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Related Experiment Videos

[Hydrofluoric acid burns].

Robin Holla1, Ramon R Gorter, Mark Tenhagen

  • 1Rode Kruis Ziekenhuis, afd. Heelkunde, Beverwijk.

Nederlands Tijdschrift Voor Geneeskunde
|May 19, 2016
PubMed
Summary

Hydrofluoric acid (HF) burns cause severe pain and tissue damage, potentially leading to fatal electrolyte imbalances. Prompt treatment with calcium gluconate gel and monitoring high-risk patients is crucial for recovery.

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Area of Science:

  • Toxicology
  • Dermatology
  • Emergency Medicine

Background:

  • Hydrofluoric acid (HF) is a common industrial chemical increasingly used in household products.
  • Dermal exposure to HF can cause severe chemical burns, deep tissue necrosis, and systemic toxicity.
  • Identifying patients at high risk for severe outcomes is critical for appropriate management.

Observation:

  • Three male patients with varying severity of hydrofluoric acid burns were treated.
  • High-risk cases were defined by >3% body surface area affected or HF concentration >50%.

Findings:

  • Calcium gluconate 2.5% gel application is the primary treatment, alleviating pain and promoting wound healing.
  • Nail involvement requires thorough inspection and potential removal to ensure proper healing.
  • High-risk patients necessitate plasma calcium level evaluation and cardiac monitoring due to potential electrolyte disturbances.

Implications:

  • Early recognition and management of hydrofluoric acid burns are essential to prevent severe complications.
  • Standardized treatment protocols, including calcium gluconate and risk stratification, can improve patient outcomes.
  • Further research into HF burn management and systemic effects is warranted.

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