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  • Title: Is there excessive use of gastric lavage in the treatment of self-poisoning?
    Author: Blake DR, Bramble MG.
    Journal: Lancet; ; 2(8104-5):1362-4. PubMed ID: 82856.
    Abstract:
    An attempt to identify those factors which influenced the decision to perform gastric lavage in 236 cases of deliberate self-poisoning seen over 6 months showed that 87% of patients seen within 4 hours of ingestion of the poison had a lavage, irrespective of the number of tablets and nature of drug taken. Overall, 77% had a gastric lavage. Most of the late lavages were carried out for salicylate ingestion. The changing pattern of drugs used for attempted selfpoisoning suggests that at least 50% of patients are being unnecessarily subjected to gastric lavage.
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