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Clinical Toxicology

Management of Poisoning

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Principles of management and treatment

Initial ABC ( Airway, Breathing and Circulation) assessment

A secondary survey for infection or trauma of the head or cervical spine, if the patient mental or metabolic activities are abnormal

Supportive care with continuous assessment and monitoring

In case of excessive poisoning , early treatment and supportive care should be provided to the patient before extensive investigation.

1. Depends on route of exposure

Immediately flush eyes with water/saline for 15-20 minutes.

2.Eye exposures

Remove jewelry, clothing. Immediately flush with water for 15 minutes.

3. Inhalation Dermal

Move to fresh air.

4. Injection/Bites and Stings –

Remove clothing, jewelry that might constrict the extremity. Do not excise and apply suction to bites/stings. Constricting band.

5. Ingestion –

Give a glass of water to dilute chemicals such as caustics.