Updates on the Evaluation and Management of Caustic Exposures - 20/04/22

Doi : 10.1016/j.emc.2022.01.013

Richard J. Chen, MD ^a,^⁎ , Rika N. O’Malley, MD ^b, Matthew Salzman, MD ^c
^a Division of Medical Toxicology, Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141-3098, USA
^b McLeod Health Seacoast, Little River, SC, USA
^c Division of Medical Toxicology and Addiction Medicine, Department of Emergency Medicine, Cooper Medical School of Rowan University, Keleman 152, Camden, NJ 08103, USA

^∗Corresponding author. Division of Medical Toxicology, Department of Emergency Medicine, Albert Einstein Medical Center, 5501 Old York Road, Korman Building B-6, Philadelphia, PA 19141-3098, USA,Division of Medical ToxicologyDepartment of Emergency MedicineAlbert Einstein Medical Center5501 Old York Road, Korman Building B-6PhiladelphiaPA19141-3098USA

Résumé

In the 2019 annual report by the American Association of Poison Control Centers, there were more than 180,000 single substance exposures involving household cleaners, making these products the second most common exposure reported to poison control centers. Little controversy exists in the general management following dermal or ocular caustic exposure. However, there still exists controversy concerning management of gastrointestinal caustic exposure. This article provides a thorough review of diagnosis, management and prevention of gastrointestinal caustic exposures and their sequelae. Hydrofluoric acid, which requires special consideration compared to other acids, is also explored.

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Keywords : Caustic, Alkali, Acid, Exposure, Overdose