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Activated charcoal is a superb absorbant. It works a lot better than gastric lavage in most cases as it traps the toxins. It also precludes the need for emetics like ipecac (from the very old days). And with charcoal -- there's really very few downsides. If it doesn't work against the specific toxin, it still won't make things worse. It shouldn't be given to a patient with no bowel sounds, with a suspected obstruction, but that's a pretty rare combo with an acute GI poisoning.

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Q: Why is slurry of charcoal given orally to suspected poison victims?
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The same is given to people when they overdose... Something about the charcoal draws the chemicals to it and bonds with it so that the pass through without being digested, so they never make it to your bloodstream.


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