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Treatment involves decontamination by thorough flushing of the oral cavity with running water for at least 5 min, AEMs (see Table 4.1; Chapters 12 and 24), detection and management of cardiac arrhythmias, intravenous fluids and diuretics to promote urinary excretion of the toxin. Emesis, gastric lavage or endoscopic removal is indicated in the rare event of toad ingestion.