II. Protocol: Gastric Decontamination

  1. Indications
    1. Severe ingestion cases as directed by poison control
    2. Gastric Decontamination is no longer recommended for most ingestions
  2. Techniques
    1. Gastric Lavage
    2. Activated Charcoal
    3. Cathartics
    4. Whole Bowel Irrigation

III. Protocol: Skin Decontamination (e.g. chemical exposure)

  1. Remove all clothing and wash skin with soap and water
  2. Protect health care workers from exposure
    1. Example: Organophosphates on clothing
  3. Irrigate eye exposures with Normal Saline

IV. Protocol: Enhancement of Elimination

  1. See Urinary Alkalinization for Indications
  2. Contraindicated or ineffective measures
    1. Acidification
    2. Forced Diuresis

V. Protocol: Blood filtering

  1. See Hemodialysis for Indications
  2. Charcoal Hemoperfusion Indications
    1. Theophylline
    2. Diphenhydramine (Benadryl)

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