Abstract
The management of acute strychnine poisoning in a child is described. Convulsions of typical character occurred with full spinal tetanus followed by respiratory arrest. Aims of management were control of convulsions, maintenance of a clear airway, with adequate respiratory exchange, and elimination of poison from the stomach. Sufficient thiopentone sodium was given rectally to suppress the convulsions without undue circulatory or respiratory depression. The danger of exchanging strychnine for barbiturate poisoning is stressed. Passage of a cuffed endotracheal tube prior to gastric lavage is recommended. The possible use of specific muscle relaxant drugs and long-term care are briefly considered.
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