Hazmat exposure - Revision history

Danbot: Add verified PubMed reference (PMID 25455670)

2026-03-22T10:44:42Z

Add verified PubMed reference (PMID 25455670)

← Revisión anterior		Revisión del 10:44 22 mar 2026
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	==Background==		==Background==
	*Definition - exposure to hazardous materials causing local/systemic toxicity		*Definition - exposure to hazardous materials causing local/systemic toxicity<ref>Borron SW. Checklists for hazardous materials emergency preparedness. Emerg Med Clin North Am. 2015 Feb;33(1):213-32. PMID 25455670</ref>

	===Types of Injury===		===Types of Injury===

ClaireLewis: /* Management */

2019-09-24T17:39:26Z

Management

← Revisión anterior		Revisión del 17:39 24 sep 2019
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	===Management===		===Management===
	*Aggressive supportive care, analgesia		*Aggressive supportive care, [[analgesia]]
	*[[Antidotes]] if available		*[[Antidotes]] if available
	*Pulmonary involvement		*Pulmonary involvement
	**O2, albuterol, intubate		**[[O2]], [[albuterol]], [[intubation\|intubate]]

	===Specific Conditions===		===Specific Conditions===

Rossdonaldson1: Text replacement - "TBSA" to "TBSA"

2019-02-12T08:11:02Z

Text replacement - "TBSA" to "TBSA"

← Revisión anterior		Revisión del 08:11 12 feb 2019
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	*[[Chemical burns]]		*[[Chemical burns]]
	**Strong alkali, needs irrigation for hours		**Strong alkali, needs irrigation for hours
	**IVF 3cc/kg/TBSA, 1/2 given in first 8 hours		**IVF 3cc/kg/[[TBSA]], 1/2 given in first 8 hours
	**[[Hydrofluoric acid]] burn		**[[Hydrofluoric acid]] burn
	***Calcium gluconate via topic gel (10ml 10% sol'n applied topically), SC, or intra-arterial		***Calcium gluconate via topic gel (10ml 10% sol'n applied topically), SC, or intra-arterial

Jonwarren: Link update

2017-02-15T02:57:10Z

Link update

← Revisión anterior		Revisión del 02:57 15 feb 2017
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	***Treat levels >30% with HF O2 and IV methylene blue (1-2mg/kg slow IV, not recommended for <6 y/o, >6 y/o 1mg/kg IV/IM)		***Treat levels >30% with HF O2 and IV methylene blue (1-2mg/kg slow IV, not recommended for <6 y/o, >6 y/o 1mg/kg IV/IM)
	**[[Cyanide]]		**[[Cyanide]]
	***Hydroxocobalamin (5mg IV /5 min, repeat once)		***[[Hydroxocobalamin]] (5mg IV /5 min, repeat once)
	***Elemental metals (Na or K)		***Elemental metals (Na or K)
	***Water is contraindicated		***Water is contraindicated

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T16:09:48Z

Text replacement - "*CXR" to "*CXR"

← Revisión anterior		Revisión del 16:09 9 sep 2016
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	*LFTs		*LFTs
	*VBG - concern for metabolic acidosis, carboxyhemoglobinemias, methemoglobinemias		*VBG - concern for metabolic acidosis, carboxyhemoglobinemias, methemoglobinemias
	*CXR - concern for pulmonary edema		*[[CXR]] - concern for pulmonary edema

	==Management==		==Management==

Rossdonaldson1: Text replacement - "AMS" to "altered mental status"

2016-07-31T10:36:18Z

Text replacement - "AMS" to "altered mental status"

← Revisión anterior		Revisión del 10:36 31 jul 2016
Línea 37:		Línea 37:

	*Systemic sigs		*Systemic sigs
	**~~AMS~~, seizures, tachy/brady dysrhythmias, hypo/hyper-tensive, GI sx, electrolyte abnormalitiyes, carboxyhemoglobinemia/methemoglobinemia, cyanide tox, toxidromic constellation of signs (e.g. cholinergic)		**altered mental status, seizures, tachy/brady dysrhythmias, hypo/hyper-tensive, GI sx, electrolyte abnormalitiyes, carboxyhemoglobinemia/methemoglobinemia, cyanide tox, toxidromic constellation of signs (e.g. cholinergic)

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: Text replacement - "pulm " to "pulmonary "

2016-07-31T06:34:23Z

Text replacement - "pulm " to "pulmonary "

← Revisión anterior		Revisión del 06:34 31 jul 2016
Línea 34:		Línea 34:

	*Pulm		*Pulm
	**Bronchospam/cough/~~pulm~~ edema/cough		**Bronchospam/cough/pulmonary edema/cough

	*Systemic sigs		*Systemic sigs

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T06:20:30Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Revisión anterior		Revisión del 06:20 24 jul 2016
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	==Differential Diagnosis==		==Differential Diagnosis==

	==~~Diagnosis~~==		==Evaluation==
	*Work up based on chemical culprit		*Work up based on chemical culprit
	*POC glucose		*POC glucose

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-13T21:20:54Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 21:20 13 jul 2016
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	**Nitrites		**Nitrites
	***Concern for [[Methemoglobinemia]]		***Concern for [[Methemoglobinemia]]
	***Treat levels >30% w/ HF O2 and IV methylene blue (1-2mg/kg slow IV, not recommended for <6 y/o, >6 y/o 1mg/kg IV/IM)		***Treat levels >30% with HF O2 and IV methylene blue (1-2mg/kg slow IV, not recommended for <6 y/o, >6 y/o 1mg/kg IV/IM)
	**[[Cyanide]]		**[[Cyanide]]
	***Hydroxocobalamin (5mg IV /5 min, repeat once)		***Hydroxocobalamin (5mg IV /5 min, repeat once)

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-08T22:59:35Z

Text replacement - "==Treatment==" to "==Management=="

← Revisión anterior		Revisión del 22:59 8 jul 2016
Línea 73:		Línea 73:
	**Dispose of all clothes/bandages/IVs		**Dispose of all clothes/bandages/IVs

	===~~Treatment~~===		===Management===
	*Aggressive supportive care, analgesia		*Aggressive supportive care, analgesia
	*[[Antidotes]] if available		*[[Antidotes]] if available