The mother informs the crew that her daughter loves these scented candles and that they always keep many burning in the house. The crew's quick primary examination shows intact ABCs. The mother reports that the child has occasional asthma for which she takes albuterol syrup. She has no allergies to medication and is up to date on all her immunization shots. The physical examination is significant only for mild abdominal pain to all quadrants on palpation.
Lung sounds remain clear bilaterally with no evidence of wheezing.
The crew does not witness any vomiting during their contact with the patient. In the ED, medical personnel triage, assess and evaluate the child. A thorough abdominal examination does not reveal any remarkable findings. With these vague symptoms and the history of multiple candle burning in the house, the on-duty attending physician decides to test blood samples for carbon monoxide and lead levels. The physician admits the child for treatment of lead poisoning.