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What To Do - Basic First Aid for Poisonings
The following information is presented for educational purposes only and should never be used to assess or treat any toxic exposure.  Always consult the poison center for specific advice on the management of any known or suspected poisoning.

General first aid
Oral exposures
Ocular exposures
Inhalation exposures
Dermal exposures
Insect stings
Marine stings
Plant exposures

General first aid measures
  • Knowing your basic first aid measures for a poisoning exposure, can save lives and help prevent serious injury from occurring.
  • Remove victims from contact with the chemical or gaseous fumes as long as you do not put yourself in danger.
  • Do not follow the poisoning advice on the product labels, some of these instructions are very outdated and could potentially cause more harm.
  • Call your Poison Information Center or physician for instructions before giving the victim anything to eat or drink.
  • If you go to a health care facility, take the product container with you.
  • Have a bottle of ipecac syrup in the home (one bottle for each child in the home) at all times. Do not administer ipecac without first contacting the poison center or your physician.
  • Never give any medications prior to calling your local poison center or physician for advice.
Oral exposures (by mouth)


When a product is placed in the mouth or swallowed you can rinse the mouth with water. Then call the poison center for further instructions. As mentioned above, some product labels contain outdated or incorrect information. Do not try to neutralize a poison by giving raw eggs, salt water, mustard, vinegar or citrus fruit juices as an antidote or to cause vomiting. Never attempt to induce vomiting by sticking your fingers anywhere in the patient’s mouth; this procedure can be very dangerous. Based on the type of poison, the specialist may choose to give ipecac syrup, dilute with water or milk, or just observe the patient for symptoms.

Ocular exposures (eyes)


Following an ocular exposure, the eye needs to be rinsed for 15 minutes with room temperature tap water. This can be done either at the sink using a pitcher of water or in the shower. It is very important to be sure the eye is held open during the irrigation. Call the poison center as soon as possible after the exposure occurs. Some chemicals have the potential to cause severe burns to the eye, the specialist may therefore recommend that you irrigate the eye for 15-30 minutes and then proceed directly to a health care facility for further irrigation and evaluation.

Inhalation exposures(fumes, gases, dust, aerosols)


Immediately remove the person to fresh air. Ventilate that area as soon as possible by opening windows or directing fans toward the door, while protecting yourself from injury. Contact your local poison information center or your physician for further information. If the person is unconscious, having difficulty breathing or not breathing, call 911.

Dermal exposures (skin)

Immediately remove any contaminated clothing and rinse the affected area thoroughly with water. Wash the same area with soap and water to remove all remaining chemicals on the skin. Call your local poison center or physician for further instructions. Do not use any other medications, ointments, solutions, or products on the affected area until advised to do so by the poison center or your physician.
Insects, spider bites and bee stings

Clean the wound with soap and water, remove any stingers by swiping the area with a butter knife or credit card. Apply baking soda and water paste to the site, ice to site alternating 10 min on 10 min off until no longer needed for pain, or may use a cold compress in the same manner. Redness of the skin, mild swelling, and/or itching are common symptoms. Observe for anaphylaxis: flushing face, hives, chest pain, sweating, dysphagia, shortness of breath. If any of these symptoms occur, go to a Health Care Facility. Call your local poison center or physician for further instructions and symptoms to watch for. See Florida's Critters for detailed information on characteristics of specific bites and stings
.
Marine stings


Portuguese Man-Of-War, Jellyfish, or Fire Coral

Irrigate the affected area with water in which you were exposed, then soak the area in vinegar for 30 minutes. Remove remaining tentacles by applying a paste of baking soda or flour and scraping or shaving the area with a butter knife. DO NOT rub the area. When this is dry, apply topical steroid cream every four hours for several days. If an allergic reaction develops or if symptoms do not resolve, go to a health care facility.

Stingray, Catfish, or Sea Urchin

Irrigate the wound with fresh water if available or with sea water if fresh water is not available. Attempt to remove any sheath or barbs seen in the wound then submerse the injured part in water as hot as the patient can tolerate for 30-90 minutes. If unable to remove any part of the sheath or barb, go to a health care facility. Make sure your tetanus immunization is up to date. Analgesics can be taken as directed if needed for pain. If an allergic reaction develops or if symptoms do not resolve, go to a health care facility.

Plant exposures


The majority of children and adults who eat plants do not suffer serious ill effects. However, some plants are more harmful than others, and certain individuals may be more susceptible to their toxic effects. You should familiarize yourself with the following guidelines related to plant exposures.

Keep one bottle of ipecac syrup in the home for each child in your household. DO NOT use it unless instructed to do so by the poison information center or your physician.

Use the plant list as a guide to identify, label and record all plants in and around your home. Determine which plant was involved in the exposure. Was it touched or eaten? If it was ingested, how much, and which part (leaves, berries, stems, fruit, seeds or roots) was involved? How long ago did this happen? If a plant was eaten, give the child a small amount of water or milk to drink and wash any irritated skin area. Call the poison center to determine if the plant is poisonous. Carefully follow all directions for treatment, and watch for any further symptoms, call the poison center if symptoms develop, persist or worsen.

For Poisoning Emergencies Call
1-800-222-1222 V/TTY

 

© 2007 Florida Poison Information Center Jacksonville. All Rights Reserved.