Typical
appearance of chemical burn with coagulation necrosis of
skin. Brown to gray appearance is characteristic. Wound
depth invariably increases such that initial assessment
underestimates depth. |
Deep
alkali burn irrigated with water for 60 minutes. Note:
Surface coagulation necrosis. This wound is high risk and
should be referred to burn center if possible.
|
|
CHEMICAL
BURNS: DIAGNOSIS AND TREATMENT
|
Hot
tar with commercial tar are invariably deep as evident
by the white eschar. Tar removal is best performed using
Neosporin or bacitracin ointment as it contains an
emulsifying agent. |
Lime burn to lower leg when powder
entered boot. The burn is full thickness
requiring grafting. Initial treatment is
irrigation for 30-45 minutes. |
Chemical
burns to eyes results in high risk for corneal damage.
Need to flush continuously with isotonic solutions for
at least 60 minutes.
|
