138. Caustic Ingestion with Cardiotoxic Effects

  1. Christopher P. Holstege MD1,2,3,
  2. Alexander B. Baer MD1,4,
  3. Jesse M. Pines MD, MBA, MSCE5,6 and
  4. William J. Brady MD7,8,9

Published Online: 3 AUG 2011

DOI: 10.1002/9781444397994.ch138

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition

How to Cite

Holstege, C. P., Baer, A. B., Pines, J. M. and Brady, W. J. (eds) (2011) Caustic Ingestion with Cardiotoxic Effects, in Visual Diagnosis in Emergency and Critical Care Medicine, Second Edition, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444397994.ch138

Editor Information

  1. 1

    Division of Medical Toxicology, University of Virginia School of Medicine, Charlottesville, VA, USA

  2. 2

    Blue Ridge Poison Center, University of Virginia School of Medicine, Charlottesville, VA, USA

  3. 3

    Departments of Emergency Medicine & Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

  4. 4

    Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA

  5. 5

    Center for Health Care Quality, George Washington University, Washington, DC, USA

  6. 6

    Departments of Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  7. 7

    Department of Emergency Medicine, University of Virginia, Charlottesville, VA, USA

  8. 8

    Center for Emergency Management, University of Virginia Health System, Charlottesville, VA, USA

  9. 9

    Charlottesville-Albemarle Rescue Squad & Albemarle County, Fire Rescue, Charlottesville, VA, USA

Publication History

  1. Published Online: 3 AUG 2011
  2. Published Print: 12 AUG 2011

ISBN Information

Print ISBN: 9781444333473

Online ISBN: 9781444397994

SEARCH

Keywords:

  • Case 28, caustic ingestion - with cardiotoxic effects;
  • diagnosis - fluoride toxicity;
  • discussion, in this case - patient, ingesting an unknown liquid substance;
  • rapid bedside litmus paper test - that the substance had acidic pH;
  • hydrofluoric acid, utilized in industrial settings - integrated circuits, fluorides, plastics, germicides and insecticides;
  • hydrofluoric acid, corroding and penetrating skin and mucous membranes;
  • hydrofluoric acid, causing QT interval prolongation - inducing hypomagnesemia and hypocalcemia;
  • all patients, presenting with signs and symptoms - consistent with hydrofluoric acid ingestion, being aggressively managed;
  • symptomatic hand exposures - treated with topical gels

Summary

This chapter contains sections titled:

  • Further reading