7d • Paramedic Talk
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A 40-year-old factory worker presents to the ED 30 minutes after spilling an industrial cleaning agent on his forearm. He reports severe burning pain. On exam, there is erythema with areas of black, necrotic tissue. He says the agent contained dry lime (calcium oxide).
Which of the following is the most appropriate initial management step?
Immediately irrigate the burn with copious amounts of water.
Brush off all visible powder before irrigating with water.
Apply neutralizing solution (weak acid) to counteract the alkali.
Cover the area with sterile dressings and arrange for burn center transfer.
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