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  • Title: The first line of response for people who self-poison: exploring the options for gut decontamination.
    Author: Clegg T, Hope K.
    Journal: J Adv Nurs; 1999 Dec; 30(6):1360-7. PubMed ID: 10583646.
    Abstract:
    The trend for increasing numbers of self-poisoning incidents has been noted and a variety of policy initiatives have been launched. Nurses, particularly in emergency room environments occupy a pivotal place in the chain of response to such acts. Any such response needs to be firmly rooted in evidence-based practice yet the initial management of self-poisoning often involves a consideration of procedures, the application of which can vary enormously. This paper offers some contextual information prior to a critical perspective of management modes, namely emesis, lavage, the use of activated charcoal and whole bowel irrigation. A comparison of the relative advantages and disadvantages of each mode precedes suggestions for nursing practice.
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