Yield Review Cards

๐Ÿฉบ Clinical Recognition: Tobacco-Related Illness

Select a tobacco exposure presentation to review health effects and management (Nelson 759.1).

๐Ÿ“‹ Stepwise Management of Tobacco Use & Exposure

๐Ÿ”‘ Key Principles โ€” Chapter 759.1
โ€ข No safe level of SHS exposure. SHS contains >7,000 chemicals, 70 carcinogens.
โ€ข CEASE program: Ask (about tobacco use), Counsel (brief cessation advice), Treat (pharmacotherapy/referral).
โ€ข Maternal smoking: Increases SIDS risk (2x), orofacial clefts, low birthweight, learning problems.
โ€ข E-cigarettes: EVALI (2019 epidemic), nicotine addiction. Youth vaping epidemic (16.5% high schoolers).
โ€ข Tobacco 21 law (2019): raised minimum purchase age to 21 years nationwide.

    โšก Reflex Prompts โ€” Tobacco Exposure Decisions

    ๐Ÿ“– Summary: Tobacco & Child Health (Nelson 759.1)