![]() Perform skin decontamination in a designated area outside the emergency department if ricin powder or similar substance is found on the patient and when there is known dermal exposure to ricin.Contact regional poison control center, immediately upon suspicion of a case of ricin exposure, for guidance and further individualized management.Follow Incident Site Emergency Treatment guidance.Healthcare Facility Emergency Treatment.Administer medication for treatment of hypotension, if necessary.Give medication for control of seizure activity, if necessary.Decontaminate skin by showering or washing, using soap and water, and rinsing skin with plenty of water.Flush eyes with large amounts of tepid water for at least 15 minutes.Administer blood pressure support through the use of intravenous vasopressors, if needed.Provide early and aggressive intravenous fluid and electrolyte replacement. ![]() If vomiting, lean victim forward or place on left side, head-down position, if possible, to maintain open airway and prevent aspiration.Gastric lavage may be considered if ingestion has occurred in ≤1 hour.Administer a single dose of activated charcoal as soon as possible if the patient has suspected/known ricin ingestion, if vomiting has not begun and airway is secure.Perform cardiopulmonary resuscitation if necessary.Provide oxygen, and/or mechanical ventilation with positive end expiratory pressure to maintain oxygenation, if needed.The castor oil plant protects its seeds from predators with ricin Image. Provide supportive treatment to minimize the effects of ricin poisoning, based on exposure and symptom factors. There are only a few people in the world who are immune to ricin. How does exposure to ricin occur It would take a deliberate act to make ricin and use it to poison people. ![]()
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