From: Ernest Lippert <ernielippert**At_Symbol_Here**TOAST.NET>
Subject: Re: [DCHAS-L] HF concentration and gluconate gel
Date: Sat, 14 Oct 2017 12:01:30 -0400
Reply-To: ernielippert**At_Symbol_Here**toast.net
Message-ID: 9a58131c3e69410885519ce8606f2d76**At_Symbol_Here**toast.net
In-Reply-To


What is the shelf life of calcium gluconate gel? Why does it expire? Isn't the purpose of the gel is to provide calcium ions to complex with the fluoride ions? What is the physiological purpose of the gluconate? Would it make sense to treat a HF burn with expired gel rather than not use it while waiting to find an alternative treatment?
 
In the early 1950's at university, we used HF (stored in waxed bottles) rather cavalierly and without gloves in the determination of silica during a quantitative analysis class. Our professor clearly warned us to avoid skin contact but provided no first aid instructions. Fortunately, no one was burned. Over the years I have seen a number of HF burns of varying severity but no deaths. Immediate first aid invariably lessened the severity of these burns. Safety has come a long way, hasn't it? But there is still room for improvement and better understanding.
 
Ernest Lippert
 
 

From: "Alan Hall" <oldeddoc**At_Symbol_Here**GMAIL.COM>
Sent: Saturday, October 14, 2017 12:45 AM
To: DCHAS-L**At_Symbol_Here**PRINCETON.EDU
Subject: Re: [DCHAS-L] HF concentration and gluconate gel
 
Harry et al,
 
Also do remember that iced benzalkonium soaks are recommended by Honeywell (based on some quite good experimental data and relevant clinical experience) and are relatively inexpensive.  However, training must be provided BEFORE use because holding an exposed workers hand or other exposed body part in a basin of ice and the solution can potentiallycause a significant frostbite injury adding to the chemical injury.
 
 
Best to let the worker hold the exposed body part in the solution and to take breaks when it becomes too cold.  As with calcium gluconate injections, the endpoint is relief of quite excruatiating pain.
 
Alan
Alan H. Hall, M.D.
Medical Toxicologist
 
On Fri, Oct 13, 2017 at 12:36 PM, Harry Elston <helston**At_Symbol_Here**midwestchemsafety.com> wrote:

Note also that the Honeywell guide allows for the soaking with iced benzalkonium chloride (at 0.13%) as a first aid treatment.  Benzalkonium chloride solutions are relatively easily obtained and fairly inexpensive.   

 

H

 

From: ACS Division of Chemical Health and Safety [mailto:DCHAS-L**At_Symbol_Here**PRINCETON.EDU] On Behalf Of Ken Kretchman
Sent: Friday, October 13, 2017 12:09 PM
To: DCHAS-L**At_Symbol_Here**PRINCETON.EDU
Subject: Re: [DCHAS-L] HF concentration and gluconate gel

 

What Ralph states is quite correct.

 

A number of years ago we started having Student Health pharmacy prepare this.for distribution

at significantly reduced cost. That practice is discontinued for other reasons..

 

We also have had our fire / medical response group (EMTs) carry it with them since we

cant be sure that all needing the material have it in their possesion.

 

Ken

 

Ken Kretchman, CIH, CSP   Director, Environmental Health and Safety

 

On Fri, Oct 13, 2017 at 12:08 PM, Stuart, Ralph <Ralph.Stuart**At_Symbol_Here**keene.edu> wrote:

> >So my recommendation would be that whatever concentration HF you work with, having calcium gluconate gel available as a first aid measure would be a very good idea.

The challenge I have found with this strategy is maintaining a useful stock on hand requires rotating the gel on a regular basis (annually? I think). The expiration dates are very difficult to track accurately from outside the lab where the HF is being used and should be the responsibility of the lab using the material. Then there's the expense of replacing the gel. Many people interested in using HF look at the catalog price of the solution they want to buy and assume that's the total cost. It's not...

- Ralph


Ralph Stuart, CIH, CCHO
Environmental Safety Manager
Keene State College
603 358-2859

ralph.stuart**At_Symbol_Here**keene.edu

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