Treatment

CHAPTER 3. DIAGNOSIS, TREATMENT, AND PREVENTION - Section 3.2

Course: SS4561
CE Original Date: 08/05/2022
CE Expiration Date: 08/05/2024
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Learning Objective 4

After completing this section, you will be able to describe treatment following TCE exposure.

Overview

There is no antidote for TCE poisoning. Treatment consists of removing the patient from the exposure and supporting respiratory and cardiovascular functions.

Acute Exposure

TCE poisoning has no antidote. Treatment is supportive. In all suspected cases, remove the patient from the source of exposure. Provide standard support for respiratory and cardiovascular functions when needed.

Additional recommendations include

  • restricting use of alcohol or other CNS depressant medication,
  • removing contaminated clothing,
  • washing affected areas with mild soap and copious amounts of water,
  • moving from the contaminated area, and
  • maintaining good ventilation.
Chronic Exposure

Symptoms related to chronic exposure tend to worsen during exposure and improve when exposure stops, such as during vacation or after a job transfer. Consider other causes for symptoms if no clear association between symptoms and exposure is found.

The level of exposure either must be reduced or the source eliminated for persons with TCE toxicity. Depending on the setting, this might be accomplished by

  • using an agent less hazardous than TCE or
  • increasing air ventilation.
Key Points
  • TCE poisoning has no antidote; supportive measures should be administered.
  • In all suspected cases, removal from exposure should reduce or eliminate symptoms.
Section 3.2: Question #1

To review relevant content, see “Chronic Exposure” in this section (3.2).

Page last reviewed: September 9, 2022