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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Alkali Exposure

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