Alkali Exposure

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment

Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g., accidental, intentional, social media challenges) Poison control reports and statistics Types and Effects of Exposure: Different types of exposure: ingestion, ocular, dermal Effects of ingestion, particularly in children and young adults Pre-hospital Care and First Response: Importance of decontamination Safety measures for EMS personnel Steps to take in pre-hospital care History and Physical Examination: Key points to focus on during history taking Important signs and symptoms to check Laboratory and Diagnostic Testing: Overview of useful lab tests and imaging Role of EKG and chest x-ray Importance of early consultation with poison control Endoscopy and CT Imaging: Use of endoscopy to classify injuries and guide treatment Role of CT imaging Complementary use of endoscopy and CT Treatment Approaches: Initial resuscitation and airway management Use of steroids and other medications like antibiotics, H2 antagonists, and topical mitomycin C When and how to use NG tubes Special Populations and Long-term Considerations: Special considerations for children Risks associated with laundry detergent pods Long-term complications, including strictures and increased risk of esophageal cancer Conclusion: Summary of major points discussed Reminder for continued vigilance and the importance of early consultation

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