Skin Decontamination
Skin Decontamination David C. Lee Tadeusz Korzun Introduction Similar to the patient who presents with multiple trauma, a child with a life-threatening dermal exposure can pose a dramatic challenge. Health…
Whole-Bowel Irrigation
Whole-Bowel Irrigation Milton Tenenbein Introduction Whole-bowel irrigation (WBI) is a procedure intended to prevent the absorption of poisons by removing them from the gastrointestinal tract. It consists of the rapid…
Activated Charcoal Administration
Activated Charcoal Administration Michael Shannon Introduction The efficacy of activated charcoal in the treatment of poisoning was first described in the 1700s, although it was Tovery’s survival after ingesting a…
Gastric Lavage
Gastric Lavage Mary A. Hegenbarth Gary S. Wasserman Introduction Gastric lavage has been performed for almost two centuries, and it yet remains a controversial procedure. In 1812, Physick used a…
Obtaining Biologic Specimens
Obtaining Biologic Specimens Louis M. Bell Nicholas Tsarouhas Introduction Biologic specimens can be an important adjunct to the history and physical examination. Poorly obtained specimens not only may lead to…
Skin Testing
Skin Testing Zach Kassutto Introduction Intradermal injections can be used for the diagnosis of tuberculosis, for allergy testing, and for local anesthesia. The rationale for injecting into the dermis, as…
Clinical Laboratory Procedures
Clinical Laboratory Procedures Meta Carroll James F. Wiley II Introduction This chapter deals with laboratory tests that may be commonly performed by a physician or other health care provider during…
Use of Atropine and Pralidoxime Autoinjectors
Use of Atropine and Pralidoxime Autoinjectors Michele McKee Fred M. Henretig Introduction Military chemical weapons of the nerve agent type are currently considered a significant terrorist threat to civilian populations…
Intramuscular and Subcutaneous Injections
Intramuscular and Subcutaneous Injections A. Felipe Blanco James F. Wiley II Introduction Since its introduction in the second half of the 19th century, intramuscular injection has been a main route…
Ring Removal
Ring Removal Susan M. Fuchs Introduction Occasionally children try on a parent’s ring or toy jewelry, only to realize that the ring cannot be removed. By the time the child…
