Although in industrial poisoning the importance of treatment is small in
comparison with that of preventive measures, in discussing particular
forms of poisoning, full weight must be given to it; and in order to
avoid repetition, certain points will be brought forward here.
Of the treatment of chronic industrial poisonings not much in general can
be said; unfortunately, special treatment has often little chance. It
will usually be of advantage to maintain the activity of the excretory
organs. So far as there is question of poisons affecting metabolism and
injuriously influencing the general state of nutrition, treatment aiming
at improving the general health and strength offers hope of success.
For nervous symptoms, especially paralysis, disturbance in sensation,
&c., treatment generally suitable to nervous diseases can be tried
(electro-therapeutics, baths, &c.). In treatment of acute industrial
poisonings, which often demand the prompt intervention of laymen, ‘first
aid’ is more hopeful.
The most important general rules of treatment arise in reference to
irritant poisons which produce ulceration of the skin, and further in
regard to those poisons which cause unconsciousness, especially blood
poisons.
When an irritant poison is acting on the skin, the first object to be
aimed at is naturally the immediate removal of the cause of corrosion
by water, or, better still, neutralisation by an alkaline solution (for
example, soda solution) in the case of corrosive acids, and weak acids
(organic acids, acetic acid, citric acid) in the case of caustic action
by alkalis. Such remedies must be at hand in factories as part of the
equipment for first aid, where irritant poisonings can occur.
In those industrial poisonings which result in loss of consciousness,
arrest of respiration and suffocation, attempts at resuscitation should
at once be made. In these attempts at resuscitation, _artificial
respiration_ is of the greatest importance; of course the sufferer must
first be withdrawn from the influence of the poison, i.e. be brought into
fresh air. Great care must be taken, especially where it is necessary to
enter places filled with a poisonous atmosphere, to prevent the rescuers,
as is often the case, themselves falling victims to the influence of the
poison. They should be provided with suitable smoke helmets or breathing
apparatus.
We will not describe the methods of resuscitation and artificial
respiration universally enjoined; they can be found in every first-aid
handbook.
Emphasis is laid on the great importance of _treatment by oxygen_ in
cases of industrial poisoning through gaseous blood poisons, as this
treatment is attended with good results. Apparatus for the administration
of oxygen should be kept wherever there exists the possibility of such
poisoning, especially in mines, smelting works, chemical factories, and
chemical laboratories.
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