If a patient comes with poisoning to emergency medico legal registration should be carried out Preliminary particulars including name age sex occupation caste address date time brought by whom history ID: 918925
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Slide1
GENERAL PRINCIPLES OF TREATMENT AND MEDICAL AND LEGAL DUTIES IN POISONING
If a patient comes with poisoning to emergency medico legal registration should be carried out.
Preliminary particulars including name, age, sex, occupation, caste, address, date, time brought by whom, history.
Slide2Doctor should enquire about the nature of the poison
Relevant police station should be informed
In case of accidental poisoning, public health authorities should also be informed
If poison is not identified then treatment should be on general lines
Proper specimen should be taken including utensil, bottles or containers of the medicines, suspected food or drink, urine, vomit and
faeces
, clothes and soiled bed sheets
.
Slide3GENERAL TREATMENT
Removal of unabsorbed poison
Use of Antidote
Elimination of absorbed poison
Treatment of general symptoms
Maintenance of patient general condition
Slide4REMOVAL OF UNSABSORBED POISON
Inhaled poison
Injected poison
Contact poison
Ingested poison
Emesis
Gastric lavage
Slide5USE OF ANTIDOTES
Mechanical or physical
Demulcent
Bulky food
Charcoal
Chemical
KMnO
4
Weak solutions of iodine
Slide6Physiological or Pharmacological
Atropine for pilocarpine
Caffeine for morphine
Atropine and oximes for organophosphorous compounds
Chelating agents
BAL
EDTA
N-
Penicillamine
Desferrioxamine
(D.F.M)
Universal antidote