EM Didactic - 8 June 2015
"Corrosive poisoning is a common emergency as corrosive agents are easily available for household use. Corrosives can injure the GI tract by causing tissue necrosis, perforation, fibrosis, stricture formation and malignancy years after the exposure. These compounds include acids, bases, salts, heavy metals, iodine tincture etc...
Key Points:
- Both acids and Alkalis can cause strictures.
- Endoscopy performed in the first 12 to 24 hours following ingestion is the gold standard to assess the GI tract.
- Pay attention to Airway, Hydration, Nutrition.
- Say no to NG tube, gastric lavage, emetics, dilution and neutralisation, systemic steroids and activated charcoal."
http://emdidactic.blogspot.com.es/2015/06/corrosive-poisoning.html