“This report raises another red flag about e cigarettes the liquid nicotine used in e cigarettes can be hazardous,” said CDC Director Tom Frieden, M.D., M.P.H in a written statement. “Use of these products is skyrocketing and these poisonings will continue. E cigarette liquids as currently sold are a threat to small children because they are not required to be childproof, and they come in candy and fruit flavors that are appealing to children.”

We asked Jeanette Trella, PharmD, managing director of the Poison Control Center at The Children s Hospital of Philadelphia, about the rise in cases related to e cigarette liquids that the Center has received and tips for properly storing the liquid nicotine.

What increase in e cigarette related calls has The PCC at The Children’s Hospital of Philadelphia seen? Can you talk generally about some of the cases that PCC has handled?

The PCC has handled 45 calls related to e cigarettes and their refillable liquid, 26 of which were from 2013 to present. Of the exposures to the liquid refill product, 68 percent of all cases involved children less than 6 years of age. In addition to children ingesting the liquid, we also had cases in which the refillable liquid bottles were mistaken for eye drops, which ultimately led to burns of the eye.

What are potential symptoms if this liquid is swallowed, depending on the amount?

Electronic cigarette liquid refills typically contain nicotine as a primary active ingredient. Nicotine may cause nausea, vomiting, dizziness, salivation and tearing, diarrhea and muscle weakness. Confusion, coma, seizures and death may occur with high doses.

The most common symptoms reported to the PCC were nausea and vomiting, however, there was a case of severe toxicity which manifested as nausea, vomiting, diminished responsiveness and ataxia (balance difficulties).

How should e cigarette liquids be stored properly? Would you advise that parents/caregivers specifically tell a child not to ingest the liquid before storing in properly?

E cigarette liquid refills are poorly regulated and may be distributed without child protective packaging, with inadequate labeling, and with questionable quality control of ingredients. They can contain high amounts of nicotine and are typically flavored and in colorful containers, which can be enticing to young children. The increasing commercial sales of e cigarettes and liquid refills may increase the risk of toxic exposures to these products.

With regard to poison related calls involving children, inclusive of e cigarette cases, the majority are in children less than three years of age. Rather than showing a toddler the bottle and suggesting not to drink it, we recommend restricting visibility and access to such products in the home. As with all household poisons, store e cigarette devices and their liquid refills out of reach and out of sight of children.

What should you do if you suspect that your child has ingested e cigarette liquid?

If you suspect your child has been exposed to e cigarette liquid, then please call the Poison Control Center at 1 800 222 1222. We have specially trained nurses and pharmacists available to answer your questions 24/7 at no charge.

Have a question for the Healthy Kids panel? Ask it here. Read more from the Healthy Kids blog

E cigarette reviews 2014

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We’ve reviewed a TON of e cigarette brands and e tailers, and a couple of them stand out for us.

If you are looking for a more advanced vaping device, check out VaporZone. These guys have a sick selection of eGo style and variable voltage batteries, and and incredible selection of e juice, with way over 20,000 possible flavor mixes with their customizable blends.

They also have what are called cigalikes, which are about the size of real tobacco cigarettes. They basically have something for everyone at all levels.

Visit them at and if you want to save cash on your purchase, use our VaporZone discount here.

Our number one pick of all standard sized e cigs is V2 Cigs as we love their flavors.

First and foremost we love their flavors, especially their red flavor for you Marlboro smokers. They have a nice flavor selection (not too many), and we enjoy most all of their flavors, including menthol, chocolate, coffee and things like their special or seasonal flavors such as pumpkin spice or cola.

This the the brand we highly recommend, especially for someone new to or just considering electronic cigarettes, as they are our pick to the closest to the real thing. And for anyone looking to try another brand, check ’em out. They have some awesome extras, such as e liquid to refill your own cartridges, mini tanks, and the EX batteries are perfect if you want a more powerful battery.

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You can’t go wrong with either of these two companies.

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South Beach Smoke has announced their new Air, as well as the addition of custom blend e liquids

Here’s a bit more about aspects of e cigs we review

Gimmicks

Are e cigs green? Do they light up when you smoke?

First of all, e cigs are all greener than regular cigarettes. If one firm advertises its environmental friendliness as though it is greener than the rest, test that suggestion by reading more about it. Unless they have invented biodegradable batteries, the most they can offer is a recycling program, although that is a step in the right direction.

Generally speaking, e smoking is better for the environment. Scientists cannot tabulate the effects on nature of butts being dropped on the ground, at least not with certainty.

They can say that e cigs are also more pleasant in the environment, with no smells or ash. In fact, e cigs are not classified the same as traditional cigarettes and can be used in some places where smoking is banned, at least for now, as regulators are clamping down on it.

The grey, lethal looking cloud created by smoking a burning ember is absent. Nothing burns in an e cig nicotine is heated. This is true of all e cigs by definition.

Colors

Certain companies market their products to men. They offer a few color choices, but they either make a cig look like an old fashioned rollup or are they lack vibrancy. Older smokers who dislike the idea of a lime green product might choose these.

Other cigs are designed for women and some are marketed towards men. Shades include varieties of purple, pink, blue, and green.


Power

One of the biggest issues you have after flavor when switching is battery power. If an electronic product cannot keep its charge long enough or the battery only gives 100 puffs, that could be a bit of maintenance.

Battery power is affected by size. If you want a sleek looking mini e cig with a slim profile, you get less power. It is still decent, but you should expect to use it less or charge it more. Bigger batteries obviously have more juice in them and go on longer.

Most kits come with different battery sizes, and some companies, such as Halo Cigs, carry a substantially larger battery that has a much longer life.


Starter Kits

Just about every company creates a starter kit. This is a selection of everything you need to get started. If she were to buy each piece separately, the consumer would pay more than if she bought them as a package. Every company makes this different in some way. Certain ones simplify the issue by creating two versions of the same package. Others add one or two items to sweeten the deal on increasingly bigger, more expensive kits.

A number of firms such as V2 and South Beach offer the option of a Power Cig as a taste testing idea. Try this, with its USB connection, and find out what it feels like to smoke vapor instead of tobacco smoke. If you like the way it feels and are impressed by the company, buy the basic starter kit which does not include a Power Cig.

Kits usually come with a number of flavor cartridges, a USB adaptor, wall charger, and one or two batteries.

Flavors and Nicotine

You know there is power in their battery. Colors suit your personality. Now you have to try a brand’s flavors to be sure this is the right product.

This is for most people the most important factor, and it typically trumps the price, just like with analogues where most people will splurge for Newports or Marlboros over something close that is cheaper.

Each manufacturer carries at least two, possibly as many as four types of tobacco. Versions like Turkish Tobacco are common, and there is often one to simulate the flavor of unfiltered cigarettes. Menthol is also a typical option.

Gourmet flavors are usually part of the menu too. They sound like assorted candies cherry, peach, pina colada, passion fruit, and grape. Coffee, mocha, mint chocolate, and vanilla are a few others. If you like menthol but want a change, try mint tea or peppermint.

You probably smoke mostly for the nicotine, and this is an ingredient inside of the cartridges to refill your e cigs. Choose from a low dose to 2.4%, or even 4.5% in the case of NJOY, or try to wean from nicotine with 0% if you want to cut back.

Read customer impressions of vapor strength. Some products are consistent, while there is a tapering effect from others.

Modded E Cigs

E cig mods are a pretty vast category that is growing like crazy, and is left a bit open for interpretation. Pictured to the right is something that looks like it could come out of NASA, but it is an upgraded battery, and the battery features a variable voltage option.

On top of that is a tank system, which is about the top third of it, where you can see some e cig juice and a black mouth piece up top.

A modded cig like this serves the same function as a standard sized e cig, just with much more horsepower and battery longevity.

There are different sized tanks, and other upgraded batteries, many of them are known as an eGo style battery.

A combination of a tank and an upgraded battery is typically the next big step for anyone looking to get a modded, more powerful cig that lasts longer, and as a nice gateway to the world of mods, which is a lifestyle and hobby for lots of vapers out there.