<< Evidence-Based Management Of Caustic Exposures In The Emergency Department

Prehospital Care

For patients with caustic ingestions, emergency medical services (EMS) should perform initial stabilization of the ABCs (airway, breathing, and circulation) in the field and then immediately transport the patient to the emergency department (ED). EMS personnel should assess for skin or eye exposures and perform emergent decontamination as needed. Irrigation with saline or tap water, depending on what is available, should be performed for eye or skin exposures with an end-point of a normal pH (pH of saline is 5.5); however, this should not delay transport to a healthcare facility. 

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