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General management of the poisoned patient 

General management of the poisoned patient
Chapter:
General management of the poisoned patient
Author(s):

D Nicholas Bateman

, Robert D Jefferson

, Simon HL Thomas

, John P Thompson

, and J Allister Vale

DOI:
10.1093/med/9780199594740.003.0002
Page of

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date: 23 August 2019

Patients with poisoning need careful assessment and care, no matter what the cause of their intoxication. This chapter covers the general approach to the management of poisoning, but also includes sections on pregnancy, and legal aspects of the care of the poisoned patient.Key aspects of care detailed include decontamination, and alterationof the rate of removal in specific poisoning. Antidotes are used in a relatively small number of cases, but knowledge of their use is important. These indications and uses are outlined.Patients with poisoning tend to have psychiatric problems, including drug or alcohol withdrawal, and the risk from these patients both to themselves and to staff, and optimum management of these cases is discussed.

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