Chemical Burns: First Aid - Mayo Clinic
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Chemical burns are tissue damage caused by strong acids, drain cleaners, paint thinner, gasoline and many other substances. Usually, you are aware of such a burn and its cause. But sometimes you may not immediately recognize a burn caused by a milder chemical. As with some sunburns, the damage may develop hours after the exposure.
Major chemical burns need emergency medical help. Minor chemical burns can usually be treated with first aid.
When to seek emergency help
Call 911 or seek immediate care for major chemical burns, which:
- May be deep, involving all layers of the skin.
- Are larger than 3 inches (about 8 centimeters) in diameter.
- Cover the hands, feet, face, groin, buttocks, or a major joint or encircles an arm or leg.
If you're unsure that you've been exposed to a toxic chemical, call a poison control center then call 911. In the United States, the Poison Help number is 800-222-1222. If you seek emergency medical help, take the container or the name of the chemical with you.
Treatment
For major chemical burns, apply first aid as follows until emergency help arrives. For minor burns, take the same steps. A minor burn might need emergency care if it affects the eyes, mouth, hands or genital areas. Babies and older adults might need emergency care for minor burns as well.
- Protect the burned person from further harm. Remove dry chemicals. Put on gloves and brush off any remaining material.
- Remove contaminated clothing or jewelry and rinse chemicals off for at least 20 minutes, in a shower if it's available. Protect eyes from the chemicals.
- Cover the burn. Loosely cover the area with gauze or a clean cloth.
- Rinse again if needed. If the area is still painful, rinse for several more minutes.
For major burns, watch for signs of shock. Symptoms include cool, clammy skin, weak pulse and shallow breathing.
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- Burns. Merck Manual Professional Version. https://www.merckmanuals.com/professional/injuries-poisoning/burns/burns#. Accessed Dec. 14, 2021.
- Burns. American College of Emergency Physicians. https://www.emergencyphysicians.org/article/know-when-to-go/burns. Accessed Dec. 14, 2021.
- Cameron P, et al., eds. Burns. In: Textbook of Adult Emergency Medicine. 5th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Dec. 17, 2021.
- Thompson DA. Burns. In: Adult Telephone Protocols: Office Version. 4th ed. American Academy of Pediatrics; 2018.
- Kermott CA, et al., eds. Emergencies and urgent care. In: Mayo Clinic Guide to Self-Care. 7th ed. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
- Purdue GF, et al. Acute assessment and management of burn injuries. Physical Medicine and Rehabilitation Clinics of North America. 2011; doi: 10.1016/j.pmr.2011.01.004.
- Raukar NP. Burns. In: Mayo Clinic First-Aid Guide for Outdoor Adventures. Mayo Clinic Press; 2024.
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