Basic Decontamination
Victims who are able may assist with their own decontamination. Brush all visible particles from clothes, skin, and hair. Remove and double-bag contaminated clothing and personal belongings.
Thoroughly flush exposed skin and hair with water for 3 to 5 minutes, then wash with mild soap. Rinse thoroughly with water. Use caution to avoid hypothermia when decontaminating children or the elderly. Use blankets or warmers when appropriate.
If phosphides have been ingested, do not induce emesis. Phosphides will release phosphine in the stomach; therefore, watch for signs similar to those produced by phosphine inhalation. Administer a slurry of activated charcoal at 1 gm/kg (usual adult dose 60-90 g, child dose 25-50 g). A soda can and a straw may be of assistance when offering charcoal to a child.
Consider appropriate management of chemically contaminated children at the exposure site. Also, provide reassurance to the child during decontamination, especially if separation from a parent occurs. If possible, seek assistance from a child separation expert.