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HOME > J Korean Soc Clin Toxicol > Volume 3(1); 2005 > Article
The Clinical Investigation of Gastric Lavage in Patients with Acute Poisoning
Taek Geun Ok, Jun Hwi Cho, Chan Woo Park, Seung Whan Cheon, Seung Yong Lee, Sung Eun Kim, Ki-Hoon Choi, Ji Hoon Hae, Jeong Yeul Seo, Hee Cheol Ahn, Moo Eob Ahn, Byung Ryul Cho, Yong Hoon Kim
Journal of The Korean Society of Clinical Toxicology 2005;3(1):22-26
DOI: https://doi.org/
Published online: June 30, 2005
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1Department of Emergency Medicine, College of Medicine, Kangwon National University
10Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
11Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
12Department of Internal Medicine, College of Medicine, Kangwon National University
13Department of Internal Medicine, College of Medicine, Kangwon National University
2Department of Emergency Medicine, College of Medicine, Kangwon National University
3Department of Emergency Medicine, College of Medicine, Kangwon National University
4Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
5Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
6Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
7Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
8Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University
9Department of Emergency Medicine, Chuncheon Sacred Heart Hospital, Hallym University

The majority of acute toxic poisoning occur via oral route. The most important emergency treatment of acute poisoning are gastric lavage. Gastric lavage should be considered a patient has ingested a potentially life-threatening amount of a poison and the procedure can be undertaken within 60 mins of ingestion. But, gastric lavage does not consist properly in the cases of emergency situation or an inexperienced doctors treat. The purpose of this study was to determine whether gastric lavage is performed properly. Eighty patients were enrolled in the study in 12-month period from January to December 2002. A retrospective chart review was performed on patients identified as drug overdose who admitted to ER. To assess whether there was a subgroup of patients who may have been candidates for the initiation of gastric lavage in the ER, the patients divided in two groups by time interval from toxin ingestion to ER arrival. The group 1 that admit within 60 minutes after drug ingestion was 38 cases ($47.5\%$), and the group 2 patient who admitted after 60 minutes was 42 cases ($52.5\%$). The average age was $44pm19$ years in group 1, and $48pm24$ years in group 2. There were no differences in sexual distribution of two groups. The mean time interval was $49pm20$ minutes in the group $1,258pm190$ minutes in the group 2. Only thirty ($37.5\%$) of the patients had an overdose for which the treatment of gastric lavage was potentially feasible according to guideline. The correctly performed gastric lavage was 18 ($47.4\%$) in group 1, 12 ($28.6\%$) in group 2. We must enforce education about the gastric lavage, and do so that may treat according to guideline.

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JKSCT : Journal of The Korean Society of Clinical Toxicology