II. Definitions

  1. Hydrocarbon Ingestion
    1. Examples: Motor oil, gasoline or Lighter Fluid Ingestion

III. Precautions

  1. Aspiration into lungs (with Vomiting) is greatest risk
    1. Aspiration is more likely with less viscous hydrocarbons
    2. Suspect aspiration if presents with coughing, respiratory distress, Hypoxia
  2. Hydrocarbons are directly toxic to pneumocytes (which produce surfactant)
    1. Results in pneumocyte destruction, non-compliant lungs and ARDS

IV. Management

  1. Avoid charcoal (not effective and risk of further aspiration)
  2. Avoid Corticosteroids (not effective)
  3. Avoid Nasogastric Tube in most Hydrocarbon Ingestions (NG ineffective)
    1. Exceptions: Organophosphates, carbon tetrachloride, Benzene, methylene chloride
  4. Arrange transfer to higher level of care if signs of aspiration
    1. ECMO may be considered
    2. Exogenous surfactant has been used

V. References

  1. Swadron and Nordt in Herbert (2017) EM:Rap 17(7): 14

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Ontology: Toxic effect of petroleum product (C0161685)

Concepts Injury or Poisoning (T037)
ICD9 981
ICD10 T52.0 , T52.0X, T52.0X1
SnomedCT 62623004, 212822007, 157687009, 86772005
English Toxic effect of petroleum products, Petrol prod causing tox effect, Petroleum prod.-toxic eff.NOS, Petroleum product causing toxic effect, Petroleum product causing toxic effect NOS, Petroleum products, poisoning by petroleum products, poisoning by petroleum products (diagnosis), Toxic eff petroleum prod, Toxic effects of petroleum products, Toxic effects of petroleum products NOS, Toxic effect of petroleum product, Petroleum poisoning (disorder), Petroleum product causing toxic effect NOS (disorder), Petroleum product causing toxic effect (disorder), Petroleum poisoning, Petroleum product toxicity, Toxic effect of petroleum product (disorder), Toxic effect of petroleum product, NOS, Petroleum poisoning -RETIRED-
Dutch toxisch gevolg van aardolieproducten, Aardolieproducten
French Effets toxiques des produits à base de pétrole
German toxische Wirkung von Petroleumprodukten, Toxische Wirkung: Erdoelprodukte
Italian Effetti tossici dei derivati del petrolio
Portuguese Efeito tóxico de produtos do petróleo
Spanish Efecto tóxico de productos derivados del petróleo, producto del petróleo que produce efecto tóxico, SAI, toxicidad por producto del petróleo, intoxicación por petróleo - RETIRADO -, intoxicación por petróleo - RETIRADO - (concepto no activo), producto del petróleo que produce efecto tóxico, SAI (trastorno), efecto tóxico de producto derivado del petróleo (trastorno), efecto tóxico de producto derivado del petróleo
Japanese 石油製品の毒作用, セキユセイヒンノドクサヨウ
Czech Toxický účinek ropných produktů
Korean 석유제품의 중독작용
Hungarian Kőlolajtermékek toxikus hatása