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Full text of "Medical Jurisprudence And Toxicology"

TREATMENT I3ST CASES  OF POISONING

he gives false information, he is liable to be charged with the offence of
giving false information under section 193, Indian Penal Code. To avoid
these difficulties the Inspector-General of Police, Bengal, suggests that every
case of suspected poisoning should be treated as homicidal and the question
of suicide must be decided by the police after investigation.14 A medical
officer in charge of a government (public) hospital is required to report to
the police all cases of suspected poisoning, whether accidental, suicidal or
homicidal, admitted into his hospital.

If a case of suspected poisoning proves fatal, a medical practitioner
should never grant a death certificate, but must communicate the fact of the
death to the nearest police-officer for necessary investigation.

TREATMENT IN CASES OF POISONING

A medical practitioner should always have an emergency case ready for
cases of poisoning, so that he may be able to adopt immediate treatment
without loss of time.

The treatment should be based on the following principles : —

1.    Removal j6f unabsorbed poison from the body.

2.    Use of Antidotes.

3.    Elimination of poison absorbed into the system.

4.    Treatment of general symptoms.

1. Removal of Unabsorbed Poison.—If the poison is inhaled as a/gas,
the patient must be removed into the fresh air, and must be made to inhale
oxygen by means of a mask similar to one used for tike administration of
laughing gas. Mixtures of oxygen and carbon dioxide should not be
administered in the resuscitation of subjects requiring and receiving arti-
ficial respirations.15

If the poison is introduced subcutaneously into a limb from a bite or an
injection, a ligature should immediately be applied tightly above the wound,
which should then be sucked to remove the poison, provided there is no
abrasion or ulcer in the mouth. The wound may also be excised and the
poison neutralized by a suitable chemical substance. It must be remem-
bered that the ligature must be loosened every ten or fifteen minutes for
two, to three second^ to prevent the formation of gangrene.

If the poison is applied to the skin or a wound, or is inserted into the
vagina, rectum^ ^q$$&ry bJadder, it should be removed by thorough lavage
of the affected pA^ with copious amounts of water or should be neutralized
by a specific c^iiesd^sil $dven1L

If the poison is swalfewsi^ M* sfetouH be removed by washing out the
stomach witH a sfKpp^cJt          ,\ An oretiBary; rabber tube of about half an

inch in, (fiaiaeter '^^^^j^j^f^^m^jES^^ With a, glass funnel attached

made at a                                         ^i^^'|*iat end (stomach end), '^fife

tube shouH' f^'^il^                                                       oil, or some otfier

lubricant,                                                                f>y <fepressing thfe



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