In our practice, the preferred way to induce vomiting after ingestion of poisons (most commonly raisins, chocolate and rat poison) is subcutaneous apomorphine.
If a strong acid or alkali has been ingested, this is contraindicated. This also seems to occur most commonly out of hours for some strange reason.
We give 30μg/kg SC and wait for the desired effect, which works very well and usually results in a peaceful night’s sleep for all concerned.
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