title: Treatment of hydrofluoric acid burn to the face by carotid artery infusion of calcium gluconate.
abstract: Hydrofluoric acid (HF) is highly corrosive substance often used in industrial processes. HF burns to the skin cause local tissue injury. Systemic hypocalcemia may ensue, with the potential to produce life-threatening arrhythmias. Medical treatment consists of local application of topical calcium gels, subcutaneous injection of calcium gluconate, and intravenous or intra-arterial infusion of calcium gluconate. Calcium gluconate infusions have been used for HF burns on distal extremities and digits. We report a case of HF burn to the face that was treated by the use of calcium gluconate infusion via the external carotid artery.
authors.affiliation: Regions Hospital, St. Paul, Minnesota 55101, USA.
authors.forename: Lan T
authors.initials: LT
authors.lastname: Nguyen
authors.forename: William J
authors.initials: WJ
authors.lastname: Mohr
authors.forename: David H
authors.initials: DH
authors.lastname: Ahrenholz
authors.forename: Lynn D
authors.initials: LD
authors.lastname: Solem
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D002057:Burns, Chemical / Q000188:drug therapy* / Q000209:etiology*; D002125:Calcium Gluconate / Q000008:administration & dosage*; D002339:Carotid Arteries; D004334:Drug Administration Schedule; D005151:Facial Injuries / Q000139:chemically induced* / Q000188:drug therapy*; D006801:Humans; D006858:Hydrofluoric Acid / Q000633:toxicity*; D007261:Infusions, Intra-Arterial; D008297:Male; D009784:Occupational Diseases / Q000139:chemically induced / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D006858:Hydrofluoric Acid; D002125:Calcium Gluconate