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Hydrofluoric acid burn: a case report

Published online by Cambridge University Press:  21 May 2015

Roohi Qureshi ,
Ronald House ,
Eric Uhlig ,
Leon Genesove  and
D. Linn Holness
Roohi Qureshi
Affiliation:
Department of Occupational and Environmental Health, St. Michael’s Hospital, Toronto, Ont.
Ronald House*
Affiliation:
Department of Occupational and Environmental Health, St. Michael’s Hospital, Toronto, Ont.
Eric Uhlig
Affiliation:
Toronto
Leon Genesove
Affiliation:
Ontario Ministry of Labour
D. Linn Holness
Affiliation:
Department of Occupational and Environmental Health, St. Michael’s Hospital, Toronto, Ont.
*
Department of Occupational and Environmental Health, St. Michael’s Hospital, 30 Bond St., Toronto ON M5B 1W8; fax 416 867-3673, [email protected]

Abstract:

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A case of occupational hydrofluoric acid exposure is presented, accentuating the importance of eliciting an occupational history during the initial emergency department evaluation. Patients who present with major hydrofluoric acid burns are at risk for systemic complications, including potentially fatal hypocalcemia. Information regarding the accident and workplace circumstances may well allow the physician to anticipate the exposed patient’s course. These patients should be considered occupational index cases that will require follow up by government occupational health services. Identification of potential hazards, risk assessment and enforcement of recommendations for change (such as engineering controls, personal protective equipment, education) may be key to preventing similar injuries in the future.

Keywords

hydrofluoric acid burnoccupational exposureindex case
Type
Toxicology • Toxicologie
Information
Canadian Journal of Emergency Medicine , Volume 4 , Issue 4 , July 2002 , pp. 292 - 295
Copyright
Copyright © Canadian Association of Emergency Physicians 2002

References

1.Division of Industrial Hygiene, National Institute of Health: Hydrofluoric acid burns. Indust Med 1934;12:634.Google Scholar
2.Klander, JV, Shelanski, L, Gabriel, K.Industrial uses of compounds of fluorine and okalic acids. Arch Industr Health 1955;12:412.Google Scholar
3.Bertolini, JC.Hydrofluoric acid: a review of toxicity. J Emerg Med 1992;10:163–8.CrossRefGoogle ScholarPubMed
4.Sheridan, RL, Ryan, CM, Quinby, WC Jr, Blair, J, Tompkins, RG, Burke, JF.Emergency management of major hydrofluoric acid exposures. Burns 1995;21:62–4.Google Scholar
5.Ellenhorn, MJ.Ellenhorn’s medical toxicology: diagnosis and treatment of human poisoning. 2nd ed. Baltimore: Williams & Wilkins; 1996.Google Scholar
6.Dunn, BJ, MacKinnon, MA, Knowlden, NF, Billmaier, DJ, Derelanko, MJ, Rusch, GM, et al. Topical treatments for hydrofluoric acid dermal burns. J Occup Environ Med 1996;38:507–14.Google Scholar
7.Dowbak, G, Rose, K,. Rohrich, RJ.A biochemical and histologic rationale for the treatment of hydrofluoric acid burns with calcium gluconate. J Burn Care Rehab 1994;15:323–7.Google Scholar
8.Henry, JA, Hla, KK.Intravenous regional calcium gluconate perfusion for hydrofluoric acid burns. Clin Toxicol 1992;302:203–7.Google Scholar
9.Vance, MV, Curry, SC, Kunkel, DB, Ryan, PJ, Ruggeri, SB.Digital hydrofluoric acid burns: treatment with intraarterial calcium infusion. Ann Emerg Med 1986;15:890–6.CrossRefGoogle ScholarPubMed
10.Pegg, SP, Siu, S, Gillett, G.Intra-arterial infusions in the treatment of hydrofluoric acid burns. Burns 1985;11:440–3.CrossRefGoogle ScholarPubMed
11.Mistry, DG, Wainwright, DJ.Hydrofluoric acid burns. Am Fam Phys 1992;45:1748–54.Google ScholarPubMed
12.Olson, KR.Poisoning and drug overdose. 3rd ed. New York: Appleton and Lange; 1998.Google Scholar
13.WHMIS: What you need to know. Toronto (ON): Office of Environmental Health and Safety University of Toronto; 1992. Available: www.utoronto.ca/safety/info.htm (accessed 2002 June 11).Google Scholar