Gastrointestinal Decontamination and Enhanced Elimination

Ipecac clearly has no role in the emergency department management of digitalis glycoside poisoning. After initial stabilization, administer activated charcoal to prevent further drug absorption.13 The use of gastric lavage is controversial. Because activated charcoal is so effective, lavage has a minimal role, if any. Asystole has been reported in a digoxin-toxic patient presumably from vagal stimulation during lavage. If lavage is contemplated, pretreatment with atropine prior to performing gastric lavage has been suggested. Forced diuresis, hemodialysis, or hemoperfusion have no role in enhancing elimination of digitalis.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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