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1st Rule of Lab Safety
Haz-Waste No-No
|
Updated January
2003
Appendix O
Management of Exposure to Hydrofluoric Acid (HF)
Introduction and preliminary instructions
If
you are a user or plan to use hydrofluoric acid (HF) in any form or use fluoride salts
under acidic conditions, the following safety practices and information are applicable for
OSU laboratories and work places. The major portion of this safety document was derived
from a 1998 presentation by Miguel Trevino, MD, Occupational Medicine, and U.C.S.F. It
includes information and instructions about self protection during use and handling of HF,
decontamination on exposure, emergency treatment after decontamination, and what the user
can expect to encounter during secondary decontamination and subsequent medical treatment.
Before beginning
work:
- Familiarize
yourself thoroughly with this document, the Material Safety Data Sheet (MSDS) for the
specific form of HF being used, and have a written standard operating procedure (SOP) that
can be incorporated into your required Chemical Hygiene Plan.
- Consider
your work area carefully to anticipate what can happen if a bottle is dropped, a flask
cracks, a line ruptures, chemicals are spilled, or something topples.
- Remove
all clutter from the work area and, if practical, mount your apparatus in a plastic catch
pan.
- Have
sodium bicarbonate (baking soda, saturated solution and dry solid) available for
neutralization of spills and/or placement in the catch pan.
- Know
the location of the emergency safety shower/eyewash stations and be prepared to operate
both with eyes closed.
- Inform
your colleagues about your experiment. If HF is being used, your supervisor must
determine whether you can work alone.
Physical and
chemical properties of HF (top)
HF
is a colorless gas (fumes in moist air) with an irritating and pungent odor having the
following properties:
Chemical
Abstracts number (CAS) [7664-39-3] bp 67 F, 19 C; dissociation K=3.5 x 10-4; freezing
point -118 F, -83 C; specific gravity 0.97 at 25 F, 14 C; vapor density 3.0 at 25 C; vapor
pressure at 20 C/775 mm Hg.
Exposure to HF
(top)
The
extent and nature of the exposure determines the choice of decontamination procedure and
the subsequent medical treatment. If you have been exposed to HF, regardless of the
source, decontamination and treatment must take place promptly because of the persistence
of HF in damaging tissue. The following sections provide information and
instructions about how to proceed in the event of exposure.
Exposure
to HF is a serious health and safety problem requiring prompt attention. If the
pungent and irritating odor has been detected or felt, an overexposure may have already
occurred because the odor threshold is above the American Conference of Governmental and
Industrial Hygienists (ACGIH) ceiling limit of 3 ppm (2.5 mg/m3). Failure to
promptly and properly treat an HF exposure can result in serious injury, disfigurement,
and/or death. In addition to being a highly corrosive acid, HF is toxic and
continues to degrade tissue long after the initial exposure. Untreated exposure
results in wounds that are difficult and very slow to heal and may result in deep-seated
health problems (see Section 4, Health effects and consequences of exposure to HF).
Exposure
to HF can vary in severity and the decontamination and treatment procedures also may vary
with the anatomical location of the exposure. A single approach to decontamination
and treatment is not used. Instead, exposures are divided into several
categories. These are listed below; and since all exposures require some
decontamination and/or treatment, each user is expected to become thoroughly acquainted
with the entire document.
There
is no time, once exposure has taken place, to study procedures. Prompt treatment is
crucial. Study this document, the relevant MSDS and your SOP thoroughly before
opening a bottle of aqueous HF or turning the valve of a cylinder containing anhydrous
HF. Quiz yourself and leave nothing to chance. HF need only contact 2% of the
body area to be fatal. Burns from strong HF (50-70% HF) are felt immediately; weaker
solutions (25%) may take several minutes to be noticed; solutions of 1-20% may not be felt
for several hours. Personnel assisting the injured should also ensure they are
protected by personal protective equipment.
One
reported victim in western Australia spilled "about 100 mL of 70% solution of HF on
his leg." The leg was later amputated, but his blood had already been poisoned
and he later died. (Australian
Institute of Occupational Hygienists Newsletter, December 1994)
Exposed skin (less than two-square inch area)
If
clothing or jewelry is involved, remove these items immediately and proceed as follows:
- Wash
the exposed area with running water (5-15 minutes).
- Quickly
wash with saturated sodium bicarbonate solution, apply aqueous calcium carbonate paste or
aqueous magnesium sulfate paste. Have the dry materials on hand ready to be made
into a paste (as described in 7C).
- Rinse
the bicarbonate treated area with water or calcium gluconate solution.
- Gently
dry the exposed area with clean toweling or facial tissue.
- Apply
calcium gluconate gel. Have this on hand and available for use. Massage gel on
and around the contaminated area with clean, preferably gloved fingers. White specks
appearing around the contaminated area indicate that the desired reaction (formation of
calcium fluoride) is taking place. Continue the massage, with repeated applications,
for 15 minutes after pain has subsided or until medical treatment is available.
- Note
the time of exposure. Is there pain or discomfort? Don't under estimate--seek
medical help! Phone 911 (give building and room number).
Exposed skin (exceeding two-square inch area is considered a major exposure)
Use
of an emergency safety shower is warranted if the entire burn area cannot be immediately
immersed or washed as described above. Before entering shower, remove all
contaminated clothing and jewelry, but do not remove safety goggles and the inner layer of
gloves; modesty should not be a consideration. After entering the shower, close
eyes, face into the spray, and pull the goggles over your head. Wash thoroughly all
areas exposed to HF. Some sources recommend limiting the shower to five minutes so
that emergency decontamination procedures can be initiated. If you are unable to
read the time, count slowly to 60 for each minute. If you are helping another person
into the shower, make certain you later decontaminate yourself as well. Phone 911
(give the building and room number) and inform the dispatcher that a hydrofluoric acid
exposure has occurred.
Prior
to the arrival of the emergency medical service and after the victim has been in the
emergency safety shower for at least five minutes, and if time permits:
- Wash
with sodium bicarbonate solution; apply aqueous calcium carbonate paste. Have these
on hand and ready for use. Magnesium sulfate is unsatisfactory because the anhydrous
form liberates considerable heat on exposure to water and the hydrated form is usually not
available as a fine powder.
- Rinse
the bicarbonate solution/calcium carbonate paste-treated area with water or calcium
gluconate solution.
- Gently
dry the exposed area with clean toweling or facial tissue.
- Apply
calcium gluconate gel. Have this on hand and ready for use. Massage gel on and
around the contaminated area with clean, preferably gloved fingers. White specks
appearing around the contaminated area indicate that the desired reaction (formation of
calcium fluoride) is taking place. Continue the massage, with repeated applications,
for 15 minutes after pain has subsided or until medical treatment is available.
- Note
the time of exposure. Is there pain or discomfort? Don't under estimate--seek
medical help!
Exposure of eye
All
eye exposures are considered severe and require medical help. Phone 911, give
building and room number and inform the dispatcher that a hydrofluoric acid eye exposure
has occurred. Decontaminate with eye wash (forcibly open the lids) or low-pressure
hose for 5 minutes (count slowly to 60 for each minute), then irrigate with 500 mL of 1%
calcium gluconate in saline per eye. The calcium gluconate solution is to be kept
near the eye wash. If only one eye is involved, when rinsing make certain
contaminated water does not enter the uncontaminated eye.
Exposure through inhalation
Phone
911 (give building and room), inform dispatcher that a hydrofluoric acid inhalation
exposure has occurred, and oxygen (12 L/min.) as well as nebulizing (2.5% solution of
calcium gluconate in saline) will be required. Decontaminate and treat any exposed
areas as described above.
Exposure through ingestion
- Conscious
patient: Phone 911 (give building and room number). Orally give any calcium or
magnesium-based antacid; i.e. products such as Tums(r) (500 mg), Tums EX(r) (750 mg), Tums
ultra(r) (1000 mg), or Alka-mints(r) (850 mg) or water only. Do not induce vomiting.
- Unconscious
patient: Phone 911 (give building and room number) and inform dispatcher that hydrofluoric
acid is involved and the victim has ingested hydrofluoric acid.
- Decontaminate
skin or eyes if they were exposed (fingernails not properly decontaminated can become a
problem).
Health effects and
consequences of exposure to HF (top)
In
addition to the corrosive effects of HF as an acid, it is toxic through binding with
calcium and magnesium ions, destruction of tissue, and transport of the negatively charged
fluoride anion (F-) that eventually reaches and damages the liver and kidneys.
Fluoride salts can impair blood electrolyte and cellular function at the enzyme
level. Salt (calcium and magnesium) imbalance in blood, due to presence of fluoride
ion (F-), can cause heart arrhythmia.
If
not promptly treated, painful lesions can result that are difficult to heal. The
question of pain needs emphasis. The initial exposure may not be painful for lower
concentrations of HF and consequently the user may be lulled into not properly
decontaminating and treating the exposure and/or seeking medical aid.
Calcium gluconate
and calcium carbonate aqueous paste--why? (top)
Exposure
of tissue to HF causes a corrosive reaction as HF dissociates on contact with moisture in
tissue to form the fluoride ion (F-). This ion associates with soluble counter ions
(sodium, potassium, etc.) as well as insoluble counter ions (magnesium and calcium).
The soluble counter ions (K, Na) more readily transport the fluoride ion to sensitive
organs (liver, kidney, heart) whereas the less soluble calcium and magnesium fluorides are
localized and their formation is beneficial by trapping the fluoride ion, thus limiting
transport. Calcium gluconate (non-toxic) is a better choice than calcium acetate
since use of the latter results in release of acetic acid on reaction with HF in exposed
tissue. Check the HF kit to make certain the necessary sources of calcium or
magnesium ions (calcium gluconate solution, calcium gluconate gel, antacid) and
neutralizing agents (bicarbonate, calcium carbonate paste) are on hand before beginning
use of HF.
Protective
equipment (top)
HF
is more hazardous than most users realize (see Sections 3, Exposure to HF, and 4, Health
effects and consequences of exposure to HF). The following alphabetized list of
protective equipment should be carefully considered and the necessary items acquired
before using HF. Materials listed below may be obtained from the Chemistry Storeroom
(4-7211), Student Health Center pharmacy (4-7025), Stillwater Milling Agri-Center
(372-2766), or Safety Equipment Suppliers like Boren Safety (1-800-282-6736).
- Absorbents:
Calcium carbonate (CaCO3, limestone), magnesium carbonate [(CaMg(CO3)2, dolomitic
limestone], calcium sulfate (CaSO4, gypsum). Do not use kitty litter or any material
containing silicates as SiF4 (toxic and corrosive gas) may be formed.
- Apron:
rubber or approved plastic. (Neoprene has a 60 min. breakthrough time.)
- Decontamination
supplies: locate and check HF kit before working.
- Eye
wash: locate and know how it is used.
- Face
protection: face shield is very important. Splash-proof goggles and face
shield are recommended. Use of contact lenses is prohibited.
- Glasses,
safety: safety goggles are better. See Face protection.
- Gloves:
two layers recommended--inner layer of latex or nitrile, outer layer of Neoprene, nitrile,
or buna. Inner gloves should be new; all gloves should be checked for leaks.
Have spare gloves in reserve.
- Goggles:
splash-proof; see Face protection.
- HF
kit: check contents (see below for list).
- Hood:
make certain it is working. Is verification current? (Never use HF outside of the
hood).
- Phone:
locate and decide in advance what kind of emergency help should be sought--see emergency
section. Remember 911 (give building and room number). Emergency phone
numbers, name of building, building number, and room numbers should be posted by the
phone.
- Safety
shower: locate and know how it is used.
- Sleeve
protectors: or gloves that pass the elbow.
Emergency HF kit
and a supply of other items wherever HF is used (top)
- Aluminized
plastic sheet. One or more (comes with 911?)
- Antacids
(calcium and magnesium-based).
- Calcium
carbonate for preparation of aqueous paste. Magnesium sulfate paste may be
substituted. However, the anhydrous magnesium sulfate powder evolves much heat on
exposure to water and the heptahydrate (Epsom salt) is a hard, needle-shaped
crystal. The latter can be ground in a mortar to a fine powder. In either
case, practice preparing a paste by drop wise addition of water, with stirring, to the
powdered, solid calcium carbonate or magnesium sulfate heptahydrate (when tried, calcium
carbonate gave the better paste).
- Calcium
gluconate, gel, two or more 30-gram tubes.
- Calcium
gluconate, solid.
- Eye
wash. Include two 500-mL eye irrigation bottles filled with 1% calcium gluconate
solution.
- Gloves,
(inner and outer), two or more pairs.
- Shower.
- Sodium
bicarbonate (solid) and sodium bicarbonate (saturated solution).
Storage and use of
HF (top)
Since
aqueous HF is highly corrosive and highly toxic, it must be stored in a well-ventilated
cabinet or hood. With each use, the bottle should be tightly recapped and rinsed
with water to remove any acid from the cap area or the outside of the container.
Aqueous HF (about 50% max. conc.) attacks silica-containing glass, so HF is supplied in
wax or plastic bottles (keep this in mind should you prepare solutions containing HF).
Anhydrous
HF is a gas at room temperature (bp 67 F, 19 C) and is supplied in steel cylinders.
A vented (to exterior of building) toxic gas enclosure is required. HF can be
withdrawn from a cylinder, as a gas, through copper or Teflon(r) tubing and then
recondensed to a liquid by chilling the tubing. Because the vapor pressure of
anhydrous HF is 775 mm Hg at 20 C, it must not be resealed in bottles. Anhydrous HF
is the most dangerous form. Do not use any form of HF without thorough prior
training and preparation. There is a specific MSDS for each form of HF.
Potential uses of
HF (top)
- Acid
catalysis in organic chemistry.
- Brightening
aluminum or other metals.
- Cleaning
brick and stone.
- Cleaning
components used in production of particle beams.
- Cleaning
surfaces of electronic components and circuit boards (RCA process).
- Cleaners,
low concentration in many cleaners.
- Cleaving
synthetic peptides from resins.
- Digesting
samples prior to metal analysis.
- Digesting
soil and rock samples for pollen analysis.
- Dissolving
steel samples.
- Excimer
laser (fluoride mixes).
- Opening
rock samples for analysis.
- Processing
plant/animal fossils.
- Wire
stripping (HF in methylene chloride).
What to expect
at a Medical Facility (top)
Secondary examination and decontamination
- Orifices
including ear canals, mouth, nose, anus, and vagina.
- Skin
folds of neck, auxiliary regions, sub-mammillary, groin, behind knees, inter-digital.
- Under
nails, hands, feet.
- Areas
covered with hair; scalp, pubis.
Secondary medical treatment
- For
exposed area under two inches, with pain persisting 20-30 minutes beyond exposure,
initiate 2.5% calcium gluconate infiltrations using long and small caliber needles
(preferably steel).
- For
exposure area exceeding two inches, administer intravenously at a slow rate 1000 mL of
Hartman or saline solution plus 2 ampoules (10 mL of 10% calcium gluconate).
- Possible
studies: EKG, serum calcium, magnesium, and electrolytes, renal function, neurological
function, blood chemistry, arterial gases and chest x-ray if there is respiratory
involvement.
- Hemodialysis
to provide adequate elimination of fluorinated compounds in serum.
Eye exposure
- Subsequent
to initial irrigation (see 3c) use 1% calcium gluconate eye drops as required and
ophthalmic Dexamethasone or prednisone solution as required by the ophthalmologist.
- Monitor
ocular pressures. Rise in eye pressure may indicate HF penetration.
Inhalation exposure
- Maintain
airways open.
- Intubate
or use tracheostomy procedure.
- Initiate
intermittent positive pressure ventilation (volumetric respirator).
- Nebulize
or ultra-nebulize calcium gluconate (2.5% in saline) until the resolution of the upper or
pulmonary edema.
- Include
positive and expiratory pressure (PEEP), which is vital to the minimization of pulmonary
fibrosis and edema resolution.
- Monitor:
EKG, serum calcium and electrolytes, arterial gases, chest X-rays, hepatic functions,
renal functions, neurological functions, blood chemistry.
Ingestion exposure
- Access
the esophagus and gastric cavities to neutralize or dilute HF.
- Monitor
the patient and systemic effects.
- Titrate
calcium, magnesium, and other electrolytes in serum.
Emergency help and evacuation
(top)
Exposure
to HF is considered an emergency; dial 911 (give building and room) for prompt evacuation
to the Stillwater Medical Center Emergency Room for treatment. A copy of this
document [Management of Exposure to Hydrofluoric Acid (HF)] has been sent to the Director
of the Stillwater Medical Center Emergency Room (405)-372-1480.
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