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Re: RE: protocol question

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Donn,

I forgot one critical aspect of our hydrofluoric acid protocol offshore:

Monitor ECG. This is because HF can cause severe electrolyte disturbances which

may lead to VT and VF.

Sorry, the mind is the first thing to go, not the legs.

Gene

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Donn,

A couple of years ago I was discussing HF protocols with the HSE manager

at Litton, where they use it extensively to etch circuit boards. He

gave me some information on a commercial neutralizer solution that they

were looking into purchasing. I can't recall what it was called, and I

have not heard any followup on it. I do remember that it was expensive

as hell, but supposedly a superiour solution. Anybody familiar with

what that might have been?

Rob

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The only agent I'm familiar with (other than calcium gluconate) that is

used as treatment for HF acid exposure is benzalkonium chloride. I

think OSHA still recommends its use, but all the MSDS I've seen in

recent years mention only Calcium Gluconate. The damage caused by HF is

due to free fluorine ions reacting with the calcium in the body. CG is

useful because it combines with the HF to form Calcium Fluoride, an

insoluble salt, which hinders the extraction of Calcium.

CG is available powdered, liquid in vials, pre-diluted 10% irrigating

solutions and in dilute gel form. There are some who recommend all

employees working with HF carry a tube of the gel in their pocket at

all times, which is not a bad idea. When dealing with HF acid exposure

time is extremely critical. However, like all pre-mix pharmaceuticals,

the gel is expensive - about a buck a gram - and has a rather short

expiry date. When we are working with the acid we mix our own gel using

a 6 Oz tube KY Jelly combined with 4 grams of powdered CG (which has a

much longer shelf life than the pre-mix).

One major point to remember if responding to a HF acid exposure.

Protect yourself first. Even a small exposure to a weak concentration

could cause damage. Be very, very careful and wear full protective

equipment.

Regards,

Donn

===============================

D.E. (Donn) , LP, NREMT-P

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

" ...your educators can be only your liberators. "

~~ Friedrich Nietzsche ~

" Untimely Meditations "

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

________________________________

From: Rob

Sent: Thursday, January 01, 2004 12:13 AM

To:

Subject: Re: RE: protocol question

Donn,

A couple of years ago I was discussing HF protocols with the HSE

manager

at Litton, where they use it extensively to etch circuit boards. He

gave me some information on a commercial neutralizer solution that they

were looking into purchasing. I can't recall what it was called, and I

have not heard any followup on it. I do remember that it was expensive

as hell, but supposedly a superiour solution. Anybody familiar with

what that might have been?

Rob

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> That's because you're a yankee.

Molino, are you going to let him insult you like that?

Donn

===============================

D.E. (Donn) , LP, NREMT-P

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

" ...your educators can be only your liberators. "

~~ Friedrich Nietzsche ~~

" Untimely Meditations "

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

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Speaking of Yankees, whats the difference between a yankee and a wet

saddle?

Nothing, either one will chap your ass in about 5 minutes....:)

Mike

" Some days you're the dog, and some days you're the hydrant; pretty easy

to figure out which is which. "

Hatfield EMT-P

Re: RE: protocol question

In a message dated 1/1/2004 6:28:36 AM Central Standard Time,

donn@... writes:

> That's because you're a yankee.

Molino, are you going to let him insult you like that?

He's not talking to me I am a DAMN YANKEE from what I've been told and

besides I spent a week in NJ over the holidays and 1) it don't feel

right to me and

2) Y'all is right it does have an odor!

I'm staying here in Texas and you only have the State to blame after all

they

hired me!

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

LNMolino@...

(Home Office)

" A Texan with a Jersey Attitude "

The comments contained in this E-mail are the opinions of the author and

the

author alone. I in no way ever intend to speak for any person or

organization

that I am in any way whatsoever involved or associated with unless I

specifically state that I am doing so. Further this E-mail is intended

only for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain

by the original

author.

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That is how our protocols recommend preparing calcium gluconate for HF

exposure.

Barry E. McClung, EMT-P

Re: RE: protocol question

> When we are working with the acid we mix our own gel using

> a 6 Oz tube KY Jelly combined with 4 grams of powdered CG (which has a

> much longer shelf life than the pre-mix).

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