POISONING / OVERDOSE - Ingestions, which step is included?

• A. Identify substance
• B. Administer syrup of ipecac
• C. Induce vomiting
• D. Remove all bottles and containers from patient

Answer: (A)

Identifying the substance ingested is the essential step because knowing what was swallowed guides all subsequent care. The specific toxin determines whether antidotes are available, if decontamination is appropriate, and what information to relay to poison control. Without this knowledge, treatments could be ineffective or harmful and important time-sensitive actions might be missed.

Syrup of ipecac to induce vomiting is not recommended in modern practice due to the risk of aspiration and limited benefit, so it isn’t included as a standard step. Inducing vomiting itself is often contraindicated in ingestion cases. Removing bottles and containers from the patient helps with scene management and provides clues, but it doesn’t directly drive patient treatment or identify the correct course of therapy.