Hand chemical burns.

Abstract

There is a vast and ever-expanding variety of potentially harmful chemicals in the military, industrial, and domestic landscape. Chemical burns make up a small proportion of all skin burns, yet they can cause substantial morbidity and mortality. Additionally, the hand and upper extremity are the most frequently involved parts of the body in chemical burns, and therefore these injuries may lead to severe temporary or permanent loss of function. Despite this fact, discussion of the care of these injuries is sparse in the hand surgery literature. Although most chemical burns require only first response and wound care, some require the attention of a specialist for surgical debridement and, occasionally, skin coverage and reconstruction. Exposure to certain chemicals carries the risk of substantial systemic toxicity and even mortality. Understanding the difference between thermal and chemical burns, as well as special considerations for specific compounds, will improve patient treatment outcomes.

• Authors: Elliot P Robinson, A Bobby Chhabra
• Journal: The Journal of hand surgery (J Hand Surg Am) Vol. 40 Issue 3 Pg. 605-12; quiz 613 (Mar 2015) ISSN: 1531-6564 [Electronic] United States
• PMID: 25653184 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Topics

• Burns, Chemical (diagnosis, therapy)
• Combined Modality Therapy
• Debridement (methods)
• Education, Medical, Continuing
• Female
• Graft Survival
• Hand Injuries (diagnosis, therapy)
• Humans
• Injury Severity Score
• Male
• Postoperative Complications (physiopathology, therapy)
• Prognosis
• Risk Assessment
• Skin Transplantation (adverse effects, methods)
• Surgical Flaps (blood supply, transplantation)
• Therapeutic Irrigation (methods)
• Treatment Outcome
• Wound Healing (physiology)