Hydrofluoric acid (HF) is highly corrosive substance often used in industrial processes. HF burns to the skin cause local tissue injury. Systemic hypocalcemia may ensue, with the potential to produce life-threatening arrhythmias. Medical treatment consists of local application of topical calcium gels, subcutaneous injection of calcium gluconate, and intravenous or intra-arterial infusion of calcium gluconate. Calcium gluconate infusions have been used for HF burns on distal extremities and digits. We report a case of HF burn to the face that was treated by the use of calcium gluconate infusion via the external carotid artery.
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http://dx.doi.org/10.1097/01.bcr.0000138288.15403.ba | DOI Listing |
Clin Pract Cases Emerg Med
November 2024
Sidra Medicine, Department of Emergency Medicine, Ar-Rayyan, Qatar.
Case Presentation: A 13-month-old child with past medical history of congenital adrenal insufficiency presented to the emergency department with vomiting and diarrhea. Initially the child was noticed to have bradycardia with normal blood pressure. An electrocardiogram (ECG) showed tall T waves, broad QRS complex, and widened PR interval suggestive of severe hyperkalemia.
View Article and Find Full Text PDFCase Rep Crit Care
December 2024
Department of Emergency Medicine, University of California San Francisco, San Francisco, California, USA.
Coingestion of cardiovascular drugs with angiotensin-converting enzyme inhibitors (ACEIs) can be associated with refractory shock derangements complicated by vasopressor resistance, prompting the use of novel, unconventional, or uncommonly used agents. A young adult male presented to the emergency department (ED) 10 h after ingesting lisinopril and amlodipine. On arrival, he was hypotensive with a blood pressure of 72/39 mmHg.
View Article and Find Full Text PDFPurpose: The purpose of this laboratory study was to evaluate common materials for isolation and neutralizing agents for hydrofluoric acid (HF). Additionally, surfaces of lithium disilicate ceramic were examined for precipitates after the etching and neutralizing process.
Materials And Methods: The HF permeability of the following isolation agents (n=8) was investigated by positioning them over pH indicator paper under airtight conditions and applying 9% HF: latex rubber dam; elastic plastomer rubber dam; nitrile gloves; latex gloves; liquid rubber dam; Teflon; AZ strip.
Transfus Med Hemother
December 2024
Department of Nephrology, Xiangya Hospital, Central South University, Changsha, China.
Introduction: Protein A immunoadsorption (IA) is proving to be an effective treatment method for autoimmune diseases and other disorders. Regional citrate anticoagulation (RCA) prevents clotting in extracorporeal circuits without increasing hemorrhage risk in high bleeding risk patients, but there are no specific guidelines for its application in IA. We aimed to evaluate the safety and adverse effects of RCA used in IA therapy.
View Article and Find Full Text PDFCureus
October 2024
Internal Medicine, Unidade Local de Saúde de Trás-os-Montes e Alto Douro, Chaves, PRT.
BRASH, an acronym for Bradycardia, Renal failure, AV nodal blockers, Shock, and Hyperkalemia, syndrome is a clinical synergic phenomenon that can result in cardiovascular collapse. We present the case of an 83-year-old woman with dilated cardiomyopathy, heart failure, and chronic kidney disease who was admitted to the emergency room due to syncope and a worsening general condition. The patient was on several medications, including carvedilol, a beta-blocker.
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