Abstract
Emesis was induced in 47 patients using commercial liquid dish washing soap (30 cc plus fluid). Patients entered in the study met the following criteria: 1) emesis indicated by nature of exposure, 2) 10 mos. old, 3) no contradictions to emesis, 4) ipecac not available and patient 30 minutes from a likely source, 5) continued telephone contact possible or patient referred to medical facility. A consecutive group of patients (74) in whom ipecac was used to induce emesis served as the control group. All subjects were followed for two days to determine effectiveness and adverse reactions Emesis occurred in 39 (83%) of the study group and 72 (97%) of the control group. Emesis occurred in 5 min in 21 (54%) of the study group and none of the ipecac group. In 30 (77%) of the study group and 30 (42%) of the control group emesis occurred in 20 min. In the study group 67% of the subjects had 1 episode of emesis compared to 86% in the control group. In the study group the return on emesis was judged good in 44%, moderate in 44%, poor in 7%, and unknown in 5%. In the ipecac group return was good in 72%, moderate in 26%, and unknown in 2%. No significant side effects were observed, but, nausea tended to be more prolonged in the ipecac group. Liquid dish soap appears to be a safe and effective method for inducing emesis when ipecac is not available.
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