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Hydrofluoric acid burns: a 15-year experience.
Lance E Stuke1, Brett D Arnoldo, John L Hunt
1Department of Surgery, University of Texas Southwestern Medical Center, Parkland Memorial Hospital Burn Center, Dallas, Texas 75390-9158, USA.
Hydrofluoric acid (HF) burns, though common, are typically small and manageable with calcium gluconate gel. This study found no significant morbidity or deaths, indicating effective treatment protocols for HF chemical burns.
Area of Science:
- Emergency Medicine
- Toxicology
- Burn Management
Background:
- Hydrofluoric acid (HF) is a prevalent chemical agent causing severe burns in industrial and domestic settings.
- Management of HF burns remains a subject of clinical debate.
- This study reviews a 15-year experience with HF burn treatment.
Purpose of the Study:
- To analyze the clinical experience and outcomes of managing hydrofluoric acid burns.
- To evaluate the effectiveness of current treatment protocols for HF-induced injuries.
Main Methods:
- Retrospective review of 35 patients admitted with hydrofluoric acid burns between 1990 and 2005.
- Primary treatment involved topical calcium gluconate gel.
- Arterial calcium infusion and fingernail removal were reserved for refractory cases.
Main Results:
- Hydrofluoric acid burns constituted 17% of chemical burns (35/204) during the study period.
- The mean burn size was 2.1%, predominantly affecting the upper extremity (83%).
- No deaths, operative interventions, or electrolyte abnormalities were reported; hospital stays were short (mean 1.6 days).
Conclusions:
- Hydrofluoric acid burns, while requiring hospital admission for treatment, are generally small and do not lead to significant long-term morbidity or mortality.
- Standard treatment with calcium gluconate is effective, with advanced interventions reserved for severe cases.
- Prompt management can prevent severe complications associated with hydrofluoric acid exposure.
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