Has your patient swallowed JIK or other corrosive substance lately?

DO NOT… Panic (Doesn’t help the patient)… Induce Emesis (risk of mucosal injury and perforation) Insert NG Tube (may cause esophageal perforation and increase the risk of aspiration) Do Lavage (risk of damage to oesophagus and aspiration) Try to neutralise the substance (risk of heat production resulting from this exothermic reaction Administer systemic steroids You […]

For all those organophosphate poisonings…

  Physostigmine We recommend 1-2 mg (0.05 mg/kg, maximum initial dose of 0.5 mg in children) IV slow infusion over at least 5 minutes to reduce the risk of seizures. Dose may be repeated for incomplete response after 5 to 10 minutes up to a maximum of 2 mg in children and 4 mg in […]

Emergency Medicine Kenya Foundation