Concentrated Dettol (Chloroxylenol) Chemical Burn: Emergency First Aid

Concentrated Dettol (4.8% chloroxylenol + pine oil, isopropanol) causes severe chemical burns via protein denaturation and membrane disruption. Immediate medical attention is mandatory.

First Aid (While Awaiting EMS)

1. Remove Contaminated Clothing/Jewelry.
2. Flush Copiously: Cool running water ≥20 minutes (chemical burns need longer than thermal).
3. Do Not Neutralize: No acids/bases — heat from reaction worsens injury.
4. Do Not Apply Ointments/Creams: Trap chemical, heat, moisture.
5. Cover Loosely: Sterile non-stick dressing or clean cloth.
6. Pain Control: OTC analgesic if alert and able to swallow.

Medical Management

• Continued irrigation, wound debridement
• Assess depth (chemical burns often deeper than they appear)
• Topical antimicrobials (silver sulfadiazine)
• Surgical consultation for deep/extensive burns
• Monitor for systemic absorption (chloroxylenol → CNS depression, hepatic/renal toxicity)

Prevention

• Always dilute per label (typically 1:20 for antiseptic use).
• Wear gloves, eye protection.
• Store out of reach of children/pets.

Never treat concentrated Dettol burns at home.