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The first line of response for people who self-poison: exploring the options for gut decontamination

Authors


Kevin Hope School of Nursing Studies, Coupland III Building, University of Manchester, Oxford Road, Manchester M13 9PL, UK. E-mail: khope@man.ac.uk

Abstract

The first line of response for people who self-poison: exploring the options for gut decontamination

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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