Case Discussion

This worker's fellow employees missed the opportunity to flush his eyes out with water and irrigate the injured area in the field. As a consequence, his injuries were worse than they could have been. Ammonia, as an alkali, forms viscous skin liquefaction when it comes in contact with skin, as opposed to acids, which cauterize the wound. The viscous liquefaction contains ammonia that continues to propagate the wound until it degasses or becomes dilute. As a consequence, the wound needs to be copiously irrigated and ointments and creams avoided (6-8).

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