Chemical burns are wounds to the skin, mouth, eyes, or internal organs caused by corrosive substances. Such accidents can occur at work, school, or home. Mild burns cause skin irritation while severe burns can lead to surgery and rehabilitation. To prevent accidents always wear rubber gloves while using chemicals. 

What are chemical burns?

Chemical burns are injuries to skin or internal/external organs caused by caustic chemical substance like acids, alkalis, and bases. The skin turns red, painful, or numb. In severe cases victims undergo cardiac arrest.  

Chemical burns causes

Chemical burns are primarily caused by strong acids and bases. These corrosive substances occur in our household cleaning agents, laundry liquids, car batteries, fertilizer, and metal refining industries. Accidental exposure to them can cause mild to severe burns.   

Symptoms of Chemical burns

  • Redness, burning at the site.
  • Pain or numbness at the site.
  • In case of acid burn, the skin turns black and dead, as the proteins coagulate. 
  • In case of alkali burn, tissues are damaged, as the fat saponifies. 
  • If chemicals get in the eyes, complete loss of vision occurs. 
  • If chemicals are inhaled or swallowed, low blood pressure, cough, difficulty in breathing, headache, faintness, or cardiac arrest occurs.

Types of Chemical burns

According to the extent and depth of the injury, chemical burns are classified as superficial or deep.  

  • First-degree- Injury to the skin’s top layer is called superficial burn.  
  • Second-degree burn - Injury to the second layer of skin (dermis) is called partial thickness injury.
  • Third-degree burn - Injury to the third layer of skin (subcutaneous tissue) is called full thickness injury.

Chemical burns treatment

Chemical burns can cause pain, blisters, swelling, scars, and shock. Chemical burn treatment depends on the severity of the wound and the extent of tissue damage.

The burn specialist first determines the burn type – first-degree, second-degree, or third-degree – to render suitable treatment plan including but not limited to; 

  • Antibiotics and anti-itch medications.
  • Intravenous fluids to replenish fluid loss.
  • Wound cleaning to remove dead tissues.
  • Skin grafting/ plastic surgery to cover the wound. 
  • Occupational therapy
  • Counseling for mental and emotional well-being.

Complications

Each chemical has distinct burn property. Hence, patients can suffer from acute pain, perforated nasal septum, Hypocalcaemia (low level of calcium), Hypomagnesaemia (low level of magnesium), Methaemoglobinaemia (low level of iron in blood), and Hepatorenal injury (kidney and liver failure).

Preventions 

Chemical burns can be prevented with safety procedures. These include:

  • Purchase chemicals only in protective containers.
  • Keep chemicals away from food, drinks, and children.
  • Proper and safe storage of chemicals is important. 
  • Use chemicals in a well-ventilated area for the fumes to dissipate, easily.
  • Wearing protective clothing and gear when using chemicals.

Why is Cutis Hospital for Chemical burns surgery? 

Our facility has advanced operation theater and medical equipment along with a skilled team of burn specialists, medical staff, and occupational therapists to tend to your wounds and nurse you back to recovery and life.

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    FAQ's

    Infants, older adults, and people with disabilities are at high risk of chemical burns. Further, people who deal with acids and bases regularly in their occupation are also at high risk.

    Seek immediate care for major chemical burns, such as;

    • Third-degree burns that involve all skin layers.
    • Burns that are larger than 3 inches (8 centimeters) in diameter.
    • Burns that extend to feet, hands, face, buttocks, groin, and joints.
    • Shock with symptoms like weak pulse, shallow breathing, and clammy skin.

    Based on the following factors burnt specialist will make a diagnosis.

    • Pian level in the affected area.
    • Severity and depth of the burn and damage to the area.
    • Severity of swelling. 
    • Possible signs of infection.

    Depth and severity of the chemical burns dictate the outlook. Minor burns heal within 2 weeks, while deep burns take several weeks and months to heal. Some people with severe chemical burns may have limb loss, scarring, disfigurement, infection, and emotional trauma. However, with regular visits to the hospital for treatment and rehabilitation, people can return to their lives.

    Chemical burns are classified into first-degree burns (superficial), second-degree burns (partial thickness), and third-degree burns (full thickness). This classification is based on the skin layer affected, i.e. top-most, second layer (dermis), and all skin layers.

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