Wilderness: Scombroid Poisoning (cont.)
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Scombroid Poisoning Treatment
Many doctors suggest that induced vomiting may help remove the poison if the poisoned person is awake and alert and has recently eaten the fish (or other food) within the past 3 hours. Oral charcoal may be used in some patients that are seen early after ingestion of large amounts of food likely containing significant amounts of scombroid poison. Some doctors recommend that the stomach should be pumped to remove foods before charcoal is administered. Moreover, patients are often given IV fluids as they may become dehydrated from vomiting.
Scombroid poisoning can be treated with diphenhydramine (Benadryl) 25 to 50 mg given orally (or initially by IV) every 6 hours and one ranitidine (Zantac) tablet twice a day as needed to reduce or stop symptoms.
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