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Chemical burn skin — DipIMC MCQ

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EasyEnvironmental MedicineChemical burn skinDipIMC

A 41-year-old spills industrial alkali on his forearm. Clothing is contaminated and he has severe burning pain; water is immediately available. What is the most appropriate immediate action?

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Correct answer: CRemove contaminated clothing and irrigate with copious water while protecting rescuers

Remove contaminated clothing and irrigate with copious water while protecting rescuers is the best answer because chemical burns require rapid removal of contaminant and dilution with water when safe. Delay intervention until arrival at hospital is less appropriate because delay is unsafe when a reversible pre-hospital threat is present; Give a large crystalloid bolus before controlling the injury is less appropriate because fluid cannot replace early control of bleeding or ventilation problems. Wait for imaging before intervening and Perform a full secondary survey before treating the abnormality are also suboptimal because they move attention away from the key pre-hospital priority.. The key DipIMC principle is to treat immediate reversible threats, communicate clearly and move the patient toward the right definitive care.

Reference: JRCALC Guidelines; British Burn Association Pre-hospital Burn Consensus