What is the appropriate initial response to a chemical burn?

The initial response to a chemical burn should focus on removing the chemical agent and minimizing tissue damage. Flushing or cooling the affected area with saline for 20 minutes is the best approach, as this flushes away the chemical and dilutes its concentration, reducing its harmful effects on the skin and underlying tissues. The use of saline is preferred because it is isotonic and does not introduce foreign substances that could complicate the injury.

Applying antiseptic ointment is not appropriate as an initial response; it can trap the chemical against the skin, prolonging injury and complicating treatment. Covering the burn with dry gauze may not effectively remove the chemical or cool the burn, which are essential steps in managing chemical injuries. Leaving the burn exposed to air could be detrimental, especially if the chemical continues to affect the skin, thereby increasing the risk for further skin damage.

In summary, flushing the burn with saline is critical for immediate care, helping to mitigate the effects of the chemical and initiate a healthier healing process.