Gastric elimination

Consider gastric emptying if the poison is not a corrosive or hydrocarbon and has been ingested <4h previously. If salicylates or tricyclics have been ingested gastric emptying is useful for 12h after ingestion. There are no clear advantages for forced emesis (ipecacuanaha 30ml in 200ml water) or gastric lavage. Forced emesis may be delayed for 30min and then may be intractable. Aspiration is a serious risk with either form of gastric emptying therapy; the patient should be intubated for airway protection if consciousness is at all impaired.

0 0

Post a comment