EmtPoisonOverdose

EmtPoisonOverdose - Poisoning Temple College EMS...

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Unformatted text preview: Poisoning Temple College EMS Professions Poisons ❖ Substance which when introduced into body in relatively small amounts causes in structural damage or functional disturbances Suspect with: ❖ GI signs/symptoms (nausea, vomiting, diarrhea, pain) ❖ Altered LOC, seizures, unusual behavior ❖ Pupil changes, salivation, sweating, other signs/symptoms of disturbed autonomic nervous system function ❖ Respiratory depression ❖ Burns, blisters of lips, mucous membranes ❖ Unusual breath odors Treat Patient, Not Poison ❖ Proper support of ABCs is first step in management Try to determine: ❖ What? ❖ How much? ❖ How long ago? ❖ What has already been done? ❖ Psychiatric history? ❖ Underlying illness? When in doubt. . . ❖ Assume containers were full ❖ Entire contents were ingested If several patients involved. . . ❖ Assume each ingested entire container contents Always. . . ❖ Bring sample of material if possible ❖ Save for analysis, if patient vomits ❖ Call poison center for advice on management Poisoning Management ❖ Based on route of entry – Ingested – Absorbed – Inhaled – Injected Ingested Poisons ❖ Prevent absorption of toxin from GI tract into bloodstream – Activated charcoal – Syrup of Ipecac Activated Charcoal Adsorbs toxin, prevents absorption from GI tract Activated Charcoal ❖ Names – SuperChar – InstaChar – Actidose – Liqui-Char Activated Charcoal ❖ Form – Premixed in water (slurry) – Usually bottle containing 12.5 gms Activated Charcoal ❖ Dosage – 1 gm/kg of patient body weight – Usual adult dose: 25 to 50 gms – Usual child dose: 12.5 to 25 gms Activated Charcoal ❖ Contraindications – Altered mental status – Inability to swallow – Ingestion of acids or alkalis ❖ Does not bind – Alcohol – Petroleum products – Metals (iron) Activated Charcoal ❖ Side Effects – Nausea, vomiting – Black stools Activated Charcoal ❖ Administration – Shake container thoroughly – Use covered opaque container – Have patient drink through straw – If patient vomits dose may be repeated Syrup of Ipecac...
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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EmtPoisonOverdose - Poisoning Temple College EMS...

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