ABSTRACT
In order to treat poisoning properly, the physician must possess some special knowledge and equipment. The local or regional poison center can supply information about ingredients of the poison, specific toxic consequences, and details of management. With a case of known or suspected poisoning, routine life-support measures – airway establishment, breathing, and cardiac support – must be evaluated, and if action is needed it must be started promptly. Gastric lavage, like emesis, is most effective if performed immediately after ingestion. While lavage is often performed in emergency rooms, it is invasive and evidence does not support it being superior to ipecac. Intubate patient unless patient is fully awake. Position patient in left lateral decubitus position. Select gastric tube: adults 36–40 French for tablets, smaller for liquid poisons, corrosives, or children. Flood the contaminated area with copious amounts of water from a hose, shower or poured from a bucket to dilute and remove the poison.
