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Hydrofluoric acid burn — DipIMC MCQ

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ModerateEnvironmental MedicineHydrofluoric acid burnDipIMC

A 45-year-old glass worker splashes hydrofluoric acid on the hand. After irrigation he has severe deep pain out of proportion to the skin findings and fingertip paraesthesia. What is the most appropriate management?

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Correct answer: BContinue irrigation and apply calcium gluconate gel if available with urgent transfer

Hydrofluoric acid can cause deep tissue injury and systemic hypocalcaemia despite modest surface changes. Irrigation and calcium gluconate gel where available are appropriate while arranging urgent specialist care. Neutralisation attempts and delayed transfer are unsafe.

Reference: JRCALC Guidelines; TOXBASE chemical exposure principles