Poisoning; Roadside to Resus
The Resus Room
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Activated Charcoal Is Not a Toxic Medicine
activated charcoal is a medicine that's ingested into the stomach and then obviously therefore into the small intestines where it absorbs the toxic molecules onto its surface. When it works it's potentially lifesaving intervention but it's not indicated in all overdoses so tox base says that it should only be used within one hour of the toxic ingestion. If you are going to give it then the dose is 50 grams in an adult and 1 gram per kilogram in peds and that is repeated every four hours normally a maximum of four doses. It won't bind acids alkalis oils and all large molecules so there is a list of them on tox base but things like ethanol iron lithium methanol strong acids and
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