A 34-year-old glass etching worker arrives with severe hand pain after hydrofluoric acid exposure. Triage acuity is ESI 2; BP 138/82 mm Hg, HR

Question

A 34-year-old glass etching worker arrives with severe hand pain after hydrofluoric acid exposure. Triage acuity is ESI 2; BP 138/82 mm Hg, HR 104/min. The skin looks mildly erythematous, but pain is deep and intense. ECG shows a prolonged QT interval and calcium is low. Which of the following is the most important immediate intervention?

Accepted Answer

Apply calcium gluconate gel and treat systemic hypocalcemia

Answer

Cover with petroleum ointment and observe

Answer

Apply topical lidocaine alone

Answer

Give atropine as antidote

Answer

Irrigate briefly and discharge

Hydrofluoric acid exposure — ABEM Board MCQ