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J L Fortin1,1,1, L Bodson2, M Fontaine3

  • 1Service de médecine de prévention, Saint-Etienne, France.

Annals of Burns and Fire Disasters
|July 10, 2018
PubMed
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Early use of Polyamphoteric Washing Solutions (PWS) for chemical splashes on eyes or skin significantly reduces pain intensity. Prompt application of PWS also appears to decrease the occurrence of lasting damage from chemical injuries.

Area of Science:

  • Ophthalmology
  • Toxicology
  • Emergency Medicine

Context:

  • Polyamphoteric washing solutions (PWS) are utilized in industrial settings for managing chemical splashes.
  • A review of 37 cases involving ocular and cutaneous chemical splashes treated with PWS was conducted.
  • Occupational exposure accounted for over 55% of the reported cases.

Purpose:

  • To evaluate the efficacy of Polyamphoteric Washing Solutions (PWS) in treating ocular and cutaneous chemical splashes.
  • To assess the impact of PWS on pain reduction and the incidence of sequelae.
  • To analyze clinical symptoms and injury severity in patients exposed to chemicals.

Summary:

  • The study reviewed 37 cases of chemical splashes (ocular and cutaneous) treated with PWS.

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  • Initial symptoms included pain, hyperaemia, and blurred vision for ocular exposures, and deep/superficial injuries for cutaneous exposures.
  • Mean pain scores significantly decreased from 6.29 (before PWS) to 1.47 (after PWS).

    • Impact:

    • Early application of PWS to eyes or skin effectively reduces pain associated with chemical damage.
    • Prompt pre-hospital and hospital use of PWS may lower the incidence of long-term sequelae from chemical injuries.
    • Further research is warranted to fully understand the benefits and optimal use of PWS in chemical splash management.