A local survey of gastric lavage for gastrointestinal decontamination in a new century: The future marches on

2018 ◽  
Vol 36 (6) ◽  
pp. 1114-1115
Author(s):  
Rebecka M. Hoffman ◽  
Kevin F. Maskell ◽  
Kirk L. Cumpston
Keyword(s):  
Gastric Lavage ◽  
The Future ◽  
Gastrointestinal Decontamination

Gastrointestinal Decontamination

1993 ◽  
Vol 6 (2) ◽  
pp. 48-56
Author(s):  
Gary M. Oderda
Keyword(s):  
Emergency Department ◽  
Gastric Emptying ◽  
Activated Charcoal ◽  
Gastric Lavage ◽  
Human Volunteers ◽  
Gastrointestinal Decontamination

Gastrointestinal decontamination plays an important role in the management of poisoned patients. The use of ipecac syrup has declined, and the use of activated charcoal has increased, during the period 1983 to 1991. If an emetic is used, ipecac syrup is the emetic of choice. If gastric emptying is done in an emergency department, gastric lavage is preferred. Recent studies in animals, human volunteers, and poisoned patients suggest that activated charcoal and a cathartic is as effective, or more effective, than ipecac or lavage plus activated charcoal and a cathartic. As such, activated charcoal and a cathartic should be considered the primary decontamination procedures to be used in a hospital.

Position paper update: gastric lavage for gastrointestinal decontamination

2013 ◽  
Vol 51 (3) ◽  
pp. 140-146 ◽  
Author(s):  
B. E. Benson ◽  
K. Hoppu ◽  
W. G. Troutman ◽  
R. Bedry ◽  
A. Erdman ◽  
...  
Keyword(s):  
Gastric Lavage ◽  
Position Paper ◽  
Gastrointestinal Decontamination

Current Controversies in Gastrointestinal Decontamination

2005 ◽  
Vol 18 (3) ◽  
pp. 209-220
Author(s):  
Elizabeth A. Clements ◽  
Jamie B. Shaskos
Keyword(s):  
Clinical Outcome ◽  
Gastric Lavage ◽  
Scientific Data ◽  
Poison Control ◽  
Evidence Based ◽  
The Past ◽  
Whole Bowel Irrigation ◽  
Route Of Exposure ◽  
Based Medicine ◽  
Gastrointestinal Decontamination

Most poisonings reported to American poison control centers occur in the home. The most common route of exposure is ingestion, which is responsible for most fatalities. The goal of gastrointestinal decontamination is to prevent absorption of the toxin. Trends in treating poisoned patients have changed over the past few decades in light of a move toward practicing evidence-based medicine. Efficacy and clinical outcome have come into question and have led to position papers published recently regarding syrup of ipecac, gastric lavage, activated charcoal, and whole-bowel irrigation. These different methods of decontamination and the scientific data supporting each one will be reviewed, and the current controversies surrounding each will be discussed.

The Treatment of Overdose–Time for a Change?

2000 ◽  
Vol 45 (3) ◽  
pp. 75-76 ◽  
Author(s):  
A.C. McGuffie ◽  
S.C. Wilkie ◽  
G.W. Kerr
Keyword(s):  
Emergency Management ◽  
Activated Charcoal ◽  
Response Rate ◽  
Gastric Lavage ◽  
Information Service ◽  
Postal Questionnaire ◽  
Acute Overdose ◽  
The Uk ◽  
Gastrointestinal Decontamination ◽  
Poisons Information

To determine emergency management of overdose relating to gastrointestinal decontamination procedures in Scottish Accident & Emergency (A & E) Departments. A postal questionnaire was sent to the 28 main A & E Departments in Scotland. There was a 75% response rate. Nineteen departments (90%) continue to perform gastric lavage, with the majority carrying out this procedure more than one hour post-ingestion of commonly presenting overdoses. Sixteen departments (76%) regularly administer activated charcoal and four (19%) use syrup of ipecacuanha. Twenty departments (95%) had access to Toxbase. The majority of respondents (86%) feel there is a need for standardisation of treatment in acute overdose. Despite the availability of guidelines provided by the UK National Poisons Information Service and the Position Statements, there is no consensus in the actual management of acute overdose among Scottish A&E departments.

International determination of the total motion of the pole

1961 ◽  
Vol 13 ◽  
pp. 29-41
Author(s):  
Wm. Markowitz
Keyword(s):  
Secular Motion ◽  
The Future

A symposium on the future of the International Latitude Service (I. L. S.) is to be held in Helsinki in July 1960. My report for the symposium consists of two parts. Part I, denoded (Mk I) was published [1] earlier in 1960 under the title “Latitude and Longitude, and the Secular Motion of the Pole”. Part II is the present paper, denoded (Mk II).

Status of the Lick Proper Motion Program

1978 ◽  
Vol 48 ◽  
pp. 387-388
Author(s):  
A. R. Klemola
Keyword(s):  
Proper Motion ◽  
The Future

Second-epoch photographs have now been obtained for nearly 850 of the 1246 fields of the proper motion program with centers at declination -20° and northwards. For the sky at 0° and northward only 130 fields remain to be taken in the next year or two. The 270 southern fields with centers at -5° to -20° remain for the future.

Some Structural Features of Metaphase Chromosomes of Mice and Men

1967 ◽  
Vol 25 ◽  
pp. 190-191
Author(s):  
Godfrey C. Hoskins ◽  
Betty B. Hoskins
Keyword(s):  
Electron Microscopy ◽  
Electron Micrographs ◽  
Structural Features ◽  
Metaphase Chromosomes ◽  
The Future ◽  
Of Mice And Men ◽  
Mouse Cells ◽  
Human And Mouse

Metaphase chromosomes from human and mouse cells in vitro are isolated by micrurgy, fixed, and placed on grids for electron microscopy. Interpretations of electron micrographs by current methods indicate the following structural features.Chromosomal spindle fibrils about 200Å thick form fascicles about 600Å thick, wrapped by dense spiraling fibrils (DSF) less than 100Å thick as they near the kinomere. Such a fascicle joins the future daughter kinomere of each metaphase chromatid with those of adjacent non-homologous chromatids to either side. Thus, four fascicles (SF, 1-4) attach to each metaphase kinomere (K). It is thought that fascicles extend from the kinomere poleward, fray out to let chromosomal fibrils act as traction fibrils against polar fibrils, then regroup to join the adjacent kinomere.

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