Note to Physician: Perform endoscope in all cases of suspected sodium hydroxide ingestion. In cases of severe esophageal corrosion, the use of therapeutic doses of steroids should be considered. General supportive measures with continual monitoring of gas exchange, acid-base balance, electrolytes, and fluid intake are also required.

Ventilate area of leak or spill. Keep unnecessary and unprotected people away from area of spill. Wear appropriate personal protective equipment as specified in Section 8. Contain and recover liquid when possible. Do not flush caustic residues to the sewer. Residues from spills can be diluted with water, neutralized with dilute acid such as acetic, hydrochloric or sulfuric. Absorb neutralized caustic residue on clay, vermiculite or other inert substance and package in a suitable container for disposal.