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Poisoning occurs when a substance, whether natural or synthetic, causes damage to living tissues and results in an injurious or fatal effect on the body. This can happen through ingestion, inhalation, absorption, or injection. The study of poisons has evolved significantly, with key contributions from figures like Paracelsus, who emphasized the chemical nature and dose-dependency of poisons, and Matthieu Orfila, who linked a toxin's chemistry to its biological effects.1

Poisoning involves four elements: the poison, the affected organism, cellular injury, and the resulting symptoms or death. A toxic level of a chemical accumulates in cells, disrupting their normal function and leading to symptoms. The body's ability to eliminate a substance, the route of entry, and the host's condition all influence the outcome. Common inorganic poisons include cyanide, mercury, arsenic, and lead, while organic examples include ethyl and methyl alcohol, and carbon monoxide.23

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