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February 6, 2012
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Chemical Burns

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Chemical Burns Overview

A chemical burn is irritation and destruction of human tissue caused by exposure to a chemical, usually by direct contact with the chemical or its fumes. Chemical burns can occur in the home, at work or school, or as a result of accident or assault. Although few people in the United States die after contact with chemicals in the home, many substances common in both living and storage areas can do serious harm.

Many chemical burns occur accidentally through misuse of products such as those for hair, skin, and nail care. Although injuries do occur at home, the risk of sustaining a chemical burn is much greater in the workplace, especially in businesses and manufacturing plants that use large quantities of chemicals.

Most chemical burns are caused by either strong acids or strong bases (for example, hydrochloric acid or sodium hydroxide). Acids damage and kill cells by coagulating cells while bases liquefy cells. Prolonged exposure can severely damage human tissues and, if the patient survives, leads to scarring and disability. Other chemicals like oxidants and certain metals may also produce similar chemical burns. Limiting the time of exposure to any of these chemicals can greatly reduce their damaging effects.

Unfortunately, some chemical burn agents are designed to harm people (chemical agents used in wars and in terrorist attacks). It is not the scope of this article to cover these agents.

Chemical Burn Causes

Most chemicals that cause burns are either strong acids or bases. A glance at the medical information on the labels of dangerous chemicals usually confirms the expected toxicity. Common sense precautions and consumer education can reduce the risk of injury. A variety of common household products that may cause chemical burns are as follows:

  • Bleach
  • Concrete mix
  • Drain or toilet bowl cleaners
  • Metal cleaners
  • Pool chlorinators

This is just a sample list. Many other products used in the home and at work may contain some amount of chemicals that may cause burns. it is important to keep the labels on the containers in case of an exposure so the medical personnel can know what the patient has been exposed to.

All of these should only be stored in the appropriate containers to prevent accidental ingestion.

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Chemical Burns

Topic Overview

Note: If a chemical has been swallowed that may be a poison or may cause burning in the throat and esophagus, call your local Poison Control Center or the National Poison Control Hotline (1-800-222-1222) immediately for information on treatment. When you call the Poison Control Center, have the chemical container with you, so you can read the content label to the Poison Control staff member. The Poison Control Center can help determine what steps to take next.

Most chemical burns of the skin are treated first by rinsing (flushing) the chemical off your body with a large amount of room temperature water, but not all chemicals are treated this way. It is important to treat the burn correctly to avoid further complications.

Chemical burns rinsed with water

  • Flush the area for at least 20 minutes.
    • Do not use a hard spray of water, because it can damage the burned area.
    • Have the person with the ...

Read the First Aid for Chemical Burns article »


Read What Your Physician is Reading on Medscape

Burns, Chemical »

Acids are defined as proton donors (H+), and bases are defined as proton acceptors (OH-).

Read More on Medscape Reference »

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