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Integrated Management of Multisite Corrosive Injuries Following Hydrogen Fluoride Gas Exposure

Year: 2026

Type: article

Abstract: A man in his 30s sustained multisite corrosive injuries and possible inhalational exposure after an accident involving hydrogen fluoride gas. Prehospital irrigation and Hexafluorine decontamination were followed by hospital-based topical calcium therapy, staged ocular and cutaneous care, and goal-directed systemic calcium and magnesium supplementation titrated to ionized calcium. Despite prominent pain and decreased ionized calcium, arterial oxygenation and thoracic imaging remained normal, supporting a dynamic evaluation-de-escalation approach to airway management. Multidisciplinary coordination enabled timely decontamination, electrolyte control, infection risk mitigation, and wound healing. The patient recovered without arrhythmia or hypoxemia and was discharged for outpatient care. This case underscores the clinical value of early decontamination, dynamic electrolyte monitoring, and protocolized teamwork in hydrogen fluoride toxicity.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.72046

Authors: Huang Zhaolue, Luo Jishen, Yang Minghao, Pan Xianfeng

Institution: Chinese People's Liberation Army

Language: English

Topic: Poisoning and overdose treatments

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820