You are transporting a patient who has sustained a chemical burn to their face and arms from a strong alkaline substance. What is the initial step you should take in managing this type of burn?
Monitor for signs of systemic toxicity without initial decontamination.
Cover the burns with dry, sterile dressings.
Irrigate the affected area with copious amounts of water.
The correct answer is to irrigate the affected area with copious amounts of water. This helps to dilute and remove the chemical agent, reducing tissue damage. Neutralizing agents should generally be avoided as they can often cause additional reactions or burns. Covering the burns with dressings should occur after thorough decontamination to avoid trapping the chemical on the skin. Monitoring for signs of systemic toxicity is essential, but the immediate priority is decontaminating the area.
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