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Pediatr Emerg Care. 2008 Mar;24(3):176-86; quiz 187-9. doi: 10.1097/PEC.0b013e318166a092.

Gastrointestinal decontamination of the poisoned patient.

Author information

1
Department of Emergency Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH 45429, USA.

Abstract

Gastrointestinal decontamination has been a historically accepted modality in the emergency management of oral intoxicants. Theoretically, gastric and whole-bowel emptying procedures hinder absorption, remove toxic substances, prevent clinical deterioration, and hasten recovery. This article presents a current overview of gastrointestinal decontamination. It challenges the accepted precepts of gut decontamination and assesses the utility of syrup of ipecac-induced emesis, orogastric lavage, single-dose-activated charcoal, cathartics, and whole-bowel irrigation.

PMID:
18347499
DOI:
10.1097/PEC.0b013e318166a092
[Indexed for MEDLINE]

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