Podcast 657: Caustic Ingestion

<p><strong>Contributor:  Aaron Lessen, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Acid and alkali ingestions have differing prognosis and immediate concerns</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Immediate issues can include superficial irritation, severe burns, esophageal perforation, and even airway compromise from edem</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Long term morbidity can include strictures</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Supportive care is typically all that can be provided in the emergency department</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Diagnostics may include imaging and endoscopy</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">For more severe ingestions without immediate issues,, patients may be monitored for up to 24 hours</span></li> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Hoffman RS, Burns MM, Gosselin S. Ingestion of Caustic Substances. N Engl J Med. 2020 Apr 30;382(18):1739-1748. doi: 10.1056/NEJMra1810769. PMID: 32348645.</span></p> <p><em><span style="font-weight: 400;">Summarized by Erik Verzemnieks, MD</span></em></p> <p> </p> <p><span style="font-weight: 400;">The Emergency Medical Minute is excited to announce that we are now offering</span> <em><span style="font-weight: 400;">AMA PRA Category 1 credits™</span></em> <span style="font-weight: 400;">via online course modules. To access these and for more information, visit our website at</span> <a href= "http://www.emergencymedicalminute.com/cme-courses"><span style= "font-weight: 400;">www.emergencymedicalminute.com/cme-courses/</span></a> <span style="font-weight: 400;">and create an account. </span></p> <p><a href= "https://www.paypal.com/donate?token=