ingested toxins Substances, that when swallowed, can cause systemic poisoning. Ingestion may be intentional or accidental. Accidental inges-tion of medications is the most common form of poisoning in children. Children may also eat or drink other substances not intended for consumption such as cleaning products, nail polish remover, and plants. Injury may range from gastrointestinal upset to life-threatening cardiovascu-
lar, kidney, LIVER, or neurologic damage. Appropriate FIRST RESPONSE is often crucial.
Site and situation assessment Determine, to the best extent possible, what and how much of it the person has swallowed, as well as when. Take the container or label when it is present.
Responder personal protection measures Latex or latex-style gloves are essential to prevent responder contact with the toxin as well as body fluids from the injured person. A resuscitation shield is necessary for RESCUE BREATHING or CAR-DIOPULMONARY RESUSCITATION (CPR).
First response actions Call 911 to summon emergency medical personnel when the situation appears significant or call the poison control hotline (in the United States: 1-800-222-1222) for guidance. Further first response actions:
1. If the person is conscious, give small, frequent drinks of water.
2. Do not give anything else and do not induce vomiting unless emergency medical or poison control personnel so instruct.
3. If the person is unconscious, position the person to lie on a side with the head somewhat
down in case of VOMITING. If vomiting occurs, clear vomitus from the MOUTH to maintain an open airway.
4. If the person is not BREATHING, begin rescue breathing.
5. If the person is not breathing and does not have a PULSE, begin CPR.
Follow-through People who have ingested toxic substances or overdoses of medications require urgent treatment at a hospital emergency department or trauma center.
See also BODY SUBSTANCE ISOLATION; OVERDOSE; POISON PREVENTION; RESPONDER SAFETY AND PERSONAL PROTECTION; SITE AND SITUATION ASSESSMENT; SUICIDE IDEATION AND SUICIDE; SYMPTOM ASSESSMENT AND CARE TRIAGE.
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