How should chemical burns to skin be managed in the field?

• A. Remove contaminated clothing, brush off dry chemical, flush skin with water for at least 20 minutes, irrigate eyes if affected, avoid applying neutralizing agents, protect area and transport
• B. Rub skin with oil
• C. Apply neutralizing agents
• D. Delay decontamination until hospital

Answer: (A)

Immediate decontamination is essential. Start by removing all contaminated clothing to stop ongoing exposure, and if there’s dry chemical on the skin, brush it away gently to reduce continued reaction before washing. Then flush the skin with clean water for at least 20 minutes to dilute and remove the chemical; if the chemical contacts the eyes, irrigate them with water or sterile saline for the same duration. Do not apply neutralizing agents in the field, since they can generate heat or release harmful byproducts and may worsen tissue damage. After decontamination, protect the affected area and arrange transport for further care. This approach minimizes ongoing injury and avoids interventions that could cause more harm, unlike options that try to rub with oil, use neutralizers, or delay flushing.