hydrofloric acid burns

18 Apr

HYDROFLUORIC ACID:
one of the strongest inorganic acids
–can cause significant systemic toxicity due to fluoride poisoning.

–is used mainly for industrial purposes (eg, glass etching, metal cleaning, electronics manufacturing)–may be found in home rust removers.

 
TREATMENT TOOLBOX:
–can be soaked in magnesium hydroxide containing solutions (e.g. Mylanta) or soaked in ice water to help decrease the amount of absorption. 

decontaminateappropriately and wash with water. 

–apply 2.5% calcium gluconate gel to burn (10% Ca Gluconate solution in 3 times the volume of KY gel) and place hand into latex glove. 

–if pain persists >30 minutes and not on fingers, infiltrate margins of burn with 10% calcium gluconate solution. 

–if severe burns, can inject 10ml of 10% Ca gluconate in 40ml of D5 intra-arterially over 4 hours. 

–repeat as necessary.  For oral, ocular, or inhalation burns, calcium will also have to be given in different concentrations. 

–Consult Toxicology. 

–Treat pain with opioids.

Submitted by T. Boyd.

Reference(s): http://emedicine.medscape.com/article/773304-treatment, picture

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