Sulfuric acid poisoning: MedlinePlus Medical Encyclopedia

P Sulfuric acid is a very strong chemical that is corrosive. Corrosive means it can cause severe burns and tissue damage when it comes into contact with the skin or mucous membranes. This article discusses poisoning from sulfuric acid.
P This article is for information only. Do NOT use it to treat or manage an actual poison exposure. If you or someone you are with has an exposure, call your local emergency number (such as 911), or your local poison center can be reached directly by calling the toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States.

T Poisonous Ingredient
P Sulfuric acid

T Where Found
P Sulfuric acid is found in:
- Car battery acid
- Certain detergents
- Chemical munitions
- Some fertilizers
- Some toilet bowl cleaners
P Note: This list may not be all-inclusive.

T Symptoms
P Initial symptoms include severe pain on contact.
P Symptoms from swallowing may also include:
- Breathing difficulty due to throat swelling
- Burns in the mouth and throat
- Drooling
- Fever
- Rapid development of low blood pressure
- Severe pain in the mouth and throat
- Speech problems
- Vomiting, with blood
- Vision loss
P Symptoms from breathing in the poison may include:
- Bluish skin, lips, and fingernails
- Breathing difficulty
- Body weakness
- Chest pain (tightness)
- Choking
- Coughing
- Coughing up blood
- Dizziness
- Low blood pressure
- Rapid pulse
- Shortness of breath
P Symptoms from skin or eye contact may include:
- Skin burning, drainage, and pain
- Eye burning, drainage, and pain
- Vision loss

T Home Care
P DO NOT make a person throw up. Seek medical help right away.
P If the chemical is on the skin or in the eyes, flush with lots of water for at least 15 minutes.
P If the chemical was swallowed, immediately give the person water or milk. DO NOT give water or milk if the person is having symptoms that make it hard to swallow. These may include vomiting, convulsions, or a decreased level of alertness.
P If the person breathed in the poison, immediately move him or her to fresh air.

T Before Calling Emergency
P Get the following information, if possible:
- Person's age, weight, and condition
- Name of the product (as well as the ingredients and strength if known)
- Time it was swallowed
- Amount swallowed
P Take the container with you to the emergency room.

T Poison Control
P Your local poison center can be reached directly by calling the toll-free Poison Help hotline (1-800-222-1222) from anywhere in the United States. This hotline number will let you talk to experts in poisoning. They will give you further instructions.
P This is a free and confidential service. 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.

T What to Expect at the Emergency Room
P The health care provider will measure and monitor the person's vital signs, including:
- Temperature
- Pulse
- Breathing rate
- Blood pressure
P Symptoms will be treated as appropriate. The person may receive:
- Blood tests
- Breathing support -- including oxygen, endotracheal intubation (tube through the nose or mouth into the trachea) and ventilator (breathing machine)
- Bronchoscopy -- a camera moves down the throat to see burns in the airways and lungs
- Endoscopy -- a camera moves down the throat to see burns in the esophagus and the stomach
- EKG (electrocardiogram or heart tracing)
- Eye irrigation
- Fluids through a vein (IV)
- Medicines to treat symptoms
- Surgery to repair any tissue damage
- Surgical removal of burned skin (skin debridement)
- Washing of the skin (irrigation), perhaps every few hours for several days

T Outlook (Prognosis)
P How well a person does depends on how fast the poison is diluted and neutralized. Extensive damage to the mouth, throat, eyes, lungs, esophagus, nose, and stomach is possible. The ultimate outcome depends on how much damage there is.
P Damage continues to occur to the esophagus and stomach for several weeks after the poison is swallowed. Treatment may require the removal of part of the esophagus and stomach.
P If the poison enters the lungs, serious damage may occur, both immediately and long-term.
P Swallowing the poison may cause death. It may occur as long as a month after the poisoning.

T Alternative Names
P Battery acid poisoning; Hydrogen sulfate poisoning; Oil of vitriol poisoning; Matting acid poisoning; Vitriol brown oil poisoning

T References
P Bope ET, Kellerman RD. Physical and chemical injuries. In: Bope ET, Kellerman RD, eds. Conn's Current Therapy 2016. Philadelphia, PA: Elsevier; 2016:chap 21.
P Wax PM, Young A. Caustics. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 153.

T Review Date 6/22/2016
P Updated by: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

