From: Lessons learned from reviewing a hospital’s disaster response to the hydrofluoric acid leak in Gumi city in 2012
Specific progression comment of HFEPs
Five patients in the DAMA subgroup in the acute phase comprised three factory workers and two news reporters. They received calcium gluconate nebulizer treatment for their dyspnea symptoms; ADM to the hospital was recommended, but they refused. Only one worker later visited the outpatient ophthalmology department.
Two patients died in the acute phase, and had been diagnosed with complex injury (> 2) due to a combination of chemical intoxication and burns. One was dead upon arrival at the ED and the other was alive upon ED arrival but had severe hypocalcemia (blood calcium level, 3 mg/dL; normal adult range, 8.6–10.2 mg/dL) and recurrent refractory ventricular dysrhythmia. The patient died despite > 1 h of advanced cardiovascular life support, including calcium gluconate administration.
One patient was admitted to the hospital after visiting the ED with chief complaint of vomiting on October 6, 2012 after HF exposure, and was diagnosed with gastric ulcer. However, there were no definitive data in terms of criteria for ADM upon chart review.