Citation

McMaster B, Brian D, Pimblett A. Accid. Emerg. Nurs. 1993; 1(3): 132-138.

Copyright

(Copyright © 1993, Elsevier Publishing)

DOI

10.1016/0965-2302(93)90171-U

PMID

unavailable

Abstract

There is a great deal of confusion about which is the most effective method of treatment for self-poisoned patients in Accident & Emergency (A & E) departments. A study in our own department revealed that this confusion was leading to inconsistencies in choices of treatments for patients. An extensive literature review was undertaken in an attempt to reduce the confusion and to improve the consistency of care for our patients. Unfortunately few of the articles that were reviewed seemed to concur on a preferred method of treatment for self-poisoned patients. However several points did emerge that were considered worthy of note: 1.1. Gastric lavage and emesis by syrup of ipecacuanha are equally ineffective at emptying the stomach. Gastric lavage carries a relatively high risk of side-effects, and should be limited to patients who cannot safeguard their airway and in whom the risk of toxicity is high.2.2. Activated charcoal is effective in reducing further absorption of toxins from the gastrointestinal tract, but its formulation makes it difficult to administer effectively.3.3. Glasgow Coma Scale and gag reflex should be recorded on all self-poisoned patients on arrival in A & E.

Language: en