Treatment of Severe Hydrofluoric Acid Exposures

Previous publications on treatment of hydrofluoric acid exposures have given insufficient emphasis to immediate skin cleansing and prompt restitution of both serum and tissue calcium ion levels. Use of calcium gluconate topically as a 2.5% gel, in eyes as a 1% solution, and by nebulizer as a 2.5% or...

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Bibliographic Details
Published in:Journal of occupational and environmental medicine 1983-12, Vol.25 (12), p.861-863
Main Authors: Treviño, M. A., Herrmann, G. H., Sprout, William L.
Format: Article
Language:English
Subjects:
Accidents, Occupational
Biological and medical sciences
Burns, Chemical - therapy
Calcium Gluconate - administration & dosage
Chemical and industrial products toxicology. Toxic occupational diseases
Eye Burns - chemically induced
Eye Burns - therapy
First Aid
Gases
Humans
Hydrofluoric Acid - adverse effects
Medical sciences
Metals and various inorganic compounds
Occupational Diseases - therapy
ORIGINAL ARTICLES
Therapeutic Irrigation
Toxicology
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Summary:Previous publications on treatment of hydrofluoric acid exposures have given insufficient emphasis to immediate skin cleansing and prompt restitution of both serum and tissue calcium ion levels. Use of calcium gluconate topically as a 2.5% gel, in eyes as a 1% solution, and by nebulizer as a 2.5% or 3% solution has improved treatment results. Ten percent calcium gluconate solution may be given intravenously as indicated for hypocalcemia. Proper application of the calcium gluconate gel immediately after thorough washing of localized skin burns will produce relief of pain similar to that achieved by subcutaneous infiltration of 5% calcium gluconate solution. This may be used as an end-point for adequacy of treatment.
ISSN:0096-1736
1076-2752
2332-3795
DOI:10.1097/00043764-198312000-00007