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unci Hydrofluoric <br />.-avoCumneous, inject calcium gmcone ---�u , <br />j su tan <br />r <br />sing on$ 27 or 30•gau9r needle .rand no more than 0.5 ml per digit or 1 m�cllv in mZ in M'.Pr l <br />s <br />4t Intra•arterli 1. injection of calcium by the intra-arterial route F <br />ecessary for bums involving several digits or subungual areas <br />Bier block. This intravenous regional Perfusion <br />�. vs:• technique hasp <br />y useful (see Calcium chapter). <br />2. Systendc hypocalcemis or hyperkalemla. Admin" ter calciumtuconate l <br />0%,0.2-0. � <br />mL/kg IV, or calcium chloride 10%, 0.1-0.2 ML/k9 (V, g <br />T 4k <br />C. Decontamination (see Decontamination). Rescuery entering a contaminated a <br />wear self-contained breathing apparatus and appropriate personal protective rea should <br />§C avoid exposure. eg9!Pment 60, <br />IF <br />1. Inhalation. Immediately remove victims from exposure and give suppl <br />available. The use of 2.5% calcium gluconate by nebulizatkin is <br />recommended by some <br />i�+ authorities. <br />r <br />2. Skin Immediate) remove contaminated clothing and R <br />t, Y 9 flood exposed areas with copious <br />ti: amounts of water. Then soak in a solution of Epsom salts (magnesium sulfate) or calcium <br />immediate topical use of calcium or magnesium may hal <br />R g p prevent deep burns,. Some Facilities <br />f that frequently manage HE cases purchase or prepare a 2.S% calcium gluconate gel (in <br />x . water-based jelly). This intervention can be highly effective if applied immediately, Soaking <br />,. in a dilute benzaikonium chloride (Zephiran) solution has been advocated as an alternative to <br />calcium. - <br />3e Eyes. Frush with copious amounts of water or saline. The effectiveness of a weak (1-2%) <br />calcium gluconate solution is not established, Consult with an ophthalmologist if there is <br />evidence or suspicion of ocular exposure. •••'ti �ri( ' <br />4. Ingestion <br />a. Prehospital. Immediately give any available calcium -co churn" ate or <br />milk) or magnesium -containing (Epsom salts, magnesium hydroxide, etc) su by <br />- mouth. Do not induce vomiting because of the risk of corrosive Injury, Activated charcoal is <br />not effective. <br />b. Hospital. Consider gastric suctioning with a nasogastric tuba. Administer magnesium <br />or calcium- �, p g substance as in 4.a above. <br />There Is no role for enhanced eliminationp rocedures. <br />�:-+F` • ,C Previous Section I Next Section s <br />citation : Q f ­f : ¢ a.,,- .a,k , +➢ovnload for Handhald <br />t� <br />mg a Drug Ova <br />