Activated charcoal is contraindicated in known caustic ingestion cases.

Activated charcoal is contraindicated in known caustic ingestion cases.

• A. False
• B. True
• C. Only for pediatric
• D. Only for adults

Answer: (B)

Activated charcoal is a binding agent used to limit absorption of many ingested toxins, but caustic substances (strong acids or alkalis) burn tissue on contact. Charcoal does not neutralize these caustics and can actually hinder evaluation of injury by coating damaged mucosa, making endoscopic assessment harder and potentially masking the extent of burns. It also raises the risk of aspiration in patients who may be vomiting or have a compromised airway. Because of these risks, activated charcoal is contraindicated in known caustic ingestions, so the statement is true.

Activated charcoal is a binding agent used to limit absorption of many ingested toxins, but caustic substances (strong acids or alkalis) burn tissue on contact. Charcoal does not neutralize these caustics and can actually hinder evaluation of injury by coating damaged mucosa, making endoscopic assessment harder and potentially masking the extent of burns. It also raises the risk of aspiration in patients who may be vomiting or have a compromised airway. Because of these risks, activated charcoal is contraindicated in known caustic ingestions, so the statement is true.