Topical Chemical Burn 

Clinical Management Options

EMT-B
• Place in position of comfort
Oxygen target SpO2 92% – 96%  
• Remove as much chemical as possible
If dry chemical, brush as much off as possible
If wet chemical, wash of as much as possible
Paramedic
• Consider obtaining an EKG
Consult Online Medical Control as Needed

Pearls

  • Early decontamination is the most important step. 
  • For any ingestions of substances capable of burns (ie, drano), do a brief evaluation of the mouth to assess for irritation. Transport immediately and consider early airway intervention if the patient develops stridor, difficult maintaining secretions.