GENERAL PRINCIPLES OF TREATMENT AND MEDICAL AND LEGAL

• Doctor should enquire about the nature of the poison • Relevant police

GENERAL TREATMENT • • • Removal of unabsorbed poison Use of Antidote Elimination of

REMOVAL OF UNSABSORBED POISON • • Inhaled poison Injected poison Contact poison Ingested poison

USE OF ANTIDOTES • Mechanical or physical 1. Demulcent 2. Bulky food 3. Charcoal

• Physiological or Pharmacological 1. Atropine for pilocarpine 2. Caffeine for morphine 3.

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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.

• Doctor 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.

GENERAL TREATMENT • • • Removal of unabsorbed poison Use of Antidote Elimination of absorbed poison Treatment of general symptoms Maintenance of patient general condition

REMOVAL OF UNSABSORBED POISON • • Inhaled poison Injected poison Contact poison Ingested poison 1. Emesis 2. Gastric lavage

USE OF ANTIDOTES • Mechanical or physical 1. Demulcent 2. Bulky food 3. Charcoal • Chemical 1. KMn. O 4 2. Weak solutions of iodine

• Physiological or Pharmacological 1. Atropine for pilocarpine 2. Caffeine for morphine 3. Atropine and oximes for organophosphorous compounds 4. Chelating agents o BAL o EDTA o N- Penicillamine o Desferrioxamine (D. F. M) • Universal antidote