NREMT Paramedic Cognitive ExamOperationsMedium
A paramedic is dispatched to a scene where a 4-year-old child has ingested an unknown quantity of caustic drain cleaner. The child is conscious, crying, and has burns around the mouth. Which of the following prehospital interventions is contraindicated?
- APerforming oral airway suctioning if excessive secretions are present.
- BAdministering oxygen via non-rebreather mask.
- CAdministering activated charcoal.
- DRapid transport to a pediatric specialty center.
Show answer & explanationAnswer & explanation
Correct answer: C. Administering activated charcoal.
Activated charcoal is contraindicated in caustic ingestions because it does not bind to corrosive substances and can obscure endoscopic visualization of the damaged esophagus and stomach. It may also induce vomiting, which would cause re-exposure of the esophagus to the caustic substance.
Why the other options are wrong
- A. Suctioning is appropriate to maintain a patent airway if secretions or emesis are present.
- B. Oxygen administration is appropriate for any patient with respiratory distress or hypoxia.
- D. Rapid transport to a facility capable of managing pediatric caustic ingestions is a critical intervention.
Caustic Ingestion Management
Prehospital care for patients who have ingested corrosive substances, focusing on airway protection, supportive care, and rapid transport.
- Do NOT induce vomiting.
- Do NOT administer activated charcoal.
- Assess for airway compromise and treat accordingly.
Memory trick: No Charcoal, No Vomit, Just Go.