Case Report
Volume 4 Issue 11 - 2020
Accidental Hydrofluoric Ingestion
Alyssa Sexton1, Richard Cousino2, Gregory Reinhold3 and Patrick Bruss2*
1Resident Physician, ProMedica Monroe Regional Hospital, Monroe, Michigan, United States
2Associate Clinical Faculty, ProMedica Monroe Regional Hospital, Monroe, Michigan, United States
3Program Director, ProMedica Monroe Regional Hospital, Monroe, Michigan, United States
*Corresponding Author: Patrick Bruss, Associate Clinical Faculty, ProMedica Monroe Regional Hospital, Monroe, Michigan, United States.
Received: October 08, 2020; Published: November 07, 2020




Abstract

A 53-year-old male with a history of development delay, and profound hearing loss presented to a community ED after ingestion of 3 ounces of glass etching cream containing a large concentration (28 - 40%) of hydrofluoric acid. Patient was initially stable but soon became agitated and distressed. Once vital sign changes were noted calcium and magnesium replacement started. Initial calcium level was… Patient then developed respiratory distress and was intubated and a central line placed for continued electrolyte supplementation and fluids. EKG was showing QT prolongation which improved with calcium administration. Patient developed hypotension and acidosis and was started on bicarb infusion, levophed and phenylephrine. Numerous calls out to GI, general surgery, intensive care and cardiothoracic surgery. Was not stable enough GI to intervene, general surgery deferred to CT surgery and eventually it was agreed to transfer to a local tertiary center for CT surgery management. Continued calcium boluses administered for continued EKG changes. Upon arrival of the flight crew the patient had a ventricular fibrillation arrest. Patient was coded per protocol with additional calcium boluses but pulses were never recovered. This case illustrates the need for prompt aggressive treatment of these ingestion patients.

Keywords: Hydrofluoric Acid; Arrhythmias; Calcium; CT Surgery

References

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Citation: Patrick Bruss., et al. ““Accidental Hydrofluoric Ingestion”. EC Emergency Medicine and Critical Care 4.12 (2020): 25-28.

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