Chemical burns are caused by corrosive agents (acids and alkali) leading to tissue damage. These injuries comprise 10% of burn injuries with majority occurring due to household accidents, work accidents or even self-inflicted. The total body surface area (TBSA) involved in these injuries is usually less than thermal injuries; however, the depth and the extent of injuries could be more extensive than the thermal counterparts. In addition, special organs involvements such as eye, mucosa, or even renal and hepatic could have substantial subsequences. A review of common injuries involving acids, bases and the special considerations in decontamination and treatment of special agents are discussed in this chapter.
Chemical burn Alkali Acid
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Pruitt BA Jr. The burn patient: I. Initial care. Curr Probl Surg. 1979;16(4):1–55.PubMedGoogle Scholar
Kaufman T, Ullmann Y, Har-Shai Y. Phosphorus burns: a practical approach to local treatment. J Burn Care Rehabil. 1988;9(5):474–5.PubMedGoogle Scholar
Larson DL, Abston S. Acutely burned patient. Initial care and closure of burn wound. N Y State J Med. 1970;70(12):1626–33.PubMedGoogle Scholar
Sykes RA, Mani MM, Hiebert JM. Chemical burns: retrospective review. J Burn Care Rehabil. 1986;7(4):343–7.PubMedGoogle Scholar
Xiang H, et al. Work-related eye injuries treated in hospital emergency departments in the US. Am J Ind Med. 2005;48(1):57–62.PubMedGoogle Scholar
Gunel E, et al. Effect of antioxidant therapy on collagen synthesis in corrosive esophageal burns. Pediatr Surg Int. 2002;18(1):24–7.PubMedGoogle Scholar
McGrath K, Brazer S. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2002;56(1):163–4.PubMedGoogle Scholar
Bueno R, et al. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2001;54(3):368–72.PubMedGoogle Scholar
Mukherjee K, et al. Antegrade and retrograde endoscopy for treatment of esophageal stricture. Am Surg. 2008;74(8):686–7; discussion 688PubMedGoogle Scholar
Jelenko C 3rd, Story J, Ellison RG Jr. Ingestion of mineral acid. Am Surg. 1974;40(2):97–104.PubMedGoogle Scholar