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Chemical Burns

Mind The Bleep

Chemical burns are a unique subset of burns that require specialised management due to the nature of the substances involved. The majority of acid burns cause coagulative necrosis and cytotoxicity leading to skin and mucosal changes that limit deeper injury. Keep the patient warm using force air warmers such as Bairhugger.

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ACMT Toxicology Visual Pearl: Salt, not Shock

ALiEM

Poisoning by sodium channel blocking agents. Flecainide poisoning and prolongation of elimination due to alkalinization. Bruccoleri RE, Burns MM. 2015 Oct;33(10):1542.e1-2. The American College of Medical Toxicology hosts this Toxicology Visual Pearls series. The post was peer reviewed on behalf of ACMT by Drs.

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Toxicology Answer: The Capsaicin Found in Hot Peppers and Chilis

ACEP Now

degress Fahrenheit), caustics (low pH), and voltage—causing a Ca++ and Na+ action potential influx that confers the sensation of pain and burning to the brain. Oral exposure creates a spicy burning sensation (or pungency) in the mouth that can extend to the throat and stomach (and eventually the rectum—“ fire tuchus ”).

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Diagnostics and Therapeutics: Inhalation Injuries

Taming the SRU

million fires in 2020, with some studies quoting over 500,000 emergency room visits annually for burn and inhalation injuries (4). Because inhalational injuries often co-occur with large cutaneous burns, aggressive fluid resuscitation can rapidly worsen upper airway edema making airway management especially challenging.

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