[Hydrofluoric acid burns. A rare chemical emergency situation].
Burns caused by hydrofluoric acid can be life-threatening. Of special significance is the often underestimated local and sometimes delayed deep action of the highly diffusible free fluoride ions and the accompanying systemic toxicity. The specific antidote calcium gluconate can be topically applied, injected into tissue or infused intra-arterially. Because of the extreme danger of systemic toxicity even after seemingly trivial injuries, monitoring in the intensive care station, especially by measuring the calcium concentration in blood and electrocardiography, and therapy is recommended.
Klinik für Anaesthesiologie und operative Intensivmedizin, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin. hrichter@zedat.fu-berlin.de
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D000287:Administration, Topical; D000931:Antidotes / Q000008:administration & dosage / Q000627:therapeutic use; D002057:Burns, Chemical / Q000473:pathology / Q000628:therapy*; D002125:Calcium Gluconate / Q000008:administration & dosage / Q000627:therapeutic use; D004632:Emergency Medical Services; D005459:Fluorides / Q000633:toxicity; D006801:Humans; D006858:Hydrofluoric Acid; D008991:Monitoring, Physiologic
D000931:Antidotes; D005459:Fluorides; D006858:Hydrofluoric Acid; D002125:Calcium Gluconate