Plastic casting resin poisoning
This is poisoning from eating or swallowing plastic casting resin.
This is for information only and not for use in the treatment or management of an actual poison exposure. If you have an exposure, you should call your local emergency number (such as 911) or the National Poison Control Center at 1-800-222-1222.
Alternative Names
Epoxy poisoning; Resin poisoning
Where Found
- Various plastic casting resin products
Symptoms
- Airways and lungs
- Difficulty breathing
- Rapid breathing
- Eyes, ears, nose, and throat
- Severe pain in the throat
- Severe pain or burning in the nose, eyes, ears, lips, or tongue
- Loss of vision
- Throat swelling (which may also cause breathing difficulty)
- Stomach and intestines
- Severe abdominal pain
- Vomiting
- Burns of the esophagus (food pipe)
- Vomiting blood
- Blood in the stool
- Heart and blood vessels
- Hypotension (low blood pressure) -- develops rapidly
- Collapse
- Skin
- Irritation
- Burn
- Necrosis (holes) in the skin or underlying tissues
Home Treatment
Seek immediate medical help.
If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
Before Calling Emergency
Determine the following information:
- The patient's age, weight, and condition
- Name of product (as well as the ingredients and strength, if known)
- The time it was swallowed
- The amount swallowed
Poison Control, or a local emergency number
The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
Take the container with you to the hospital, if possible.
See: Poison control center - emergency number
What to expect at the emergency room
The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. The patient may receive:
- Breathing support
-
Bronchoscopy -- camera down the throat to see burns in the airways and lungs
-
Endoscopy -- camera down the throat to see the extent of burns to the esophagus and the stomach
-
Fluids by IV
-
Medicines to treat symptoms
-
Skin debridement (surgical removal of burned skin)
- Tube through the mouth into the stomach to wash out the stomach (gastric lavage
)
-
Washing of the skin (irrigation), perhaps every few hours for several days
Expectations (prognosis)
How well a patient does depends on the amount of poison swallowed and how quickly treatment was received. The faster a patient gets medical help, the better the chance for recovery.
Swallowing such poisons can have severe effects on many parts of the body. Extensive damage to the mouth, throat, eyes, lungs, esophagus, nose, and stomach are possible. The ultimate outcome depends on the extent of this damage. Damage continues to occur to the esophagus and stomach for several weeks after the poison was swallowed, and death may occur as long as a month later. Treatment may require removal of part of the esophagus and stomach.
References
Bruno GR, Carter WA. Caustics. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 181.
Updated: 12/15/2011
Eric Perez, MD, St. Luke's / Roosevelt Hospital Center, NY, NY, and Pegasus Emergency Group (Meadowlands and Hunterdon Medical Centers), NJ. Review provided by VeriMed Healthcare Network.