Forensic Medicine · Toxicology — General Principles

Gastric Lavage

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Definition

Gastric lavage is the washing out of stomach contents to remove poison.

Indications

  • Potentially serious poisoning.
  • Recent ingestion of poison.

Contraindications

ContraindicationReason
Corrosive poisoningRisk of perforation
ConvulsionsUnsafe unless the airway is protected
Unprotected airwayRisk of aspiration
Caution

Do not perform gastric lavage in corrosive poisoning — the corroded stomach wall risks perforation. Also avoid it with an unprotected airway (aspiration) or during convulsions unless the airway is secured. These are classic exam traps.

Test yourself

Give two contraindications to gastric lavage.

Reveal answerHide

Corrosive poisoning (perforation risk) and an unprotected airway (aspiration); also convulsions unless the airway is secured.