Decontamination: remove soiled clothing and irrigate thoroughly.
Mainstay of treatment is application of calcium to affected area.
Application of gel paste of Ca gluconate or benzalkonium Cl
Rub into affected area for 10-15min with pain relief being used as end-point of treatment
Calcium gel is commercially available (found in industrial first-aid kits)
Calcium gel can be made:
Mix calcium gluconate powder 3.5gm with 150mL water-soluble lubricant (KY-Jelly) OR
Mix 25mL 10% calcium gluconate solution with 75mL water-soluble lubricant (KY-Jelly)
Benzalkonium Cl is commercially available
If calcium gluconate is not available calcium chloride can be used
Rub into affected area for 10-15min with pain relief being used as end-point of treatment
Calcium gel is commercially available (found in industrial first-aid kits)
Calcium gel can be made:
Mix calcium gluconate powder 3.5gm with 150mL water-soluble lubricant (KY-Jelly) OR
Mix 25mL 10% calcium gluconate solution with 75mL water-soluble lubricant (KY-Jelly)
Benzalkonium Cl is commercially available
If calcium gluconate is not available calcium chloride can be used
Mix calcium gluconate powder 3.5gm with 150mL water-soluble lubricant (KY-Jelly) OR
Mix 25mL 10% calcium gluconate solution with 75mL water-soluble lubricant (KY-Jelly)
Treat with intradermal injections of 5% calcium gluconate
Prepare by diluting conventional 10% Ca gluconate with sterile NS in 1:1 ratio
Inject in and around the burned area in amount not to exceed 0.5mL per cm2
Prepare by diluting conventional 10% Ca gluconate with sterile NS in 1:1 ratio
Inject in and around the burned area in amount not to exceed 0.5mL per cm2
Treat with intravenous infusion of calcium gluconate using Bier block
Place tourniquet proximal to exposure site on affected extremity and inject though IV distal to tourniquet
Inject 10 mL of 10% Ca gluconate diluted in 40 mL of saline and remove tourniquet after 20 min of dwell time
In severe refractory cases may also infuse intra-arterial calcium gluconate
Deliver via arterial line placed proximal to injury in the same limb
Infuse 10 mL of 10% Ca gluconate diluted in 40mL of saline over 4 hr
Place tourniquet proximal to exposure site on affected extremity and inject though IV distal to tourniquet
Inject 10 mL of 10% Ca gluconate diluted in 40 mL of saline and remove tourniquet after 20 min of dwell time
Deliver via arterial line placed proximal to injury in the same limb
Infuse 10 mL of 10% Ca gluconate diluted in 40mL of saline over 4 hr
Irrigate with saline for at least 5 min
If persistent pain administer 1% calcium gluconate to eye (dilute 10% calcium gluconate with normal saline)
Consult ophthalmology due to irritation effect of calcium salts to eye
Consult ophthalmology due to irritation effect of calcium salts to eye
If <1hr of ingestion, may consider NG tube for suction and gastric lavage
Follow lavage by 300mL 10% Ca gluconate down NGT
Consider intubation for airway protection
Follow lavage by 300mL 10% Ca gluconate down NGT
Consider in any patient with facial burns or exposure to<unk>  in confined space
Oxygen via NRB
Nebulized 2.5% calcium gluconate
Intubation may be required in severe cases
Administer calcium gluconate 100mg IV (10 mL of a 10% solution) over 2-3 minutes
May also need to replete magnesium (4g IV over 20 minutes)
May see QTc prolongation, cardiac arrhythmia, or obvious systemic illness
Treat hyperkalemia as needed
Hydrofluoric acid
Caustic ingestion
Hydrochloric acid
Caustic eye exposure 
Iodoquinol
Caustic dermal burn
Selenium sulfide
Airbag-related burns