Hospital Care

Decontamination needs to be ensured as soon as the injured worker reaches the hospital to limit the extent of the injuries and avoid contamination of hospital workers. Table 14.2 provides a triage guide to separate injured workers into treatment categories. Severe eye injuries require ophthalmological consultation; severe lung injuries require aggressive management with oxygen, antibiotics, bronchodilators, and steroids. Skin burns may require aggressive decontamination and open management to allow for the degassing of the ammonia from liquefaction of the wounds. Full-thickness burns may eventually require grafts.

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