Loading…

Seventy per cent hydrofluoric acid burns: delayed decontamination with hexafluorine® and treatment with calcium gluconate

This is a case report of decontamination and treatment of a 70% hydrofluoric acid (HF) dermal splash injury. A worker was splashed with 70% HF, sustaining approximately 10% TBSA first- to third-degree chemical skin burns of the face, trunk, and left thigh and leg. Initial decontamination involved wa...

Full description

Saved in:
Bibliographic Details
Published in:Journal of burn care & research 2011-07, Vol.32 (4), p.e149-e154
Main Authors: Yoshimura, Carlos Alberto, Mathieu, Laurence, Hall, Alan H, Monteiro, Mário G Kool, de Almeida, Décio Moreira
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3
cites cdi_FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3
container_end_page e154
container_issue 4
container_start_page e149
container_title Journal of burn care & research
container_volume 32
creator Yoshimura, Carlos Alberto
Mathieu, Laurence
Hall, Alan H
Monteiro, Mário G Kool
de Almeida, Décio Moreira
description This is a case report of decontamination and treatment of a 70% hydrofluoric acid (HF) dermal splash injury. A worker was splashed with 70% HF, sustaining approximately 10% TBSA first- to third-degree chemical skin burns of the face, trunk, and left thigh and leg. Initial decontamination involved water rinsing, removal of contaminated clothing, more water rinsing, topical application of magnesium oxide, and administration of intravenous narcotics for management of severe pain. After a delay of approximately 3 hours, active skin washing with Hexafluorine®, 5 L, was performed, followed by intravenous, intradermal perilesional, and topical inunction administration of calcium gluconate. Pain relief and a cooling sensation were quite prompt after Hexafluorine® decontamination. Surgical debridement and skin grafting of the more severe burns were required. No significant systemic toxicity developed, although this has occurred in previously reported similar concentrated HF dermal splash exposure cases, some of which resulted in fatality. While burns did develop, the patient was released from the intensive care service after 2 days and, after skin grafting, had a good outcome at 90-day follow-up. Even after a long delay, decontamination with Hexafluorine® appeared to be beneficial in this case.
doi_str_mv 10.1097/BCR.0b013e31822240f7
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_876242033</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>876242033</sourcerecordid><originalsourceid>FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3</originalsourceid><addsrcrecordid>eNpdkMtOwzAURC0EoqXwBwh5xyrFr8QpO6h4SZWQeEjsIse-pkF5FNsBwkfxEXwZKS1dsJpZzJmrOwgdUjKmZCJPzqd3Y5ITyoHTlDEmiJVbaEjjeBIRkabbGy-fBmjP-xdChCAy3kUDRqWQnLMh-ryHN6hDhxfgsO4dnnfGNbZsG1dorHRhcN662p9iA6XqwPSqmzqoqqhVKJoavxdhjufwoVZQDd9fWNUGBwcqVMvK34RWpS7aCj-Xbc-rAPtox6rSw8FaR-jx8uJheh3Nbq9upmezSHOShCg1jMaMpDylhgoR5yZOjLGSaUWlJZOYJUwoxbnNRZJY0DzhucllTvofqbZ8hI5XvQvXvLbgQ1YVXkNZqhqa1mep7AsY4bxPilVSu8Z7BzZbuKJSrssoyZajZ_3o2f_Re-xofaDNKzAb6G9l_gMNFIF7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>876242033</pqid></control><display><type>article</type><title>Seventy per cent hydrofluoric acid burns: delayed decontamination with hexafluorine® and treatment with calcium gluconate</title><source>Oxford Journals Online</source><creator>Yoshimura, Carlos Alberto ; Mathieu, Laurence ; Hall, Alan H ; Monteiro, Mário G Kool ; de Almeida, Décio Moreira</creator><creatorcontrib>Yoshimura, Carlos Alberto ; Mathieu, Laurence ; Hall, Alan H ; Monteiro, Mário G Kool ; de Almeida, Décio Moreira</creatorcontrib><description>This is a case report of decontamination and treatment of a 70% hydrofluoric acid (HF) dermal splash injury. A worker was splashed with 70% HF, sustaining approximately 10% TBSA first- to third-degree chemical skin burns of the face, trunk, and left thigh and leg. Initial decontamination involved water rinsing, removal of contaminated clothing, more water rinsing, topical application of magnesium oxide, and administration of intravenous narcotics for management of severe pain. After a delay of approximately 3 hours, active skin washing with Hexafluorine®, 5 L, was performed, followed by intravenous, intradermal perilesional, and topical inunction administration of calcium gluconate. Pain relief and a cooling sensation were quite prompt after Hexafluorine® decontamination. Surgical debridement and skin grafting of the more severe burns were required. No significant systemic toxicity developed, although this has occurred in previously reported similar concentrated HF dermal splash exposure cases, some of which resulted in fatality. While burns did develop, the patient was released from the intensive care service after 2 days and, after skin grafting, had a good outcome at 90-day follow-up. Even after a long delay, decontamination with Hexafluorine® appeared to be beneficial in this case.</description><identifier>ISSN: 1559-047X</identifier><identifier>EISSN: 1559-0488</identifier><identifier>DOI: 10.1097/BCR.0b013e31822240f7</identifier><identifier>PMID: 21747332</identifier><language>eng</language><publisher>England</publisher><subject>Accidents, Occupational ; Adult ; Burns, Chemical - pathology ; Burns, Chemical - therapy ; Calcium Gluconate - therapeutic use ; Decontamination - methods ; Emergency Treatment ; Fluorine Compounds - therapeutic use ; Follow-Up Studies ; Humans ; Hydrofluoric Acid - adverse effects ; Male ; Metallurgy ; Treatment Outcome</subject><ispartof>Journal of burn care &amp; research, 2011-07, Vol.32 (4), p.e149-e154</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3</citedby><cites>FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21747332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshimura, Carlos Alberto</creatorcontrib><creatorcontrib>Mathieu, Laurence</creatorcontrib><creatorcontrib>Hall, Alan H</creatorcontrib><creatorcontrib>Monteiro, Mário G Kool</creatorcontrib><creatorcontrib>de Almeida, Décio Moreira</creatorcontrib><title>Seventy per cent hydrofluoric acid burns: delayed decontamination with hexafluorine® and treatment with calcium gluconate</title><title>Journal of burn care &amp; research</title><addtitle>J Burn Care Res</addtitle><description>This is a case report of decontamination and treatment of a 70% hydrofluoric acid (HF) dermal splash injury. A worker was splashed with 70% HF, sustaining approximately 10% TBSA first- to third-degree chemical skin burns of the face, trunk, and left thigh and leg. Initial decontamination involved water rinsing, removal of contaminated clothing, more water rinsing, topical application of magnesium oxide, and administration of intravenous narcotics for management of severe pain. After a delay of approximately 3 hours, active skin washing with Hexafluorine®, 5 L, was performed, followed by intravenous, intradermal perilesional, and topical inunction administration of calcium gluconate. Pain relief and a cooling sensation were quite prompt after Hexafluorine® decontamination. Surgical debridement and skin grafting of the more severe burns were required. No significant systemic toxicity developed, although this has occurred in previously reported similar concentrated HF dermal splash exposure cases, some of which resulted in fatality. While burns did develop, the patient was released from the intensive care service after 2 days and, after skin grafting, had a good outcome at 90-day follow-up. Even after a long delay, decontamination with Hexafluorine® appeared to be beneficial in this case.</description><subject>Accidents, Occupational</subject><subject>Adult</subject><subject>Burns, Chemical - pathology</subject><subject>Burns, Chemical - therapy</subject><subject>Calcium Gluconate - therapeutic use</subject><subject>Decontamination - methods</subject><subject>Emergency Treatment</subject><subject>Fluorine Compounds - therapeutic use</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hydrofluoric Acid - adverse effects</subject><subject>Male</subject><subject>Metallurgy</subject><subject>Treatment Outcome</subject><issn>1559-047X</issn><issn>1559-0488</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNpdkMtOwzAURC0EoqXwBwh5xyrFr8QpO6h4SZWQeEjsIse-pkF5FNsBwkfxEXwZKS1dsJpZzJmrOwgdUjKmZCJPzqd3Y5ITyoHTlDEmiJVbaEjjeBIRkabbGy-fBmjP-xdChCAy3kUDRqWQnLMh-ryHN6hDhxfgsO4dnnfGNbZsG1dorHRhcN662p9iA6XqwPSqmzqoqqhVKJoavxdhjufwoVZQDd9fWNUGBwcqVMvK34RWpS7aCj-Xbc-rAPtox6rSw8FaR-jx8uJheh3Nbq9upmezSHOShCg1jMaMpDylhgoR5yZOjLGSaUWlJZOYJUwoxbnNRZJY0DzhucllTvofqbZ8hI5XvQvXvLbgQ1YVXkNZqhqa1mep7AsY4bxPilVSu8Z7BzZbuKJSrssoyZajZ_3o2f_Re-xofaDNKzAb6G9l_gMNFIF7</recordid><startdate>201107</startdate><enddate>201107</enddate><creator>Yoshimura, Carlos Alberto</creator><creator>Mathieu, Laurence</creator><creator>Hall, Alan H</creator><creator>Monteiro, Mário G Kool</creator><creator>de Almeida, Décio Moreira</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201107</creationdate><title>Seventy per cent hydrofluoric acid burns: delayed decontamination with hexafluorine® and treatment with calcium gluconate</title><author>Yoshimura, Carlos Alberto ; Mathieu, Laurence ; Hall, Alan H ; Monteiro, Mário G Kool ; de Almeida, Décio Moreira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accidents, Occupational</topic><topic>Adult</topic><topic>Burns, Chemical - pathology</topic><topic>Burns, Chemical - therapy</topic><topic>Calcium Gluconate - therapeutic use</topic><topic>Decontamination - methods</topic><topic>Emergency Treatment</topic><topic>Fluorine Compounds - therapeutic use</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hydrofluoric Acid - adverse effects</topic><topic>Male</topic><topic>Metallurgy</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshimura, Carlos Alberto</creatorcontrib><creatorcontrib>Mathieu, Laurence</creatorcontrib><creatorcontrib>Hall, Alan H</creatorcontrib><creatorcontrib>Monteiro, Mário G Kool</creatorcontrib><creatorcontrib>de Almeida, Décio Moreira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of burn care &amp; research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshimura, Carlos Alberto</au><au>Mathieu, Laurence</au><au>Hall, Alan H</au><au>Monteiro, Mário G Kool</au><au>de Almeida, Décio Moreira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seventy per cent hydrofluoric acid burns: delayed decontamination with hexafluorine® and treatment with calcium gluconate</atitle><jtitle>Journal of burn care &amp; research</jtitle><addtitle>J Burn Care Res</addtitle><date>2011-07</date><risdate>2011</risdate><volume>32</volume><issue>4</issue><spage>e149</spage><epage>e154</epage><pages>e149-e154</pages><issn>1559-047X</issn><eissn>1559-0488</eissn><abstract>This is a case report of decontamination and treatment of a 70% hydrofluoric acid (HF) dermal splash injury. A worker was splashed with 70% HF, sustaining approximately 10% TBSA first- to third-degree chemical skin burns of the face, trunk, and left thigh and leg. Initial decontamination involved water rinsing, removal of contaminated clothing, more water rinsing, topical application of magnesium oxide, and administration of intravenous narcotics for management of severe pain. After a delay of approximately 3 hours, active skin washing with Hexafluorine®, 5 L, was performed, followed by intravenous, intradermal perilesional, and topical inunction administration of calcium gluconate. Pain relief and a cooling sensation were quite prompt after Hexafluorine® decontamination. Surgical debridement and skin grafting of the more severe burns were required. No significant systemic toxicity developed, although this has occurred in previously reported similar concentrated HF dermal splash exposure cases, some of which resulted in fatality. While burns did develop, the patient was released from the intensive care service after 2 days and, after skin grafting, had a good outcome at 90-day follow-up. Even after a long delay, decontamination with Hexafluorine® appeared to be beneficial in this case.</abstract><cop>England</cop><pmid>21747332</pmid><doi>10.1097/BCR.0b013e31822240f7</doi></addata></record>
fulltext fulltext
identifier ISSN: 1559-047X
ispartof Journal of burn care & research, 2011-07, Vol.32 (4), p.e149-e154
issn 1559-047X
1559-0488
language eng
recordid cdi_proquest_miscellaneous_876242033
source Oxford Journals Online
subjects Accidents, Occupational
Adult
Burns, Chemical - pathology
Burns, Chemical - therapy
Calcium Gluconate - therapeutic use
Decontamination - methods
Emergency Treatment
Fluorine Compounds - therapeutic use
Follow-Up Studies
Humans
Hydrofluoric Acid - adverse effects
Male
Metallurgy
Treatment Outcome
title Seventy per cent hydrofluoric acid burns: delayed decontamination with hexafluorine® and treatment with calcium gluconate
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T00%3A45%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Seventy%20per%20cent%20hydrofluoric%20acid%20burns:%20delayed%20decontamination%20with%20hexafluorine%C2%AE%20and%20treatment%20with%20calcium%20gluconate&rft.jtitle=Journal%20of%20burn%20care%20&%20research&rft.au=Yoshimura,%20Carlos%20Alberto&rft.date=2011-07&rft.volume=32&rft.issue=4&rft.spage=e149&rft.epage=e154&rft.pages=e149-e154&rft.issn=1559-047X&rft.eissn=1559-0488&rft_id=info:doi/10.1097/BCR.0b013e31822240f7&rft_dat=%3Cproquest_cross%3E876242033%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c306t-8d215208381d1445bd56ddf72ca17f0952624aa33fb466fec363bdb7b07471cf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=876242033&rft_id=info:pmid/21747332&rfr_iscdi=true