In managing a preschooler with suspected poisoning, which sequence is correct for the actions listed: 4. 1. 2. 3.?

• A. Assess the victim; Terminate poison exposure; Identify poison; Prevent poison absorption.
• B. Terminate poison exposure; Identify poison; Prevent poison absorption; Assess the victim.
• C. Identify poison; Assess the victim; Terminate poison exposure; Prevent poison absorption.
• D. Assess the victim; Identify poison; Terminate poison exposure; Prevent poison absorption.

Answer: (A)

The main idea is to prioritize immediate safety and then limit harm from exposure. Start by evaluating the child’s condition and ensuring airway, breathing, and circulation are stable, while also making sure the scene is safe. This is essential because a poisoned child can deteriorate quickly, and you must know they are not in immediate danger before moving on.

Next, terminate the poison exposure to prevent more of the toxin from entering the body. Remove the child from the source, take off contaminated clothing, and begin decontamination as needed (such as flushing skin or eyes) to stop ongoing absorption.

After safety and exposure are addressed, identify the poison. Gather information from caregivers, look for labels, and contact poison control. Knowing exactly what was involved helps tailor treatment, anticipate complications, and determine any antidotes or specific care needed.

Finally, work to prevent absorption. This includes thorough decontamination and, when appropriate and under medical guidance, measures to bind or remove the toxin (such as activated charcoal) and continued monitoring for symptoms. This sequence—assess, stop exposure, identify, then prevent absorption—fits the logical flow from stabilizing the child to limiting further harm and guiding specific treatment.