Emesis vs Lavage for Drug Ingestion

Publisher Website
Google Scholar
Abstract
To the Editor:— Jenis et al, "Acute Meprobamate Poisoning" (207:361, 1969), make an important point on the treatment of drug ingestions; "The standard modes of therapy must be amplified to include vigorous gastric lavage with a large caliber Ewald tube during the initial comatose state followed by ipecacinduced emesis in the fully conscious state... to improve mechanical removal of the drug." Ipecac-induced emesis should really be emphasized even further as is illustrated by the following cases. Report of Cases Case 1.— A 19-year-old female was brought to the Boston City Hospital accident floor ten minutes after ingesting a bottle of "pep pills" because she was depressed. The pills taken were not immediately identifiable. Physical examination revealed an alert unconcerned female. Vital signs were stable. Gastric lavage with 3,000 cc of normal saline through a largebore (20 F) Ewald tube was instituted with return of only cloudy yellow gastric material

This publication has 0 references indexed in Scilit: