The Hidden Dangers of Vaping and the Pediatric Patient

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Evaluation and Credit: https://www.surveymonkey.com/r/MedChat12   Target Audience             This activity is targeted towards all physician specialties.   Statement of Need Introduced in 2007, vaping has been promoted as a safe alternative to smoking. Research shows in 2017, vaping was the most common use of any tobacco-like product in adolescents – with an estimated 1.3 million new adolescents using electronic cigarettes in 2018.In December of 2018, the US Surgeon General declared electronic cigarettes (EC) as an epidemic among youth. Evidence has linked vaping to an increase in acute lung injuries referred to as vaping-related acute lung injury (VpALI) and addiction in the adolescent / young adult population.   Objectives At the conclusion of this offering, the participant will be able to: Define vaping-related acute lung injury (VpALI). Describe the contributing factors of vaping to acute lung injury. Discuss the symptoms, diagnostic guidelines and treatment protocols for VpALI. Implement an inclusive social history in determining patients utilizing electronic cigarettes / vaping and associated risks. Moderator Mark J. McDonald, MD, CPE, FAAP Medical Director, Norton Children’s Hospital & Norton Children’s Medical Center Professor, Department of Pediatrics Division of Pediatric Critical Care University of Louisville School of Medicine   Speaker Scott G. Bickel, M.D. Assistant professor Division of pediatric pulmonology Department of pediatrics University of Louisville School of Medicine   Disclosures The speaker, planners and moderator of this activity have no potential or actual conflicts of interest to disclose. Commercial Support  This activity has not received commercial support. Physician Credits  American Medical Association  Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation Norton Healthcare designates this enduring material for a maximum of .50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.     Date of Original Release | March 2020 Course Termination Date | December 2021 Contact Information | Center for Continuing Medical Education; (502) 446-5955 or cme@nortonhealthcare.org Resources for Additional Study   Abeles, M.D., Michael, et.al., “Vaping-associated lung injury caused by inhalation of cannabis oil”, Pediatric Pulmonology, 2019; 1-3. Al-Hamdani, Mohammed, et. al., “Vaping among youth and young adults: a “red alert” state”, Journal of Public Health Policy, October 2019. Blagev, Denitza, P., Harris, Dixie, et. al., “Clinical presentation, treatment, and short-term outcomes of lung injury associated with e-cigarettes or vaping: a prospective observational cohort study”, The Lancet, Vol 394, December 7, 2019, pages 2073 – 2083. Bozier, Jack, et. al., “How harmless are E-cigarettes? Effects in the pulmonary system”, Current Opinion Pulmonary Medicine, 2020, 26:97-102. Fonesca Fuentes, Xavier, et. al., “VpALI-Vaping-related Acute Lunch Injury: A New Killer Around the Block”, Mayo Clinic Proceedings, December 2019; 94)12): 2534-2545. Gray, Naudia, Halstead, Mary, et. al., “Analysis of Toxic Materials in Liquid From Electronic Cigarettes”. International Journal of Environmental Research and Public Health, 2019, 16, 4450.