Chemical Burns

Chemical burns occur when skin or eyes contact corrosive substances. Immediate, prolonged irrigation with water is the most important step — emergency evaluation is required for all but the most trivial exposures.

Quick Facts

  • ICD-10: T26 (eye), T20–T25 (skin)
  • First step: Copious water irrigation

Immediate First Aid

  • Remove contaminated clothing and jewelry
  • Flush affected area with cool running water for at least 20 minutes
  • For eyes: flush continuously, hold eyelid open, get to ER while flushing
  • Don't try to neutralize chemicals (can worsen burn)
  • Note the chemical for medical providers (bring container or photo)
  • Call Poison Control (1-800-222-1222 in US) and/or 911

Severity

  • First-degree — superficial; red, painful
  • Second-degree — partial thickness; blisters
  • Third-degree — full thickness; charred or white; may be painless from nerve damage

Alkali burns (drain cleaners, cement) often cause deeper damage than acid burns and require longer irrigation.

Hospital Treatment

  • Continued irrigation if needed
  • Pain control
  • Wound care
  • Tetanus update
  • Ophthalmologic consultation for eye burns
  • Skin grafting for deep burns
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American Burn Association. Burn First Aid Information.