Analyzing Formic acid poisoning cases with Emphasis on Early-management: a Case-series study

Formic acid poisoning is widely used in the rubber industry in the state of Kerala. It has become a mode of suicide because of its easy availability. Our objective is to report immediate manifestations and management principles in the treatment of formic acid poisoning. Three cases are reported which presented to our Emergency Department. Out of the three patients, only one survived. Metabolic acidosis was the most common acid base abnormality observed in all the three cases. Formic acid poisoning carries a high risk of mortality and morbidity. Early correction of electrolyte imbalances holds the key to survival and preventing early complications such as cardiac arrest. Restriction should be put on the sale and the public should be made aware of its toxic manifestations and complications.