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 TreatmentPatient Demographics and Case Scenarios:Types of patients prone to alkali exposureCauses and scenarios leading to alkali exposure (e.g., accidental, intentional, social media challenges) Poison control reports and statisticsTypes and Effects of Exposure: Different types of exposure: ingestion, ocular, dermalEffects of ingestion, particularly in children and young adultsPre-hospital Care and First Response:Importance of decontaminationSafety measures for EMS personnelSteps to take in pre-hospital careHistory and Physical Examination: Key points to focus on during history takingImportant signs and symptoms to checkLaboratory and Diagnostic Testing: Overview of useful lab tests and imagingRole of EKG and chest x-rayImportance of early consultation with poison controlEndoscopy and CT Imaging: Use of endoscopy to classify injuries and guide treatment Role of CT imaging Complementary use of endoscopy and CTTreatment Approaches:Initial resuscitation and airway managementUse of steroids and other medications like antibiotics, H2 antagonists, and topical mitomycin CWhen and how to use NG tubesSpecial Populations and Long-term Considerations: Special considerations for childrenRisks associated with laundry detergent podsLong-term complications, including strictures and increased risk of esophageal cancerConclusion: Summary of major points discussedReminder for continued vigilance and the importance of early consultationEmergency Medicine Residents, get your free subscription by writing [email protected]

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