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Decontamination After Toxin Exposure

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Decontamination After Toxin Exposure, Decontamination After Toxin Ingestion, Gastric Decontamination

  • Protocol
  • Gastric Decontamination
  1. Indications
    1. Severe ingestion cases as directed by poison control
    2. Gastric Decontamination is no longer recommended for most ingestions
  2. Techniques
    1. Gastric Lavage
    2. Activated Charcoal
    3. Cathartics
    4. Whole Bowel Irrigation
  1. Remove all clothing and wash skin with soap and water
  2. Protect health care workers from exposure
    1. Example: Organophosphates on clothing
  3. Irrigate eye exposures with Normal Saline
  • Protocol
  • Enhancement of Elimination
  1. See Urinary Alkalinization for Indications
  2. Contraindicated or ineffective measures
    1. Acidification
    2. Forced Diuresis
  • Protocol
  • Blood filtering
  1. See Hemodialysis for Indications
  2. Charcoal Hemoperfusion Indications
    1. Theophylline
    2. Diphenhydramine (Benadryl)