ffGastric lavage if ingestion within 1 hour from arrival or pills visible in the stomach at X-ray ffNB: charcoal is NOT EFFECTIVE}ffPatients who are asymptomatic after 6 hours from ingestion most likely do not need specific treatment. Monitor for at least 12 hours}ffIV fluids to manage shock and hypovolaemia}<b>Indication for use of antidote:</b><br>–– Severe symptoms –– Metabolic acidosis<br><b>ffDesferroxamine</b>continuous infusion 15 mg/kg/ hour in normal saline or glucose 5% –– Do not use for more than 24 hours –– Increase IV fluids if BP drops –– Continue until metabolic acidosis clears or clinical condition improves –– Contraindication: renal failure/anuria