Ammonia inhalation.

Because of the widespread use of ammonia in industry and agriculture there is a growing opportunity for ammonia burns to occur. Two fatal cases are presented. The injury is thermal as well as chemical, to skin, eyes, airway and lungs. Prompt (5-10 seconds) irrigation of the eyes is required, and immediate treatment of airway and pulmonary injuries. Fluid resuscitation and skin wound care are similar to that of other burns. Presence or absence of abnormal chest findings on admission is the best prognostic factor.