1. Slide 8-1 GENERAL PRINCIPLES Prognosis depends on aggressive removal.Prognosis depends on aggressive removal. Treatment is based on local protocols.Treatment is based on local protocols. At properly managed scenes, it should not be a problem.At properly managed scenes, it should not be a problem. Treatment is geared toward removal or neutralization of the toxin.Treatment is geared toward removal or neutralization of the toxin. In some cases, emesis may not be suitable.In some cases, emesis may not be suitable. – With comatose patients – When caustics are involved – For petroleum products – For pesticides carried on hydrocarbons Safe Rule: Always follow local protocals. Safe Rule: Always follow local protocals.

2. Slide 8-2 FOUR BASIC TREATMENTS IpecacIpecac Activated charcoalActivated charcoal CatharticsCathartics Neutralizing agentsNeutralizing agents

3. Slide 8-3 TREATMENTS IpecacActivated charcoal Has its own hazardsBinds to the toxin for elimination or lavage Aspiration SeizuresNot effective for all toxins Some question theMay be used with Ipecac, efficacy of thisafter emesis

4. Slide 8-4 TREATMENTS (cont'd) CatharticsNeutralizing Agents Can be very messyNot a field therapy An uncommon fieldSpecific to poison ingested therapy May not work withLocal protocols, medical a deeply comatosecontrol, and Poison Control patientCenters to be used in each instance