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The paper also noted that due to the alkaline chemicals released, anyone who suffers such an explosion could actually make the burn worse by washing it with water and should instead seek immediate treatment."It's incredibly unfortunate, but no, it's not surprising that someone would eventually die like this considering the injuries we've seen," he said.James Gaensbauer, assistant professor of pediatrics at Denver Health Medical Center who also worked on that paper and treated that patient, said the teen was using the device properly."They can spontaneously explode, it can happen," Gaensbauer said

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Using a spirometer, the pulmonary function test will measure forced expiratory volume (FEV 1 ), how much air someone can blow out in one second if they blow out as hard as they can