Basic Operating Rules in the Treatment of Toxicosis

The following concepts are central to approaching a toxicosis patient  

Reducing further exposure to a toxicant is crucial and may include removal of the patient from a toxic environment and the application of decontamination procedures. Immediate decontamination reduces absorption of toxic compounds and represents a primary essential aspect of the treatment regimen. 

External/Skin Decontamination. This entails the complete removal of clothing and gentle washing of the victim with copious amounts of lukewarm water. Mild soaps are often useful and may increase effectiveness of the removal of the offending substance. 

Internal Decontamination. The most recommended methods of internal decontamination Include gastric lavage, whole bowel irrigation and administration of activated charcoal. 

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