A 6m/o baby suffering from spicy fluid spreading

[Bjorn, Pret]

Okay, first: why didn't I receive the original message from the List?


Allowing for the choppy translation, this sounds like pepper spray.  If so, cold whole milk is a decent analgesic in the near term.  

To remove the oil, I'd use a commercial dishwashing liquid diluted 50:50 with water and rinse/soak.  Don't rub.  

The eyes are trickier, of course.  Normal saline makes some sense, although the stuff's pretty hydrophobic, so the result may not be worth all the struggle with a screaming baby.

Getting details on the product is a priority, if only to prove that it's capsaicin.  Then, at least, you can reassure everyone.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Timothy Craig Hardcastle
Sent: Wednesday, July 09, 2008 10:33 AM
To: Trauma & Critical Care mailing list
Subject: RE: A 6m/o baby suffering from spicy fluid spreading 


Shu-ping Tung

We would need to know what the "hot" spicy fluid is made of to suggest treatment - you may want to immerse the baby in cool water running over the wounds to dilute the chemical if it is an irritant. More information would help. If sats are >92% oxygen tent would not really be useful.

With more information about the substance we could advise you better about the information for the parents.

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of ishi1225
Sent: 09 July 2008 16:17
To: trauma-list at trauma.org
Subject: A 6m/o baby suffering from spicy fluid spreading 

Dear all experienced memebers: 
 
as title ,
 The whole story is there were 2 children ; 5 y/o girl, 6 m/o baby
 this 5 y/o girl fool round all the house ,found a thing like a grasping material .
 Then Some orange hot fluid were spreading from the "self-protecting tool ",directly spreaded to the some baby because of a innocent shoot . ALL persons were crazy in the following time, included me, ED physician , all ED nurses and their parents. I'd examined the sick baby 
  PAT:           alert,crying , irritable .
  Airway:       some nasal discharge from his nose.
                    All the face and neck :reddish , hot, not swelling .
                    Of course , I couldn't check his pharynx and oral cavity , because of irritable . 
  Breathing    NO stridor , no wheezing. 
 
 I had tried a hot shot toward my hand at that time.Very hot and burning sensation.
  My question is : 
   1. Is O2 tent with cold humidified oxygen enough for managing the sick baby?
   2. How to manage the prolong hot sensation, irritating the sick bay?
   3. How to explain the whole managing course to his worried,hysteria parents ,although   
       the baby cried all the time?
 
   Thanks for your recommendation!!
 
                                                                                Shu-ping Tung 
                                                                                ED physician 
                                                                                APLS /ATLS provider
                                                                                ACLS instructor
                                                                                EMS local director 
              
 
 


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