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Poisoning
First Aid
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Optimally, the first
line of action is to identify the poisoning substance and call a regional
poison control center for direction. Activated charcoal use is often preferred
to ipecac syrup as the first line of treatment. Substances adhere to its
surface and can be excreted. It does not work for substances in the PHAILS
acronym: Pesticides, Hydrocarbons, Alcohol-acids-alkalis, Iron preparations,
Lithium, and Solvents.
Ipecac syrup as first-line
treatment is limited to in-home use with alert children who are found
immediately after ingesting a known, noncorrosive substance. It is effective
if given within one hour, but it should not cause delay of activated charcoal
therapy for non-corrosive substances adsorbed by activated charcoal. (DeBoer
S. Am J Nurs 2001;101(4):75)
Comment: Review
your guidelines annually and check that you have the current poison control
center phone numbers and guidelines for your region. -J.O.
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