DR.MOHIT CHOUDHARY(CHAHAL)
1.3K posts

DR.MOHIT CHOUDHARY(CHAHAL)
@drmohitch
29 | 👨🏻⚕️ MD Radiation Oncology (2/3) Former State President of JAMMU & KASHMIR AIMSA (FOREIGN MEDICAL STUDENTS WING) 2022-2023






🚨 ONCO EMERGENCY: How to Manage EXTRAVASATION in 30 Seconds 🩺💉 Extravasation of chemotherapy = oncology emergency. Early recognition + immediate action = tissue saved. Here’s the crisp, protocol-ready approach 👇 1️⃣ STOP Immediately ❌ Stop infusion ❌ Do not flush ✔️ Leave cannula in situ ✔️ Aspirate as much drug as possible ✔️ Mark the area + click a photo 2️⃣ Identify the Agent Classify the drug: 🔥 Vesicant (DNA-binding / Non-DNA) 😣 Irritant 🙂 Non-vesicant (Anthracyclines, Vinca alkaloids, Taxanes, Platinum, Mitomycin etc.) 3️⃣ Two Key Pathways A) “Localise & Neutralise” – DNA-Binding Vesicants (Anthracyclines, Mitomycin, Dactinomycin) ❄️ COLD compress 20 min × 4/day × 1–2 days 💊 Antidotes: <3 ml anthracycline → Topical DMSO 3 ml anthracycline → Dexrazoxane (Savene) within 6 hrs Mitomycin → DMSO B) “Disperse & Dilute” – Non-DNA Binding Vesicants (Vinca alkaloids, Taxanes, Trabectedin) 🔥 WARM compress 20 min × 4/day × 1–2 days 💉 Hyaluronidase 150–1500 IU SC around site (5 injections) 4️⃣ Elevate, Analgesia, Plastics Referral ✋ Elevate limb 💊 Analgesics if required 🏥 Early plastics/flush-out team for large-volume or CVAD extravasa tion 5️⃣ Follow-Up Mandatory review within 1 week Patient counselling: monitor for redness, blistering, worsening pain Document EVERYTHING (site, size, drug, photo, interventions) 💡 TAKE-HOME Extravasation is rare but high-stakes. Most injuries are preventable with: Good venous access Trained staff Fast action Correct antidote pathway Oncology teams save tissue before they save time. ⏱️🩺 🔖 Save this. Share with your residents and healthcare staff. #OncoTwitter #MedTwitter #ChemoSafety #Nursing #Oncology @myESMO @OncoAlert @ESMO_Open @asco







MLA Kishtwar Shagun Parihar gets angry on Doctor #KishtwarTragedy






















