Hydrofluoric Acid Burn Management – Case Presentation
Background: Hydrofluoric acid (HF) is an extremely dangerous weak inorganic acid, which can produce extensive burn lesions, depending especially on the solution concentration and exposure time, systemic toxicity occurring in patients with large burn areas, high concentration of acid or an extensive...
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Bucharest College of Physicians
2020-03-01
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| Series: | Modern Medicine |
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| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2020/03/RMM_art-11.pdf |
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| author | Sabina GRAMA Andreea BULARDA Mihaela ANDREI Tiberiu Paul NEAGU Serban Arghir POPESCU Camelia Cristina DIACONU Ovidiu Gabriel BRATU Dan IONESCU Liviu TIGANIUC Ioan LASCAR |
| author_facet | Sabina GRAMA Andreea BULARDA Mihaela ANDREI Tiberiu Paul NEAGU Serban Arghir POPESCU Camelia Cristina DIACONU Ovidiu Gabriel BRATU Dan IONESCU Liviu TIGANIUC Ioan LASCAR |
| author_sort | Sabina GRAMA |
| collection | DOAJ |
| description | Background: Hydrofluoric acid (HF) is an extremely dangerous weak inorganic acid, which can produce extensive burn lesions, depending especially on the solution concentration and exposure time, systemic toxicity occurring in patients with large burn areas, high concentration of acid or an extensive time of exposure. The subcutaneous infiltration and intravenous administration of calcium gluconate is essential for preventing dyselectrolytemia and severe pain appearance. Case summary: A 26-year-old man patient presented to our hospital after a hydrofluoric burn, secondary to an occupational accident. At the scene, the wound was irrigated with fresh water and topical calcium gluconate was applied. In the Emergency Department, we started the intravenous calcium gluconate administration, and in the Burn Unit it was injected subcutaneously and the pain was thus diminished. A prolonged QT interval was identified upon admission that has been corrected over the next few days. Particularly, the serum pseudocholinesterase levels were within normal range. The local treatment involved repeated copious lavage with sterile water and Betadine solution, the evolution being rapidly favorable with the burn lesions completely healed in the next week. Conclusion: HF burns are a very special type of chemical burn taking into account that exposure to a small quantity of solution can be life threatening and that the immediate treatment is mandatory in order to maximize the outcome. It is of vital importance that any medical facility had a chemical burn protocol. |
| format | Article |
| id | doaj-art-3c8a46fe01c040e8b094bc4d94ecdb47 |
| institution | Kabale University |
| issn | 1223-0472 2360-2473 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Bucharest College of Physicians |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj-art-3c8a46fe01c040e8b094bc4d94ecdb472025-08-20T03:55:37ZengBucharest College of PhysiciansModern Medicine1223-04722360-24732020-03-012716367https://doi.org/10.31689/rmm.2020.27.1.63Hydrofluoric Acid Burn Management – Case PresentationSabina GRAMA0Andreea BULARDA1Mihaela ANDREI2Tiberiu Paul NEAGU3Serban Arghir POPESCU4Camelia Cristina DIACONU5Ovidiu Gabriel BRATU6Dan IONESCU7Liviu TIGANIUC8Ioan LASCAR9Department of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Internal Medicine, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Urology, „Dr. Carol Davila” Emergency University Central Military Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, Bucharest, RomaniaBackground: Hydrofluoric acid (HF) is an extremely dangerous weak inorganic acid, which can produce extensive burn lesions, depending especially on the solution concentration and exposure time, systemic toxicity occurring in patients with large burn areas, high concentration of acid or an extensive time of exposure. The subcutaneous infiltration and intravenous administration of calcium gluconate is essential for preventing dyselectrolytemia and severe pain appearance. Case summary: A 26-year-old man patient presented to our hospital after a hydrofluoric burn, secondary to an occupational accident. At the scene, the wound was irrigated with fresh water and topical calcium gluconate was applied. In the Emergency Department, we started the intravenous calcium gluconate administration, and in the Burn Unit it was injected subcutaneously and the pain was thus diminished. A prolonged QT interval was identified upon admission that has been corrected over the next few days. Particularly, the serum pseudocholinesterase levels were within normal range. The local treatment involved repeated copious lavage with sterile water and Betadine solution, the evolution being rapidly favorable with the burn lesions completely healed in the next week. Conclusion: HF burns are a very special type of chemical burn taking into account that exposure to a small quantity of solution can be life threatening and that the immediate treatment is mandatory in order to maximize the outcome. It is of vital importance that any medical facility had a chemical burn protocol.https://medicinamoderna.ro/wp-content/uploads/2020/03/RMM_art-11.pdfhydrofluoric acid exposureburncalcium gluconatearrhythmias |
| spellingShingle | Sabina GRAMA Andreea BULARDA Mihaela ANDREI Tiberiu Paul NEAGU Serban Arghir POPESCU Camelia Cristina DIACONU Ovidiu Gabriel BRATU Dan IONESCU Liviu TIGANIUC Ioan LASCAR Hydrofluoric Acid Burn Management – Case Presentation Modern Medicine hydrofluoric acid exposure burn calcium gluconate arrhythmias |
| title | Hydrofluoric Acid Burn Management – Case Presentation |
| title_full | Hydrofluoric Acid Burn Management – Case Presentation |
| title_fullStr | Hydrofluoric Acid Burn Management – Case Presentation |
| title_full_unstemmed | Hydrofluoric Acid Burn Management – Case Presentation |
| title_short | Hydrofluoric Acid Burn Management – Case Presentation |
| title_sort | hydrofluoric acid burn management case presentation |
| topic | hydrofluoric acid exposure burn calcium gluconate arrhythmias |
| url | https://medicinamoderna.ro/wp-content/uploads/2020/03/RMM_art-11.pdf |
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