Caustic Ingestions Questions & Answers

Updated: Oct 27, 2018
  • Author: Eric M Kardon, MD, FACEP; Chief Editor: David Vearrier, MD, MPH  more...
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Questions & Answers

Overview

What are caustic ingestions?

What is the pathophysiology of caustic alkaline ingestions?

What is the pathophysiology of caustic ingestions?

What is the pathophysiology of caustic acid ingestions?

What is the incidence of caustic ingestions in the US?

What are the mortality rates from caustic ingestions?

What is the frequency of severe injury from caustic ingestions?

How does the incidence of caustic ingestions vary by age?

Presentation

What is the clinical history of caustic ingestions?

What are the signs and symptoms of caustic ingestions?

What is the focus of clinical history in suspected caustic ingestions?

What are the common sources of caustic acid ingestions?

What are the common sources of caustic alkaline ingestions?

What are the signs and symptoms of impending airway obstruction of caustic ingestions?

Which physical signs of injury suggest caustic ingestions?

What are indications of severe injury in patients with caustic ingestions?

DDX

What are the initial complications of caustic ingestions?

What are the late-developing complications of caustic ingestions?

What are the differential diagnoses for Caustic Ingestions?

Workup

Which lab tests are performed in the workup of caustic ingestions?

Which imaging studies are performed in the workup of caustic ingestions?

Which initial procedures are performed following a caustic ingestion?

What is the role of endoscopy in the workup of caustic ingestions?

What is the role of activated charcoal in the treatment of caustic ingestions?

What is the role of endoscopic ultrasonography in the evaluation of caustic ingestions?

Treatment

What is the focus of treatment for caustic ingestions?

What is the prehospital care for caustic ingestions?

How are patients with caustic ingestions triaged in the emergency department (ED)?

What are the steps in the emergency department to ensure airway control in patients with caustic ingestions?

What is the role of gastric emptying and decontamination in the emergency department care of caustic ingestions?

What is the role of dilution in the emergency department care of caustic ingestions?

What is the role of neutralization in the emergency department care of caustic ingestions?

Which visualization technique is used for airway management in patients with caustic ingestions?

When is surgical consultation indicated for the treatment of caustic ingestions?

When is endoscopic consultation indicated for the management of caustic ingestions?

Which specialist consultations are beneficial for patients with caustic ingestion?

Guidelines

What are the ESGE-ESPGHAN treatment guidelines for caustic ingestions in pediatric patients?

Medications

What is the focus of management for caustic ingestions?

Which medications in the drug class Analgesic, Narcotic are used in the treatment of Caustic Ingestions?

Which medications in the drug class Proton Pump Inhibitor are used in the treatment of Caustic Ingestions?

Which medications in the drug class Antibiotic, Penicillin and Beta-lactamase Inhibitor are used in the treatment of Caustic Ingestions?

Which medications in the drug class Antibiotic, Cephalosporin (Third Generation) are used in the treatment of Caustic Ingestions?

Follow-up

What are the criteria for discharge following treatment for a caustic ingestion?

What should be included in followup treatment after a caustic ingestion?

How are esophageal strictures treated following a caustic ingestion?

Why is long-term endoscopic screening required for patients following a caustic ingestion?

When is inpatient care indicated for caustic ingestions?

When is patient transfer needed following caustic ingestions?

How are caustic ingestions prevented?

What are complications of caustic ingestions?

What is the prognosis of caustic ingestions?

What information should patients be given about preventing caustic ingestions?