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Sample records for monoxide poisoning receiving

  1. Carbon monoxide poisoning

    Science.gov (United States)

    ... and smokers. Carbon monoxide can harm a fetus (unborn baby still in the womb). Symptoms of carbon ... symptoms Outlook (Prognosis) Carbon monoxide poisoning can cause death. For those who survive, recovery is slow. How ...

  2. Pulmonary edema in acute carbon monoxide poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kun Sang; Chang, Kee Hyun; Lee, Myung Uk [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1974-10-15

    Acute carbon monoxide poisoning has frequently occurred in Korean, because of the coal briquette being widely used as fuel in Korean residences. Carbon monoxide poisoning has been extensively studied, but it has been sparsely reported that pulmonary edema may develop in acute CO poisoning. We have noticed nine cases of pulmonary edema in acute CO poisoning last year. Other possible causes of pulmonary edema could be exclude in all cases but one. The purpose of this paper is to describe nine cases of pulmonary edema complicated in acute CO poisoning and discuss the pathogenesis and the prognosis.

  3. Delayed encephalopathy after acute carbon monoxide poisoning

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    Mehmet İbrahim Turan

    2014-03-01

    Full Text Available Carbon monoxide poisoning is a major cause of death following attempted suicide and accidental exposures. Although clinical presentation depends on the duration and the intensity of exposure, the assessment of the severity of intoxication is difficult. A small percentage of patients who show complete initial recovery may develop delayed neurological deficits. Delayed encephalopathy after acute carbon monoxide poisoning is a rare and poor prognosis neurologic disorders and there is no specific treatment. We present a case with early onset of delayed encephalopathy after acute carbon monoxide poisoning with typical cranial imaging findings in a child with atypical history and clinical presentation.

  4. Hearing Loss due to Carbon Monoxide Poisoning

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    Amir Houshang Mehrparvar

    2013-01-01

    Full Text Available Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker after an acute exposure to carbon monoxide. This complication was diagnosed by pure-tone audiometry and confirmed by transient evoked otoacoustic emissions. Hearing loss has not improved after 3 months of followup.

  5. Carbon Monoxide Poisoning in Children

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    Chi-Hsiun Cho

    2008-08-01

    Conclusion: Children with CO poisoning had good outcomes in this series. Although improperly vented exhaust from water heaters and house fires were the most common causes, intentional poisoning by parents through charcoal burning was also an important factor. Early identification of DNS risk factors might help to provide better care.

  6. Carbon Monoxide (CO) Poisoning Prevention

    Science.gov (United States)

    ... Recommend on Facebook Tweet Share Compartir When power outages occur after severe weather (such as winter storms, hurricanes or tornadoes), using alternative sources of power can cause carbon monoxide (CO) to build up in a ...

  7. Hearing Loss due to Carbon Monoxide Poisoning

    DEFF Research Database (Denmark)

    Mehrparvar, Amir Houshang; Davari, Mohammad Hossein; Mollasadeghi, Abolfazl

    2013-01-01

    Carbon monoxide poisoning is one of the rare causes of hearing loss which may cause reversible or irreversible, unilateral or bilateral hearing loss after acute or chronic exposure. In this report, we present a case of bilateral sensorineural hearing loss in a secondary smelting workshop worker...

  8. Sensorineural Hearing Loss following Carbon Monoxide Poisoning

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    Joseph P. Pillion

    2012-01-01

    Full Text Available A case study is presented of a 17-year-old male who sustained an anoxic brain injury and sensorineural hearing loss secondary to carbon monoxide poisoning. Audiological data is presented showing a slightly asymmetrical hearing loss of sensorineural origin and mild-to-severe degree for both ears. Word recognition performance was fair to poor bilaterally for speech presented at normal conversational levels in quiet. Management considerations of the hearing loss are discussed.

  9. Optimization of Treatment Policy for Acute Carbon Monoxide Poisoning

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    R. N. Akalayev

    2012-01-01

    Full Text Available Objective: to evaluate the efficiency of combination use of hyperbaric oxygenation, succinate-containing solutions, and anti-edematous agents in patients with acute carbon monoxide poisoning. Subjects and methods. The results of treatment were analyzed in 32 patients admitted in 2009—2011 for severe acute carbon monoxide poisoning and a Glasgow coma score of 6—8. The patients were divided into 2 groups: 1 patients whose combination therapy involved hyperbaric oxygenation, Succinasol infusions, and L-lysine-aescinate injections; 2 those who received traditional therapy. All the patients underwent complex clinical, laboratory, and neurophysiologic examinations. Results. Just 24 hours after the combination use of Succinasol and L-lysine-aescinate, Group I patients were observed to have substantially reduced lactate, the content of the latter approached the normal value following 48 hours, which was much below the values in the control group. The similar pattern was observed when endogenous intoxication parameters were examined. During the performed therapy, the level of consciousness and that of intellect according to the MMSE and FAB scales were restored more rapidly in the study group patients than in Group 2. Conclusion. The combination use of hyperbaric oxygenation, the succinate-containing solution Succinasol, and the anti-edematous agent L-lysine-aescinate considerably enhances the efficiency of intensive therapy for acute carbon monoxide poisoning. Key words: carbon monoxide, toxic hypoxic encephalopathy, combination therapy, hyperbaric oxygenation, succinic acid, L-lysine-aescinate.

  10. [Carbon monoxide poisoning by a heating system].

    Science.gov (United States)

    Dietz, Eric; Gehl, Axel; Friedrich, Peter; Kappus, Stefan; Petter, Franz; Maurer, Klaus; Püschel, Klaus

    2016-01-01

    A case of accidental carbon monoxide poisoning in several occupants of two neighboring residential buildings in Hamburg-Harburg (Germany) caused by a defective gas central heating system is described. Because of leaks in one of the residential buildings and the directly adjacent wall of the neighboring house, the gas could spread and accumulated in both residential buildings, which resulted in a highly dangerous situation. Exposure to the toxic gas caused mild to severe intoxication in 15 persons. Three victims died still at the site of the accident. Measures to protect the occupants were taken only with a great delay. As symptoms were unspecific, it was not realized that the various alarms given by persons involved in the accident were related to the same cause. In order to take appropriate measures in time it is indispensible to recognize, assess and check potential risks, which can be done by using carbon monoxide warning devices and performing immediate COHb measurements with special pulse oximeters on site. Moreover, the COHb content in the blood should be routinely determined in all patients admitted to an emergency department with unspecific symptoms.

  11. An interesting cause of pulmonary emboli: Acute carbon monoxide poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Sevinc, A.; Savli, H.; Atmaca, H. [Gaziantep University, Gaziantep (Turkey). School of Medicine

    2005-07-01

    Carbon monoxide poisoning, a public health problem of considerable significance, is a relatively frequent event today, resulting in thousands of hospitalizations annually. A 70-year-old lady was seen in the emergency department with a provisional diagnosis of carbon monoxide poisoning. The previous night, she slept in a tightly closed room heated with coal ember. She was found unconscious in the morning with poor ventilation. She had a rare presentation of popliteal vein thrombosis, pulmonary emboli, and possible tissue necrosis with carbon monoxide poisoning. Oxygen treatment with low-molecular-weight heparin (nadroparine) and warfarin therapy resulted in an improvement in both popliteal and pulmonary circulations. In conclusion, the presence of pulmonary emboli should be sought in patients with carbon monoxide poisoning.

  12. Carbon monoxide poisoning mimicking long-QT induced syncope

    NARCIS (Netherlands)

    I.M. Onvlee-Dekker (Irene); A.C.H. de Vries (Andrica); A.D.J. ten Harkel (Arend)

    2007-01-01

    textabstractCarbon monoxide (CO)poisoning is a rare cause of QT prolongation, and is therefore easily missed. The case of a patient with unexplained syncope and QT prologation on the electrocardiogram that turned out to be related to CO poisoning is reported here. In patients with QT prolongation,

  13. Syncope Associated with Carbon Monoxide Poisoning due to Narghile Smoking

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    Seda Ozkan

    2013-01-01

    Full Text Available Narghile smoking is a traditional method of tobacco use, and it has been practiced extensively for 400 years. Traditionally, narghile smoking is a matter of culture mainly in Middle East, Asia, and Africa. In recent years, its use as a social activity has increased worldwide, especially among young people. Narghile smoking is an unusual cause of carbon monoxide poisoning. Narghile smoking, compared to cigarette smoking, can result in more smoke exposure and greater levels of carbon monoxide. We present an acute syncope case of a 19-year-old male patient who had carbon monoxide poisoning after narghile smoking.

  14. Carbon monoxide poisoning in the United Arab Emirates.

    Science.gov (United States)

    Al Kaabi, Juma M; Wheatley, Andrew D; Barss, Peter; Al Shamsi, Mariam; Lababidi, Anis; Mushtaq, Ahmed

    2011-01-01

    Carbon monoxide (CO) poisoning is rare in the Arabian Peninsula and occurs almost exclusively during the winter months. Knowledge and perception of the hazards of carbon monoxide is limited. Migrant workers from warm climates appear particularly at risk. We investigated 46 cases of carbon monoxide poisoning presenting at emergency departments from 2007-2009 of the two main hospitals in Al Ain city, United Arab Emirates. Interviews, hospital records, and administered questionnaires were used to collect the data. Among the 46 cases investigated, 24 (52%) were males. Foreign nationals compromised 80% of the cases and the incidence was 3.1 cases per 100,000 residents per year. Burning charcoal in poorly ventilated residences was the predominant source of the carbon monoxide poisoning. Almost all cases (98%) were admitted during the winter months, most in the early morning hours. Carboxyhaemoglobin (COHb) was significantly increased in cases with loss of consciousness and depressed consciousness. There were no reported fatalities.

  15. [Massive poisoning with carbon monoxide: an update from a case].

    Science.gov (United States)

    Díaz, Mariano; Crapanzano, Gabriel; Cabrerizo, Silvia; Aichele, Cristina; Deurtiaga, Alejandra; Vallejos, Yamila

    2017-02-01

    Carbon monoxide is known as the "silent murderer" because it is a colorless and odorless gas. According to these characteristics, toxicity goes unnoticed which makes the diagnosis difficult. In most cases, the cold periods and group poisoning make suspect its presence because inappropriate heat both in home or public environments. Our goal is to inform about a mass carbon monoxide poisoning in a children's parties room using a combustion source installed, not for the purpose of heating, but as a supply of light (generator), emphasizing that it can occur in any time of the year.

  16. Protect Yourself from Carbon Monoxide Poisoning

    Centers for Disease Control (CDC) Podcasts

    2007-11-20

    Learn about carbon monoxide - a colorless, odorless gas - and how to protect yourself and your family.  Created: 11/20/2007 by CDC National Center for Environmental Health.   Date Released: 12/4/2007.

  17. Carbon monoxide: an old poison with a new way of poisoning.

    Science.gov (United States)

    Chou, Cheng-Hsiu; Lai, Ching-Huang; Liou, Saou-Hsing; Loh, Ching-Hui

    2012-08-01

    We present two events of carbon monoxide (CO) poisoning, which spread out through ventilation pipes to kill or injure neighbors. This is a previously undocumented poisoning process. In the first event, three people died and eight others suffered CO poisoning from a gas-powered water heater in an apartment building. Similar to the first event, three people expired and three others were injured by CO poisoning in the second event. We subsequently determined the cause of these tragedies were due to obstructions at the openings of ventilation pipes. CO is one of the most common causes of poisoning worldwide and these cases often result in tragedy. Early recognition of CO poisoning resulting from obstructed ventilation pipes will facilitate proper management and prevent possible lethal disasters. Additionally, all clinicians and other paramedical personnel ought to raise the suspicion of chemical-related casualties when encountering clusters of patients from a single locale.

  18. Carbon monoxide: An old poison with a new way of poisoning

    Directory of Open Access Journals (Sweden)

    Cheng-Hsiu Chou

    2012-08-01

    Full Text Available We present two events of carbon monoxide (CO poisoning, which spread out through ventilation pipes to kill or injure neighbors. This is a previously undocumented poisoning process. In the first event, three people died and eight others suffered CO poisoning from a gas-powered water heater in an apartment building. Similar to the first event, three people expired and three others were injured by CO poisoning in the second event. We subsequently determined the cause of these tragedies were due to obstructions at the openings of ventilation pipes. CO is one of the most common causes of poisoning worldwide and these cases often result in tragedy. Early recognition of CO poisoning resulting from obstructed ventilation pipes will facilitate proper management and prevent possible lethal disasters. Additionally, all clinicians and other paramedical personnel ought to raise the suspicion of chemical-related casualties when encountering clusters of patients from a single locale.

  19. Digit and letter alexia in carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    Qingyu Shen; Xiaoming Rong; Rui Pan; Ying Peng; Wei Peng; Yamei Tang

    2012-01-01

    This study examined a 24-year-old patient with delayed encephalopathy, who was admitted to hospital with complaints of headache and visual impairment 1 week after acute carbon monoxide poisoning. The results of a visual field assessment, electroencephalography and head magnetic resonance imaging indicated damage to the cerebral cortex. After a 2-week treatment period, the patient had recovered from the visual impairment, but exhibited digit- and letter-reading difficulty. The Chinese aphasia battery and the number and letter battery supplement were conducted. The results revealed that the patient exhibited digit and letter alexia, while the ability to read Chinese characters was preserved. In contrast, the patient exhibited a deficit in Chinese character writing, while number and letter writing remained intact. Following treatment, reading and writing ability was improved and electroencephalographic abnormalities were ameliorated. Overall, our experimental findings demonstrated that delayed encephalopathy following acute carbon monoxide poisoning was characterized by digit and letter alexia.

  20. Gene expression in rat striatum following carbon monoxide poisoning

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    Shuichi Hara

    2017-06-01

    Full Text Available Carbon monoxide (CO poisoning causes brain damage, which is attenuated by treatment with hydrogen [1,2], a scavenger selective to hydroxyl radical (·≡OH [3]. This suggests a role of ·≡OH in brain damage due to CO poisoning. Studies have shown strong enhancement of ·≡OH production in rat striatum by severe CO poisoning with a blood carboxyhemoglobin (COHb level >70% due to 3000 ppm CO, but not less severe CO poisoning with a blood COHb level at approximately 50% due to 1000 ppm CO [4]. Interestingly, 5% O2 causes hypoxia comparable with that by 3000 ppm CO and produces much less •OH than 3000 ppm CO does [4]. In addition, cAMP production in parallel with ·≡OH production [5] might contribute to ·≡OH production [6]. It is likely that mechanisms other than hypoxia contribute to brain damage due to CO poisoning [7]. To search for the mechanisms, we examined the effects of 1000 ppm CO, 3000 ppm CO and 5% O2 on gene expression in rat striatum. All array data have been deposited in the Gene Expression Omnibus (GEO database under accession number GSE94780.

  1. Central Diabetes Insipidus and Hyperglycemic Hyperosmolar State Following Accidental Carbon Monoxide Poisoning.

    Science.gov (United States)

    Ul Abideen, Zain; Mahmud, Syed Nayer; Rasheed, Amna; Farooq Qasim, Yusaf; Ali, Furqan

    2017-06-03

    Carbon monoxide poisoning is common and carries significant morbidity and mortality. The nervous system, particularly the brain, is frequently affected by it, owing to its high metabolic activity and oxygen requirements. Carbon monoxide damages the nervous system by both hypoxic and inflammatory mechanisms. Central diabetes insipidus is an extremely rare complication of carbon monoxide poisoning. Herein, we report the case of a young lady, who developed this complication and severe hypernatremia after accidental carbon monoxide poisoning. She also developed a hyperglycemic hyperosmolar state during the treatment for hypernatremia. To the best of our knowledge, both these entities have not been reported together in association with carbon monoxide poisoning. The purpose of this article is to emphasize the anticipation and early recognition of central diabetes insipidus in carbon monoxide poisoning. This can prevent severe hypernatremia and complications associated with its presence and treatment.

  2. An Unusual Cause of Supraventricular Tachycardia: Acute Carbon Monoxide Poisoning

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    Suat Zengin

    2014-03-01

    Full Text Available      Carbon monoxide (CO is a toxic gas produced by the incomplete combustion of carbon-containing compounds. Exposure to high concentrations of CO can be letha and is the most common cause of death from poisoning worldwide. Cardiac manifestations after exposure to CO, including myocardial ischemia, heart failure, and arrhythmias, have been reported. A 28-year-old a patient was admitted to our emergency department with altered consciousness as a consequence of acute domestic exposure to CO from a stove. His carboxyhemoglobin level was 39%. The oxygen treatment was started promptly, and therapeutic red cell exchange was performed. An electrocardiogram revealed supraventricular tachycardia (SVT, and an echocardiographic examination demonstrated normal cardiac functions. To the best of our knowledge, this study is the second to report a case of SVT attack due to acute CO intoxication. This paper discusses the management of this complication in patients poisoned with CO.

  3. The Role of Oxygen Therapies in Carbon Monoxide Poisoning

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    Suleyman Metin

    2011-08-01

    Full Text Available Due to climate and socio-economic issues in Turkey, the incidence of carbon monoxide (CO poisoning is high, especially in winter. Clinical manifestations may vary depending on the type of CO source, concentration and duration of exposure. The symptoms of CO poisoning predominantly manifest in lots of organs and systems with high oxygen utilization, especially the brain and the heart. The primary aim in oxygen therapy is to eliminate CO and to reduce its toxic effects. In this context, normobaric and hyperbaric oxygen therapy are used to achieve these goals. Normobaric oxygen (NBO treatment is an easily accessible and relatively not expensive modality, where hyperbaric oxygen (HBO therapy requires specific equipment, certified staff and is available only in some centers. Additionally, HBO treatment has several additional advantages over NBO treatment. Despite its benefits, it is compulsory to search for some criteria in selecting patients to be treated because of the limited availability and access of hyperbaric facilities. For an effective evaluation and an optimal treatment, advanced education of the healthcare professionals on the use of oxygen delivery modalities in the management of CO poisoning is imperative. In this review, it has been aimed to outline the significance of oxygen treatment modalities and to determine patient selection criteria for HBO treatment in the management of CO poisoning which continues to be an important threat to community health care. [TAF Prev Med Bull 2011; 10(4.000: 487-494

  4. Carbon monoxide poisoning in Beirut, Lebanon: Patient′s characteristics and exposure sources

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    Mazen J El Sayed

    2014-01-01

    Full Text Available Background: Carbon monoxide (CO poisoning is a preventable disease. Patients present with nonspecific symptoms post CO exposure. Causal factors are well described in developed countries, but less in developing countries. Objectives: This study examined the characteristics of patients with CO poisoning treated at a tertiary care center in Beirut, Lebanon, and their association with the CO poisoning source. Materials and Methods: A retrospective chart review of all patients who presented to the Emergency Department (ED of the American University of Beirut Medical Center (AUBMC over 4-year period and for whom a carboxyhemoglobin (CO-Hb level was available. Patients with CO poisoning diagnosis were included in the study. Patients′ characteristics and their association with CO poisoning source were described. Results: Twenty-seven patients were treated for CO poisoning during the study period, 55% of whom were males. Headache was the most common presenting symptom (51.9%. Burning charcoal indoors was the most common causal factor (44.4%, whereas fire-related smoke was another causal factor. The median arterial CO-Hb level on presentation for all cases was 12.0% (interquartile range (IQR 7.3-20.2. All patients received normobaric oxygen therapy. No complications were documented in the ED. All patients were discharged from the ED with a median ED length of stay of 255 min (IQR 210-270. Young females were more likely to present with CO poisoning from burning charcoal indoors than from another cause. Conclusion: CO poisoning in Beirut, Lebanon is mainly due to charcoal burning grills used indoors and to fire-related smoke. A clinically significant association was present between gender and CO poisoning source. An opportunity for prevention is present in terms of education and increased awareness regarding CO emission sources.

  5. Outcome of patients with carbon monoxide poisoning at a far-east poison center.

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    Chung-Hsuan Ku

    Full Text Available Many cases of carbon monoxide poisoning in Taiwan are due to burning charcoal. Nevertheless, few reports have analyzed the mortality rate of these patients who survive to reach a hospital and die despite intensive treatment. Therefore, this study examined the clinical features, physiological markers, and outcomes after carbon monoxide poisoning and the associations between these findings.We analyzed the records of 261 patients who were referred for management of carbon monoxide intoxication between 2000 and 2010. Patients were grouped according to status at discharge as alive (survivor, n = 242 or dead (non-survivor, n = 19. Demographic, clinical, laboratory, and mortality data were obtained for analysis.Approximately half of the cases (49.4% attempted suicide by burning charcoal. Most of the patients were middle-aged adults (33±19 years, and were referred to our hospital in a relatively short period of time (6±10 hours. Carbon monoxide produced many serious complications after exposure: fever (26.1%, hypothermia (9.6%, respiratory failure (34.1%, shock (8.4%, myocardial infarction (8.0%, gastrointestinal upset (34.9%, hepatitis (18.4%, renal failure (25.3%, coma (18.0% and rhabdomyolysis (21.8%. Furthermore, the non-survivors suffered greater incidences of hypothermia (P<0.001, respiratory failure (P<0.001, shock (P<0.001, hepatitis ((P=0.016, renal failure (P=0.003, coma (P<0.001 than survivors. All patients were treated with high concentration of oxygen therapy using non-rebreather mask. However, hyperbaric oxygen therapy was only used in 18.8% of the patients. In a multivariate-Cox-regression model, it was revealed that shock status was a significant predictor for mortality after carbon monoxide poisoning (OR 8.696, 95% CI 2.053-37.370, P=0.003. Finally, Kaplan-Meier analysis confirmed that patients with shock suffered greater cumulative mortality than without shock (Log-rank test, Chi-square 147.404, P<0.001.The mortality rate for

  6. Acute carbon monoxide poisoning: animal models: a review.

    Science.gov (United States)

    Penney, D G

    1990-05-31

    Animals have been used for well over a century in an attempt to understand the toxicology, physiology, and pathology of acute carbon monoxide poisoning. Whether the toxic effects of this gas result from primary hypoxia, as in hypoxic hypoxia to which it is frequently compared, or from direct tissue effects since it enters cells and binds to certain vital components, remains a point of controversy. Acute severe poisoning in man and animals affects primarily the cardiovascular and nervous systems, and frequently produces neurologic dysfunction. Morphologically, tissue damage is usually confined to the white matter. The root cause is at best poorly understood and major investigative efforts have been made toward its elucidation. Many studies with rats, cats and primates indicate a major role for CO-induced hypotension, which serves to compromise blood flow and exacerbate acidosis. The likely cellular mechanisms in this process are only now becoming apparent. This review critically examines the recent as well as a few older CO-animal studies. In scope, they fall into several broad categories: general cardiopulmonary effects, metabolic and tissue effects, general resistance (i.e. tolerance), effects on the central nervous system including blood flow, neurochemistry, morphology and behavior, and finally, experimental therapeutic approaches.

  7. In-utero carbon monoxide poisoning and multiple fetal abnormalities

    Energy Technology Data Exchange (ETDEWEB)

    Hennequin, Y.; Blum, D.; Vamos, E.; Steppe, M.; Goedseels, J.; Cavatorta, E. (Free Univ. of Brussels (Belgium). Queen Fabiola Children' s Hospital)

    1993-01-23

    Carbon monoxide (CO) poisoning during pregnancy can lead to feto-maternal fatalities and stillbirths. Teratogenic effects have been reported. The authors strongly suspected an association between mild but chronic CO poisoning of the mother and major multiple malformations in the baby. Retrospective interviews of the mother disclosed that at 10 weeks' gestation, she had complained of headache and dizziness. At the same time, her 16-month-old daughter had an episode of unconsciousness. A faulty kitchen gas water-heater was suspected but the family did not have it repaired. The mother continued to have headaches regularly. During the 7th month of pregnancy, the daughter was found comatose. In the emergency ward, carboxyhemoglobins levels were 27.5% for the child and 14% for the pregnant mother. Both were treated with hyperbaric oxygen. Investigations by the gas company revealed a highly abnormal CO production from the kitchen and bathroom gas-water heaters: 120 and 100 parts per million, respectively, after 2 minutes of use.

  8. Delayed neuropsychiatric syndrome after carbon monoxide poisoning: inclusion of hyperbaric oxygen therapy in the recovery protocol

    OpenAIRE

    Dante Lo Pardo; Davide Amedola; Giuliana Senatore; Alberto Damiano; Gabriela Pezzuti; Nicola Pugliese; Gianpiero Locatelli; Alfredo Siani; Nicola Maria Vitola

    2016-01-01

    The delayed neuropsychiatric syndrome can arise in the period from 4 days to 5 weeks following carbon monoxide poisoning, and is characterized by neuropsychological deficits, which in some cases become chronic. This case report describes an adult female who apparently suffered self-inflicted carbon monoxide poisoning. She was not treated with hyperbaric oxygen and developed delayed sequelae on day 20. The treatment started with 40 sessions of hyperbaric oxygen therapy and subsequently with ne...

  9. Electrocardiographic Findings and Serum Troponin I in Carbon Monoxide Poisoned Patients

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    Scott Reza Jafarian Kerman

    2012-03-01

    Full Text Available Carbon monoxide (CO poisoning, though with different sources, is one of the most deadly emergencies in all countries. CO can threaten men's life by several paths especially cardiac complications, which can mimic other cardiac problems such as myocardial infarction. The objective of this study was to determine ECG findings and serum troponin I levels in CO poisoned patients. In this analytical cross-sectional study, 63 CO poisoning patients were consecutively included from hospital's emergency departments. CO content was measured by a CO-oximeter and an electrocardiography was taken first thing on admission. Arterial blood gas (ABG, troponin I and other data was collected afterwards. Data were divided by age groups (adults and children and gender. CO content was significantly higher only in subjects with normal T wave compared to patients with inverted T wave in their initial ECG (P=0.016. No other significant difference was noticed. None of the ABG findings correlated significantly with CO content. Also no significant correlation was found with CO content after stratification by gender and age groups, but pH in children (r=-0.484, P=0.026. CO content was significantly higher in adults (P=0.023, but other ABG data were not significantly different. Only 3 patients had elevated troponin I. Receiver operating characteristic (ROC analysis showed no significant cutoff points in CO content for ECG changes. No significant specific change in electrocardiograms (ECG could contribute carboxyhemoglobin content in carbon monoxide poisoned patients. In addition, no specific difference was found between adults and pediatric subjects' ECGs. All other findings seemed to be accidental.

  10. Occupational poisoning by carbon monoxide aboard a gas carrier. Report on 8 cases.

    Science.gov (United States)

    Lucas, David; Loddé, Brice; Jegaden, Dominique; Bronstein, Jean-Ariel; Pougnet, Richard; Bell, S; Dewitte, Jean-Dominique

    2010-01-01

    - To determine the accidental factors and the clinical symptoms in eight cases of occupational poisoning of port workers by carbon monoxide. - To consider the primary prevention of this serious pathology occurring at work. - To analyze the circumstances of the exposure to carbon monoxide in the employees in the naval repair sector. - To indicate the systemic failures causing this accidental poisoning, the means for early diagnosis and appropriate treatment, and to discuss the prevention of such accidents. The poisoning occurred in eight mechanics and electricians working without any protective means in a gas carrier tank in dry dock. The employees, unaware of carbon monoxide exposure, stayed for 45 minutes in an atmosphere polluted with carbon monoxide concentrations of over 500 ppm. The main complaints were of headache, muscular weakness, and drowsiness. No post-interval syndrome was found three weeks after poisoning. The levels of carboxyhaemoglobin varied from 1.8 to 31.2%. Early normal pressure oxygen therapy reduced the symptoms. No delayed syndrome was found three weeks after poisoning. The inclusion of poisonous gas in gas-free certification, adherence to maritime harbour regulations, greater respect for working instructions in hazardous environments, and the use of detectors appropriate to the conditions for each ship would avoid exposure and decrease the risk of poisoning.

  11. Neurological Effects of Acute Carbon Monoxide Poisoning in Children

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    Coskun YARAR

    2009-11-01

    Full Text Available Carbon monoxide poisoning (COP is one of the most common causes of mortality and morbidity due to poisoning in all over the world. Although the incidence of COP has not been known exactly in the childhood, almost one-third of CO exposures occurred in children. The data regarding COP in children are inconclusive. Children may be more vulnerable to CO exposure than adults as a result of their high respiration and metabolic rates, high oxygen metabolism, and immature central nervous system. Recent researches proposed new theories about neurological effects of CO toxicity. The clinical presentations associated acute COP may be various and nonspecific. Unrecognized CO exposure may lead to significant morbidity and mortality. CO exposed children often become symptomatic earlier, and recover more rapidly, than similarly CO exposed adults. Mild clinical signs and symptoms associated with COP are headache, dizziness, weakness, lethargy, and myalgia; however, severe signs and symptoms such as blurred vision, syncope, convulsion, coma, cardiopulmonary arrest and death can also accompany with COP. Neurologic manifestations can include altered mental status at different degrees, neck stiffness, tremor, ataxia, and positive Babinski's sign. Delayed neurologic sequels (DNS of COP might be seen in children like adults. DNS symptoms and signs in children include memory problems, mental retardation, mutism, fecal and urinary incontinence, motor deficits, facial palsy, psychosis, chronic headache, seizures, and epilepsy. After CO exposure children must be cared to detect and treat DNS. Although hyperbaric oxygen therapy (HBOT is reported to prevent development of DNS, its indications, application duration and procedures are controversial in both of the children and adults. Although their predictive values are limited, exposing to CO more than eight hours and suffering from CO-induced coma, cardiac arrest, lactic acidosis, high COHb levels, and pathologic findings

  12. The Effect of Carbon Monoxide Poisoning on Platelet Volume in Children

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    Halise Akça

    2017-04-01

    Full Text Available Introduction: Carbon monoxide poisoning is one of the most important causes of morbidity and mortality. There is increasing evidence supporting the important role of mean platelet volume (MPV as a marker of hypoxia and inflammation. In this study, we aimed to determine changes in MPV values in pediatric patients with carbon monoxide poisoning. Methods: We retrospectively evaluated children who were diagnosed with carbon monoxide poisoning in our hospital between January 2005 and 2014. Results: We included 228 children with carbon monoxide poisoning (49% male in this retrospective, controlled study. The mean age of the patients was 88±56 months. Control group consisted of 200 age-matched healthy children. There was no statistically significant difference in MPV levels between the study and control groups (8.43±1.1 fL and 8.26±0.7 fL, respectively. No correlation of MPV and platelet count with carboxyhemoglobin (COHb was found. Conclusion: In our study, it was determined that MPV value was not a helpful parameter for predicting the diagnosis of acute carbon monoxide poisoning in childhood. The difference between the MPV values and the lack of significance and the absence of correlation between MPV value and COHb level led to the fact that MPV was not a guide indicating the clinical severity of the condition.

  13. [Family suicide by carbon monoxide poisoning, Paris 1890-1899. Role of popular illustrations].

    Science.gov (United States)

    Luauté, Jean-Paul

    2015-01-01

    History has nearly forgotten a series of six suicides by family groups composed of parents and children residing in the same household, which received wide attention in the 1890s. This period saw the launch of illustrated supplements to Parisian daily newspapers, several of which produced dramatic depictions of these tragedies. The cause of the suicides was believed to be extreme poverty or the fear thereof. In the latter cases, it is argued that newspaper illustrations facilitated the carrying out of suicidal acts by persons whose circumstances placed them at risk for suicide. The choice of death by carbon monoxide poisoning was due to a wish by parents to die together with their children and to the hope of a peaceful death.

  14. Multimodality evoked potentials in patients with delayed encephalopathy after acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    Xiahong Wang; Bo Xiao; Renjun Gu; Lan Xiao; Yi Yang; Yinhui Hao; Nini Wang; Junlin Mu; Jinggang Yin

    2006-01-01

    Objective: To evaluate the diagnostic and prognostic values in patients with delayed encephalopathy after acute carbon monoxide poisoning. Methods: The tibial nerve somatosensory evoked potentials (SEPs), vision evoked potentials (VEPs), and brain stem audition evoked potentials(BAEPs) were performed in 32 healthy adults and 43 patients with delayed encephalopathy after acute carbon monoxide poisoning. Results: This paper indicated abnormalities of tibial nerve SEPs in 31 patients (31/43, 72.1%), VEPs in 17 patients (17/28, 60.7%), and BAEPs in 14 patients (14/43, 32.6%). These results showed that the greatest diagnostic value was SEPs, followed by VEPs and, BAEPs with the lowest sensitivity. Conclusion: Multimodality evoked potentials (EPs) can be used for evaluating the diagnostic and prognostic values in cases of delayed encephalopathy after acute carbon monoxide poisoning.

  15. Carbon Monoxide Poisoning during Pregnancy: Presentation of a Rare Severe Case with Fetal Bladder Complications

    Directory of Open Access Journals (Sweden)

    Myriam Delomenie

    2015-01-01

    Full Text Available Carbon monoxide poisoning during pregnancy is a rare and potentially serious condition. Fetal complications are uncommon, related to anoxic lesions. The severity of these complications does not depend on the level of maternal COHb. We report the case of a 22-year-old pregnant woman who at 30 weeks of gestation had carbon monoxide poisoning secondary to a fire in her home, complicated by cardiac arrest and severe fetal damage. The child had not brain damage, but presented bladder lesions not previously described, with urinary ascites complicating megacystis.

  16. Isolated symmetrical bilateral basal ganglia T2 hyperintensity in carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Subhaschandra S

    2008-01-01

    Full Text Available Carbon monoxide poisoning is not uncommon during the winter months. To make a diagnosis, strong clinical suspicion and acumen, and history of the exposure are necessary. Many a time, the presenting complaints may fail to help reach a diagnosis, in the absence of history. Imaging plays a role in the diagnosis of brain injury with the characteristic features, which are correlated with the clinical profile. Isolated bilateral basal ganglia injury revealing T2 hyperintensity in MRI may be observed in acute carbon monoxide poisoning.

  17. Rapid Evaluation of the Severity and Prognosis of Acute Carbon Monoxide Poisoning

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    Z. N. Marupov

    2010-01-01

    Full Text Available Objective: to assess whether cardiointervalography (CIG might be used to define the health status of patients with carbon monoxide poisoning. Subjects and methods. The autonomic nervous system (ANS was studied in 114 patients aged 16 to 80 years with carbon monohydrate poisoning who were treated at the N. V. Sklifosovsky Research Institute of Emergency Care, Moscow, in 2004—2009. Cardiointervalographic readings were analyzed in relation to condition severity and disease outcome. Results. Within the first hours after carbon monoxide poisoning, the function of the ANS was found to be impaired, which was associated with the development of hypersym-pathicotonia caused by the increased activity of its sympathetic part and the decreased tone of the parasympathet-ic one. The magnitude of hypersympathicotonia depended on the severity of poisoning and the outcome of the disease. The preponderance of ANS parasympathetic part tone suggests disturbed adaptive and compensatory mechanisms and poor prognosis. Conclusion. Cardiointervalography is recommended for the objective evaluation of the severity of carbon monoxide poisoning and the efficiency of performed treatment and prediction of the outcome of the disease. Key words: carbon monoxide, autonomic nervous system, cardiointervalography, adaptive and compensatory mechanisms.

  18. Accidental Carbon Monoxide Poisonings in Adana, Turkey: A 14-year Study

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    Murat Darçın

    2017-03-01

    Full Text Available Aim: Carbon monoxide (CO is often referred to as the “silent killer” because its victims cannot see it, smell it or taste it. CO is responsible for a large percentage of the accidental poisonings and deaths reported throughout the world. CO poisoning therefore is considered a serious global health threat. The aim of the present study was to describe the cases of CO poisoning in a rural areas of Adana, Turkey between 2002 and 2015 based on data collected from incident reports. Methods: The cases of accidental CO poisoning were statistically analyzed. During that period, 74 incidents occurred and 154 people were poisoned by accidental CO poisoning. Results: The results of this analysis indicate that men and adults aged ≥65 years were more likely to die from CO poisoning than others. The number of CO poisoning cases was highest during the heating season. The majority (72% of poisoning resulting in hospitalization with a life-threatening condition or death occurred within the home. Conclusion: CO poisoning is a serious danger. People must be informed about this hazard. By educating risk groups about the dangers of CO poisoning, it is possible to save many lives as well as reduce the health risks.

  19. A positive Babinski reflex predicts delayed neuropsychiatric sequelae in Chinese patients with carbon monoxide poisoning.

    Science.gov (United States)

    Zou, Jian-Fang; Guo, Qiming; Shao, Hua; Li, Bin; Du, Yuxiu; Liu, Maofeng; Liu, Fengling; Dai, Lixin; Chung, Min-Hsien; Lin, Hung-Jung; Guo, How-Ran; Yang, Tzu-Meng; Huang, Chien-Cheng; Hsu, Chien-Chin

    2014-01-01

    As the human population increased in China, the carbon monoxide is a serious environmental toxin in public health. However, predicting the delayed neuropsychiatric sequelae (DNS) of carbon monoxide poisoning (COP) has not been well studied. We investigated the independent predictors of DNS in patients with COP. This study was conducted at four hospitals in China. Data were retrospectively collected from 258 patients with COP between November 1990 and October 2011. DNS was the primary endpoint. A positive Babinski reflex was the independent predictor for DNS: sensitivity = 53.8% (95% confidence interval [CI]: 26.1-79.6), specificity = 88.6% (95% CI: 83.7-92.1), positive predictive value (PPV) = 20.0% (95% CI: 9.1-37.5), and negative predictive value (NPV) = 97.3% (95% CI: 94.0-98.9). The area under the receiver operating characteristic curve = 0.712 (95% CI: 0.544-0.880). A positive Babinski reflex was very memorable, immediately available, and applicable in clinical practice. Even when the sensitivity and PPV of a positive Babinski reflex were unsatisfactory, it had a good specificity and NPV for excluding the risk of DNS. In patients without a positive Babinski reflex, the risk for DNS was only 2.7%. This finding may help physicians make decisions about dispositions for patients with COP.

  20. A Positive Babinski Reflex Predicts Delayed Neuropsychiatric Sequelae in Chinese Patients with Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Jian-Fang Zou

    2014-01-01

    Full Text Available As the human population increased in China, the carbon monoxide is a serious environmental toxin in public health. However, predicting the delayed neuropsychiatric sequelae (DNS of carbon monoxide poisoning (COP has not been well studied. We investigated the independent predictors of DNS in patients with COP. This study was conducted at four hospitals in China. Data were retrospectively collected from 258 patients with COP between November 1990 and October 2011. DNS was the primary endpoint. A positive Babinski reflex was the independent predictor for DNS: sensitivity = 53.8% (95% confidence interval [CI]: 26.1–79.6, specificity = 88.6% (95% CI: 83.7–92.1, positive predictive value (PPV = 20.0% (95% CI: 9.1–37.5, and negative predictive value (NPV = 97.3% (95% CI: 94.0–98.9. The area under the receiver operating characteristic curve = 0.712 (95% CI: 0.544–0.880. A positive Babinski reflex was very memorable, immediately available, and applicable in clinical practice. Even when the sensitivity and PPV of a positive Babinski reflex were unsatisfactory, it had a good specificity and NPV for excluding the risk of DNS. In patients without a positive Babinski reflex, the risk for DNS was only 2.7%. This finding may help physicians make decisions about dispositions for patients with COP.

  1. Changes in the Autonomic Nervous System in Patients with Carbon Monoxide Poisoning

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    A. V. Badalyan

    2009-01-01

    Full Text Available Objective: to examine changes in the autonomic nervous system (ANS function in patients with carbon monoxide poisoning in relation to the condition severity. Subjects and methods. The ANS was studied in 114 patients aged 15 to 82 years with carbon monohydrate poisoning who were treated at the N. V. Sklifosovsky Research Institute of Emergency Care, Moscow, in 2004—2008. Cardiointervalographic readings were analyzed in relation to the condition severity, the presence of thermal damages to the skin and upper airway, and that of blood alcohol. Results. Within the first hours after poisoning, the function of the ANS was found to be impaired, which was associated with the development of hypersympathicotonia caused by the increased activity of its sympathetic part and the decreased tone of the parasympathetic one. The magnitude of hypersympathicotonia depends on the severity of poisoning, on the presence of thermal damages to the upper respiratory tract and that of blood alcohol. The preponderance of the tone of the ANS parasympathetic part suggests the disturbance of adaptive and compensatory mechanisms and the likely poor prognosis of the poisoning. Conclusion. Cardiointervalography is recommended for the objective evaluation of the severity of carbon monoxide poisoning. Key words: carbon monoxide, autonomic nervous system, cardiointervalog-raphy, adaptive and compensatory mechanisms.

  2. Utility of the Measurement of Carboxyhemoglobin Level at the Site of Acute Carbon Monoxide Poisoning in Rural Areas

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    Makoto Onodera

    2016-01-01

    Full Text Available Objective. This study examined the hypothesis that correlations exist between the carbon monoxide exposure time and the carboxyhemoglobin concentration at the site of carbon monoxide poisoning, using a pulse carbon monoxide oximeter in rural areas or the carboxyhemoglobin concentration measured at a given medical institution. Background. In previous studies, no definitive relationships between the arterial blood carboxyhemoglobin level and the severity of carbon monoxide poisoning have been observed. Method. The subjects included patients treated for acute carbon monoxide poisoning in whom a medical emergency team was able to measure the carboxyhemoglobin level at the site of poisoning. We examined the relationship between the carboxyhemoglobin level at the site of poisoning and carbon monoxide exposure time and the relationships between the arterial blood carboxyhemoglobin level and carbon monoxide exposure time. Results. A total of 10 patients met the above criteria. The carboxyhemoglobin levels at the site of poisoning were significantly and positively correlated with the exposure time (rs = 0.710, p=0.021, but the arterial blood carboxyhemoglobin levels were not correlated with the exposure time. Conclusion. In rural areas, the carboxyhemoglobin level measured at the site of carbon monoxide poisoning correlated with the exposure time.

  3. [Suicidal carbon monoxide poisoning in an electric car. An unusual case report].

    Science.gov (United States)

    Bohnert, M; Zollinger, U

    1994-01-01

    The authors report a case of a man who committed suicide by poisoning with carbon monoxide in his electric vehicle. He applied a small motor generator with no exhaust normally used for charging the vehicle's batteries at home, that was found on the loading space behind the seat. This demonstrates the value of a thorough scene investigation.

  4. Predicting Cardiotoxic Effects of Carbon Monoxide Poisoning Using Speckle Tracking Echocardiography.

    Science.gov (United States)

    Saraçoğlu, Erhan; Vuruşkan, Ertan; Kılıç, Salih; Çekici, Yusuf; Onur, Bahaeddin; Arslan, Yavuz; Kılıç, Ertuğrul; Aykut, Ömer

    2017-10-06

    Carbon monoxide (CO) poisoning could cause significant cardiac injury. This study aimed to evaluate patients with CO poisoning by using speckle tracking echocardiography (STE), a potentially more sensitive technique, to identify left systolic ventricular dysfunction for the first time in the literature. Seventy-two patients who were exposed to CO poisoning were studied. Blood collection and echocardiography were performed at admission and after patients' discharge on days 10-15 (mean 12 days). Global longitudinal strain (GLS) and global circumferential strain (GCS) were calculated using STE. In order to find the normal strain levels and to compare it to the patient with CO poisoning, 35 healthy subjects were included in the study. Left ventricular ejection fraction was analyzed according to Simpson's method. Patients were divided into two groups based on their LVEF values. LVEF Speckle tracking echocardiography has the potential of demonstrating subtle LV systolic dysfunction even in CO poisoning patients with preserved EF.

  5. EPIDEMIOLOGY OF CARBON MONOXIDE POISONING IN LJUBLJANA FROM 1990 TO 1999

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    Miran Brvar

    2002-02-01

    Full Text Available Background. Carbon monoxide (CO is the most common lethal poisoning. The incidence of sublethal CO poisoning in Slovenia is not known. The aim of the study was to investigate the epidemiology of sublethal acute CO poisoning in Ljubljana region (Slovenia.Methods. A retrospective study involved CO poisoned patients admited to Poison Control Centre and Centre of Intensive Care Medicine of the University Medical Centre Ljubljana, between January 1, 1990 and December 31, 1999.Results. There were annualy approximately 2.4 cases of sublethal CO poisonings per 100.000 population in Ljubljana region. Of these, 25% were suicide attempts and 75% were unintentional poisonings (28% happened in domestic environment as a result of heating, cooking or bathing, 22% were associated with fire, 11% happened in the working site, 10% happened in the workroom at home and only 3% occurred in the moving vehicle. Among the patients there were 72% male and 28% female. The domestic source of CO was a gas water heater or residential heating device in the 63% of the cases, a coal stove in the 32% and an oil heater in the 6%. In the 18% of the suicide attempts we found also acute drug or alcohol intoxication, and 18% of patients poisoned in the fire were intoxicated with alcohol. Collective poisoning happened in the 25% of cases affecting from 2 to 6 persons.Conclusions. The incidence of sublethal CO poisoning in Ljubljana region appers to be seven times lower than in other countries. The main reason is misdiagnosing of CO poisoning. In the future we should consider CO poisoning more often, particularly in all patients with flu-like symptoms, unexplained headache and worsening of pre-existing diseases. We should always exclude the collective poisoning and the presence of alcohol or other drugs.

  6. Carbon Monoxide Poisoning - Multiple Languages: MedlinePlus

    Science.gov (United States)

    ... sharing features on this page, please enable JavaScript. Amharic (amarunya) Arabic (العربية) Chinese - Traditional (繁體中文) French (français) ... Kiswahili) Tagalog (Tagalog) Tigrinya (tigrinya) Vietnamese (Tiếng Việt) Amharic (amarunya) Prevention Guidelines: You Can Prevent Carbon Monoxide ...

  7. Correlation of computed tomography, magnetic resonance imaging and clinical outcome in acute carbon monoxide poisoning.

    Science.gov (United States)

    Ozcan, Namik; Ozcam, Giray; Kosar, Pinar; Ozcan, Ayse; Basar, Hulya; Kaymak, Cetin

    2016-01-01

    Carbon monoxide is a toxic gas for humans and is still a silent killer in both developed and developing countries. The aim of this case series was to evaluate early radiological images as a predictor of subsequent neuropsychological sequelae, following carbon monoxide poisoning. After carbon monoxide exposure, early computed tomography scans and magnetic resonance imaging findings of a 52-year-old woman showed bilateral lesions in the globus pallidus. This patient was discharged and followed for 90 days. The patient recovered without any neurological sequela. In a 58-year-old woman exposed to carbon monoxide, computed tomography showed lesions in bilateral globus pallidus and periventricular white matter. Early magnetic resonance imaging revealed changes similar to that like in early tomography images. The patient recovered and was discharged from hospital. On the 27th day of exposure, the patient developed disorientation and memory impairment. Late magnetic resonance imaging showed diffuse hyperintensity in the cerebral white matter. White matter lesions which progress to demyelination and end up in neuropsychological sequelae cannot always be diagnosed by early computed tomography and magnetic resonance imaging in carbon monoxide poisoning. Copyright © 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

  8. Correlation of computed tomography, magnetic resonance imaging and clinical outcome in acute carbon monoxide poisoning

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    Namik Ozcan

    Full Text Available Abstract Background and objectives: Carbon monoxide is a toxic gas for humans and is still a silent killer in both developed and developing countries. The aim of this case series was to evaluate early radiological images as a predictor of subsequent neuropsychological sequelae, following carbon monoxide poisoning. Case 1: After carbon monoxide exposure, early computed tomography scans and magnetic resonance imaging findings of a 52-year-old woman showed bilateral lesions in the globus pallidus. This patient was discharged and followed for 90 days. The patient recovered without any neurological sequela. Case 2: In a 58-year-old woman exposed to carbon monoxide, computed tomography showed lesions in bilateral globus pallidus and periventricular white matter. Early magnetic resonance imaging revealed changes similar to that like in early tomography images. The patient recovered and was discharged from hospital. On the 27th day of exposure, the patient developed disorientation and memory impairment. Late magnetic resonance imaging showed diffuse hyperintensity in the cerebral white matter. Conclusion: White matter lesions which progress to demyelination and end up in neuropsychological sequelae cannot always be diagnosed by early computed tomography and magnetic resonance imaging in carbon monoxide poisoning.

  9. Carbon Monoxide Poisoning: Death on Mount McKinley,

    Science.gov (United States)

    1987-05-08

    performed two chest compressions on one of the bodies noting a mucous- like fluid exuding from his nose and mouth. No attempt was made to clear the airway...common to both altitude illness and CO poisoning, has been attributed to cerebral edema and increased intracranial pressure caused by fluid transudation

  10. Carbon monoxide poisoning from hurricane-associated use of portable generators--Florida, 2004.

    Science.gov (United States)

    2005-07-22

    The four major hurricanes that struck Florida during August 13-September 25, 2004, produced electric power outages in several million homes. After the hurricanes, the Consumer Product Safety Commission (CPSC) investigated six deaths in Florida attributed to carbon monoxide (CO) poisoning (CPSC, unpublished data, 2004). The Florida Department of Health and CDC analyzed demographic and CO exposure data from these fatal poisoning cases and from nonfatal poisoning cases among 167 persons treated at 10 hospitals, including two with hyperbaric oxygen (HBO2) chambers. This report describes the results of that analysis, which determined that misplacement of portable, gasoline-powered generators (e.g., indoors, in garages, or outdoors near windows) was responsible for nearly all of these CO exposures. Public health practitioners should recognize that post-hurricane environments present challenges to the safe operation of portable generators and should educate the public on the hazards of CO poisoning in these settings.

  11. Non-convulsive status epilepticus in a patient with carbon-monoxide poisoning treated with hyperbaric oxygen therapy.

    Science.gov (United States)

    Marziali, Simone; Di Giuliano, Francesca; Picchi, Eliseo; Natoli, Silvia; Leonardis, Carlo; Leonardis, Francesca; Garaci, Francesco; Floris, Roberto

    2016-12-01

    The presentation of carbon monoxide poisoning is non-specific and highly variable. Hyperbaric oxygen therapy is used for the treatment of this condition. Various reports show the occurrence of self-limiting seizures after carbon monoxide poisoning and as a consequence of hyperbaric oxygen therapy. Contrary to the seizures, status epilepticus has been rarely observed in these conditions. The exact pathophysiology underlying seizures and status epilepticus associated with carbon monoxide poisoning and hyperbaric oxygen therapy is not really clear, and some elements appear to be common to both conditions. We describe a case of non-convulsive status epilepticus in a patient with carbon monoxide poisoning treated with hyperbaric oxygen therapy. The mechanism, MRI findings and implications are discussed.

  12. Carbon Monoxide Poisoning in the Region of Fez-Boulemane, Morocco: Epidemiological Profile and Risk Factors (2009-2012

    Directory of Open Access Journals (Sweden)

    Awatef Tahouri

    2013-12-01

    How to cite this article: Tahouri A, Lyoussi B, Achour S. Carbon Monoxide Poisoning in the Region of Fez-Boulemane, Morocco: Epidemiological Profile and Risk Factors (2009-2012. Asia Pac J Med Toxicol 2013;2:131-5.

  13. Alexithymia Associated With Bilateral Globus Pallidus Lesions After Carbon Monoxide Poisoning

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    Mei-Feng Huang

    2010-06-01

    Full Text Available Alexithymia refers to a person's inability to identify and describe feelings. We present a patient who developed alexithymia after carbon monoxide poisoning following a suicide attempt by burning charcoal in an enclosed space. Brain computed tomography revealed bilateral globus pallidus hypoxic lesions. Because of the time frame and the presence of brain structural lesions, the alexithymia in this patient was thought to be caused by bilateral globus pallidus hypoxic lesions resulting from carbon monoxide poisoning. The alexithymia in this patient did not respond to a variety of psychotropic drugs, including sertraline, venalfaxine, bupropion or methylphenidate. We suggest that alexithymia, which was associated with brain hypoxic lesions in this case, is resistant to treatment.

  14. Research progress in immunological mechanism of delayed encephalopathy after acute carbon monoxide poisoning

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    Kai FENG

    2014-10-01

    Full Text Available Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP is a syndrome constituted by acute dementia, psychiatric symptoms, pyramidal and extrapyramidal symptoms, which can be developed after the original clinical symptoms of carbon monoxide poisoning recovered. Lots of studies have been done to explain the mechanisms of DEACMP, and more and more researches have demonstrated that the immunological mechanism may be involved in or play an important role on the pathogenesis of the process. This article will review the researches of immunological mechanism of DEACMP in recent years and give some prompts to clinical study in the future. doi: 10.3969/j.issn.1672-6731.2014.10.006

  15. Delayed neuropsychiatric syndrome after carbon monoxide poisoning: inclusion of hyperbaric oxygen therapy in the recovery protocol

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    Dante Lo Pardo

    2016-06-01

    Full Text Available The delayed neuropsychiatric syndrome can arise in the period from 4 days to 5 weeks following carbon monoxide poisoning, and is characterized by neuropsychological deficits, which in some cases become chronic. This case report describes an adult female who apparently suffered self-inflicted carbon monoxide poisoning. She was not treated with hyperbaric oxygen and developed delayed sequelae on day 20. The treatment started with 40 sessions of hyperbaric oxygen therapy and subsequently with neuropsychological rehabilitation and physiotherapy. The treatment resulted in a progressive and almost complete physical and psychological recovery as evidenced by neuropsychometric tests and diagnostic imaging performed in the follow-up. Recovery was attributed to hyperbaric oxygen therapy. Although further research is required, we propose hyperbaric oxygen therapy also in the recovery protocol in the treatment of delayed neuropsychiatric syndrome.

  16. Accidental carbon monoxide poisoning presenting without a history of exposure: A case report

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    Bennetto Luke

    2008-04-01

    Full Text Available Abstract Introduction Carbon monoxide poisoning is easy to diagnose when there is a history of exposure. When the exposure history is absent, or delayed, the diagnosis is more difficult and relies on recognising the importance of multi-system disease. We present a case of accidental carbon monoxide poisoning. Case presentation A middle-aged man, who lived alone in his mobile home was found by friends in a confused, incontinent state. Initial signs included respiratory failure, cardiac ischaemia, hypotension, encephalopathy and a rash, whilst subsequent features included rhabdomyolysis, renal failure, amnesia, dysarthria, parkinsonism, peripheral neuropathy, supranuclear gaze palsy and cerebral haemorrhage. Despite numerous investigations including magnetic resonance cerebral imaging, lumbar puncture, skin biopsy, muscle biopsy and electroencephalogram a diagnosis remained elusive. Several weeks after admission, diagnostic breakthrough was achieved when the gradual resolution of the patient's amnesia, encephalopathy and dysarthria allowed an accurate history to be taken for the first time. The patient's last recollection was turning on his gas heating for the first time since the spring. A gas heating engineer found the patient's gas boiler to be in a dangerous state of disrepair and it was immediately decommissioned. Conclusion This case highlights several important issues: the bewildering myriad of clinical features of carbon monoxide poisoning, the importance of making the diagnosis even at a late stage and preventing the patient's return to a potentially fatal toxic environment, and the paramount importance of the history in the diagnostic method.

  17. Acute Carbon Monoxide Poisoning Resulting in ST Elevation Myocardial Infarction: A Rare Case Report

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    Po-Chao Hsu

    2010-05-01

    Full Text Available Acute carbon monoxide (CO poisoning with cardiac complications is well documented in the literature. However, ST segment elevation is a rare presentation, and most of these cases with ST elevation have revealed non-occlusive or normal coronary arteries. We report a case of CO poisoning complicated with ST elevation myocardial infarction. Emergency coronary angiography revealed total occlusion of the left anterior descending artery and primary percutaneous coronary intervention was performed. This report of a rare case should remind physicians that cardiovascular investigations, including electrocardiography, must be performed in cases with CO poisoning because mortality might increase if reperfusion therapy or appropriate medical treatments are not performed in patients with acute coronary artery occlusion.

  18. A Fire Department Community Health Intervention to Prevent Carbon Monoxide Poisoning Following a Hurricane

    Science.gov (United States)

    Levy, Matthew; Jenkins, J Lee; Seaman, Kevin

    2014-01-01

    Portable generators are commonly used during electrical service interruptions that occur following large storms such as hurricanes. Nearly all portable generators use carbon based fuels and produce deadly carbon monoxide gas. Despite universal warnings to operate these generators outside only, the improper placement of generators makes these devices the leading cause of engine related carbon monoxide deaths in the United States. The medical literature reports many cases of Carbon Monoxide (CO) toxicity associated with generator use following hurricanes and other weather events. This paper describes how Howard County, Maryland Fire and Rescue (HCFR) Services implemented a public education program that focused on prevention of Carbon Monoxide poisoning from portable generator use in the wake of events where electrical service interruptions occurred or had the potential to occur. A major challenge faced was communication with those members of the population who were almost completely dependent upon electronic and wireless technologies and were without redundancies. HCFR utilized several tactics to overcome this challenge including helicopter based surveillance and the use of geocoded information from the electrical service provider to identify outage areas. Once outage areas were identified, HCFR personnel conducted a door-to-door canvasing of effected communities, assessing for hazards and distributing information flyers about the dangers of generator use. This effort represents one of the first reported examples of a community-based endeavor by a fire department to provide proactive interventions designed to prevent carbon monoxide illness. PMID:24596660

  19. Unintentional carbon monoxide poisoning hospitalization and emergency department counts and rates by county, year, and fire-relatedness among California residents,2000-2007

    Data.gov (United States)

    California Environmental Health Tracking Program — This dataset contains case counts, rates, and confidence intervals of unintentional carbon monoxide poisoning (CO) inpatient hospitalizations and emergency...

  20. Improving Outreach and Surveillance Efforts Following a Large-Scale Carbon Monoxide Poisoning in Wisconsin.

    Science.gov (United States)

    Creswell, Paul D; Vogt, Christy M; Wozniak, Ryan J; Camponeschi, Jenny; Werner, Mark A; Meiman, Jonathan G

    In December 2014, the largest carbon monoxide (CO) poisoning in Wisconsin's history occurred at an ice arena. Following this event, the Wisconsin Environmental Public Health Tracking (WI EPHT) Program sought to improve outreach and surveillance efforts. WI EPHT designed and distributed educational materials on CO poisoning prevention and surveyed stakeholders to gauge the effectiveness of outreach efforts. To enhance surveillance, WI EPHT utilized data from the Wisconsin Poison Center (WPC) to generate real-time alerts of anomalous numbers of CO-related calls. WI EPHT found that 42% of stakeholders reviewed the outreach materials, and 1 ice arena had installed a CO detector as a result. CO alerts were developed using WPC data and are now routinely used in statewide public health surveillance. WI EPHT staff improved CO poisoning prevention outreach and saw a positive response among stakeholders. This work demonstrates ways that health agencies can improve outreach and surveillance for CO poisoning. Improvements in these areas can bolster public health response and may prevent CO-related illness and injury.

  1. Toxicological Investigation of Acute Carbon Monoxide Poisoning in Four Occupants of a Fuming Sport Utility Vehicle

    Directory of Open Access Journals (Sweden)

    Martin Nnoli

    2014-11-01

    Full Text Available Background: This toxicological investigation involves a report on the death of four occupants of a sport utility vehicle on one of the major busy Federal roads of Nigeria where they were held for up to three hours in a traffic jam while the car was steaming. Methods: Autopsy was executed using the standard procedure and toxicological analysis was done using simple spectrophotometric method to establish the level of carboxyhaemoglobin (HbCO in peripheral blood in the four occupants. Results: The autopsy report indicated generalized cyanosis, sub-conjuctival hemorrhages, marked laryngo-trachea edema with severe hyperemia with frothy fluid discharges characteristic of carbon monoxide poisoning. Toxicological report of the level of HbCO in part per million (ppm in the peripheral blood of the four occupants was A= 650 ppm; B= 500 ppm; C= 480 ppm, and D= 495 ppm against the maximum permissible level of 50 ppm. Conclusion: The sudden death of the four occupants was due to excessive inhalation of the carbon monoxide gas from the exhaust fumes leaking into the cabin of the car. The poor road network, numerous potholes, and traffic jam in most of roads in Nigeria could have exacerbated a leaky exhaust of the smoky second hand SUV car leading to the acute carbon monoxide poisoning.

  2. Aspiration Pneumonia in Patients with Carbon Monoxide Poisoning Who Had Loss of Consciousness: Prevalence, Outcomes, and Risk Factors.

    Science.gov (United States)

    Sohn, Chang Hwan; Huh, Jin Won; Seo, Dong Woo; Oh, Bum Jin; Lim, Kyoung Soo; Kim, Won Young

    2017-08-09

    Aspiration pneumonia is associated with significant morbidity and mortality, however little is known about in patients with carbon monoxide intoxication which is the leading cause of poisoning-related death. This study aimed to evaluate the prevalence, clinical impacts and risk factors for developing aspiration pneumonia in carbon monoxide poisoning patients with loss of consciousness. A retrospective analysis of a carbon monoxide poisoning registry was performed at our emergency department from January, 2008 to December, 2015. All adult carbon monoxide poisoning patients with loss of consciousness were included. Aspiration pneumonia developed in 103 (19.2%) of 537 patients. It was associated with increased ventilator use (52.4 vs. 3.2%), length of hospital stay (3.6 (2.1-5.1) vs. 1.3 (0.6-2.1) days), and in-hospital mortality (5.8 vs. 0.0%) (all, P 12,000/mm(3), odds ratio was increased up to 17.75 (95% CI, 10.65-29.59; P < .001). The prevalence of aspiration pneumonia was 19.2% in carbon monoxide poisoning patients with loss of consciousness and was associated with poor outcomes. Also, altered mental status on emergency department arrival, white blood cells, and increased exposure duration were independently associated with the development of aspiration pneumonia. Copyright © 2017. Published by Elsevier Inc.

  3. Oral administration of lactulose: a novel therapy for acute carbon monoxide poisoning via increasing intestinal hydrogen production.

    Science.gov (United States)

    Fan, Dan-Feng; Hu, Hui-Jun; Sun, Xue-Jun; Meng, Xiang-En; Zhang, Yu; Pan, Shu-Yi

    2016-01-01

    It has been known that the pathophysiology of carbon monoxide (CO) poisoning is related to hypoxia, the increased production of reactive oxygen species (ROS) and oxidative stress. Studies have shown that the novel, safe and effective free radical scavenger, hydrogen, has neuroprotective effects in both acute CO poisoning and delayed neuropsychological sequelae in CO poisoning. Orally administered lactulose, which may be used by some intestinal bacteria as a food source to produce endogenous hydrogen, can ameliorate oxidative stress. Based on the available findings, we hypothesize that oral administration of lactulose may be a novel therapy for acute CO poisoning via increasing intestinal hydrogen production.

  4. Carbon monoxide poisoning at a lowered myocardial adaptation capacity: animal ECG models.

    Science.gov (United States)

    Mikisková, H; Frantík, E

    1988-12-01

    Two animal models for testing foreign substances for the hypoxic type of cardiotoxicity proved to be valid and reproducible: i.e. decreased reserve capacity of the heart in rats recovered from the calciferol cardiopathy and increased heart work provoked by isoproterenol (5 mg/kg i.p.). In both cases obvious hypoxic ECG changes appeared at lower levels of exposure to carbon monoxide (500 ppm, 572 mg.m-3) and carboxyhemoglobin (18%), when compared with nonpretreated animals. The models have shown, that injured or overloaded heart displays a substantially increased sensitivity to CO poisoning.

  5. An Outbreak of Carbon Monoxide Poisoning in Yamagata Prefecture Following the Great East Japan Earthquake

    Directory of Open Access Journals (Sweden)

    Ken Iseki

    2013-06-01

    Full Text Available Background: In the aftermath of the Great East Japan Earthquake, most of the areas in Yamagata prefecture experienced a serious power failure lasting for approximately 24 hours. A number of households were subsequently poisoned with carbon monoxide (CO due to various causes. In this study, we conducted a survey of CO poisoning during the disaster. Methods: A questionnaire regarding CO poisoning associated with the disaster was sent to 37 emergency hospitals in Yamagata prefecture. Results: A total of 51 patients were treated for unintentional CO poisoning in 7 hospitals (hyperbaric oxygen chambers were present in 3 of the hospitals. The patients (18 men, 33 women ranged in age from 0 to 90 years. The source of CO exposure was charcoal briquettes (23 cases; 45%, gasoline-powered electric generators (18 cases; 35%, electric generators together with oil stoves (8 cases; 16%, oil stoves (1 cases; 2%, and automobile exhaust (1 cases; 2%. Blood carboxyhemoglobin levels ranged from 0.5% to 41.6% in 49 cases. Of these, 41 patients were treated by normobaric oxygen therapy, while one was intubated for artificial respiration. Additionally, 5 patients (10% were treated by hyperbaric oxygen therapy, and 3 patients (6% experienced delayed neuropsychiatric sequelae. Conclusion: CO sources included gasoline-powered electric generators and charcoal briquettes during the disaster. Storm-related CO poisoning is well recognized as a disaster-associated accident in the United States, but not in Japan. We emphasize that public education is needed to make people aware of the dangers of CO poisoning after a disaster. In addition, a pulse CO-oximeter should be set up in hospitals.  

  6. Serum S100B level may be correlated with carbon monoxide poisoning.

    Science.gov (United States)

    Liu, Hui; Zhang, Yu; Ren, Yan-Bo; Kang, Jian; Xing, Jing; Qi, Qing-Hui; Gao, Dong-Na; Ma, Tao; Liu, Xiao-Wei; Liu, Zhi

    2015-07-01

    To investigate the correlation between serum S100B level and carbon monoxide (CO) poisoning by meta-analysis. By searching both English and Chinese language-based electronic databases (PubMed, EBSCO, Ovid, Springerlink, Wiley, Web of Science, Wanfang databases, China national knowledge infrastructure (CNKI), VIP database, etc.) thoroughly, we tabulated and analyzed the collected data with the use of Comprehensive Meta-analysis 2.0 (CMA 2.0). Totally 108 studies have been searched initially (92 studies in Chinese, 16 studies in English). Nine case-control studies (4 studies in English, 5 in Chinese) were chosen for an updated meta-analysis including 542 patients with CO poising and 236 healthy controls. Results identified that the serum S100B level were obviously higher than that in healthy controls (SMD=1.600, 95% CI=1.055-2.145, P<0.001). A subgroup based on the ethnicities revealed that the serum S100B level in Caucasian and Asian subgroups was clearly higher than serum S100B level in healthy controls (Asians: SMD=2.0624, 95% CI=1.736-3.511, P<0.001; Caucasians: SMD=0.447, 95% CI=0.197-0.697, P<0.001). Serum S100B level may be correlated with the CO poisoning and could be effective biomarker for early diagnosis and treatment monitoring in CO poisoning. Copyright © 2015 Elsevier B.V. All rights reserved.

  7. Recovery of cognitive dysfunction in a case of delayed encephalopathy of carbon monoxide poisoning after treatment with donepezil hydrochloride

    OpenAIRE

    Wang Pin; Zeng Tao; Chi Zhao-fu

    2009-01-01

    Delayed encephalopathy following carbon monoxide poisoning is a serious complication. Here, we report a patient with delayed encephalopathy who suffered from cognitive disorders and urinary incontinence after a temporal normal period of 15 days after acute intoxication, and his cognitive function recovered gradually following donepezil hydrochloride treatment. Now, he can undertake slight farming work.

  8. Recovery of cognitive dysfunction in a case of delayed encephalopathy of carbon monoxide poisoning after treatment with donepezil hydrochloride

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    Wang Pin

    2009-01-01

    Full Text Available Delayed encephalopathy following carbon monoxide poisoning is a serious complication. Here, we report a patient with delayed encephalopathy who suffered from cognitive disorders and urinary incontinence after a temporal normal period of 15 days after acute intoxication, and his cognitive function recovered gradually following donepezil hydrochloride treatment. Now, he can undertake slight farming work.

  9. Nd:YGG crystal laser at 1110 nm: a potential source for detecting carbon monoxide poisoning.

    Science.gov (United States)

    Yu, Haohai; Wu, Kui; Zhang, Huaijin; Wang, Zhengping; Wang, Jiyang; Jiang, Minhua

    2011-04-01

    We demonstrated a laser-diode pumped Nd-doped yttrium gallium garnet crystal laser at 1110 nm for the first time to our knowledge. By suppressing the oscillation at about 1.06 μm, continuous-wave output power of 2.1 W at 1110 nm was achieved. With a Cr:YAG as the saturable absorber, the passive Q-switching performance at this wavelength was obtained. The shortest pulse width and largest pulse energy were 31.5 ns and 22.7 μJ, respectively. Laser radiation at this wavelength is an important source for detecting carbon monoxide poisoning by simple frequency doubling with a nonlinear crystal.

  10. Intelligent Monitoring System For Carbon Monoxide Poisoning And Leakage In Mines

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    Anshul Thakur

    2014-03-01

    Full Text Available This paper presents a feasibility study of a wearable helmet in order to protect mine workers specially of goldmines from carbon monoxide poisoning and cyanidation. Carbon monoxide(CO poisoning is a common problem faced by the workers of coal, gold and many other mines. On the other hand cyanidation problem occurs in gold mines only during ore processing. Current safety systems for mine workers, only monitors environmental concentrations of gas. This is insufficient because toxic exposures effects people at different levels based on their immunity levels. During mining process CO can be emitted which is a odorless gas and lighter than air, it cannot be sensed by workers and effects the hemoglobin range in the body so a CO gas sensor is implemented here in order to detect CO, if the density of CO exceeds inside the mines then the exhaust fan can be switched ON automatically. The key feature of this system is pulse oximetery sensor which will be checking the health parameters of each and every person employed there. During ore processing sodium cyanide is added to the ore in order to extract the gold from its ore which is a acidic substance. If acidity increases beyond a certain level then system will automatically pump sodium hydroxide into the ore to make it less acidic. All these three parameters will be displayed on LCD in the central location which will contain buzzer also for emergency. So in this system we are monitoring three parameters of workers as compare to one in previous systems and hence the security of workers is enhanced.

  11. Carbon monoxide poisoning while using a small cooking stove in a tent.

    Science.gov (United States)

    Thomassen, Øyvind; Brattebø, Guttorm; Rostrup, Morten

    2004-05-01

    Carbon monoxide (CO) is formed wherever incomplete combustion of carbonaceous products occurs.(1) CO is the leading cause of poisoning in the United States, and common sources of CO poisoning include housefires, automobile exhaust, water heaters, kerosene space heaters, and furnaces.(2) Stoves used for cooking and heating during outdoor activities also produce significant amounts of CO. Mountain climbers have been reported to succumb to fumes generated by small cook stoves.(3) The aim of this study was to investigate if burning a cooking stove inside a tent is a potential health hazard. Seven healthy male volunteers used a cooking stove inside a small tent for 120 minutes. CO levels in the ambient tent air were measured in addition to hearth rate (HR) and pulse oximetry (SpO2). Venous blood samples were obtained every 15 minutes for measurement of carboxyhemoglobin (COHb). After 2 hours, all the subjects had significant CO levels in their blood (mean COHb = 21.5%). Mean SpO2, also fell from 98% to 95.3% (P tent. The concentration is high enough to cause significant COHb levels in venous blood after 120 minutes' stay in the tent.

  12. Light irradiation for treatment of acute carbon monoxide poisoning: an experimental study.

    Science.gov (United States)

    Tanaka, Taku; Kashimura, Takeshi; Ise, Marii; Lohman, Brandon D; Taira, Yasuhiko

    2016-01-01

    Because treatment modalities for carbon monoxide (CO) poisoning, especially normobaric oxygen and hyperbaric oxygen therapies, have limited effects and hyperbaric oxygen is not available at the scene where treatment is most needed, we conducted a study to determine and compare rates of carboxyhemoglobin (COHb) dissociation achieved in human in vitro blood samples under light radiation emitted at three levels of illuminance. This was done with a view toward eventual on-site application. We drew blood from 10 volunteers, prepared 10 red blood cell solutions, and subjected each solution to a CO bubbling procedure to increase the COHb saturation. Samples of each bubbled solution were then divided between 3 beakers (beakers A, B, and C) for a total of 30 beakers. The solution in each beaker was exposed to a continuous flow of oxygen at 50 mL/min, and simultaneously for a period of 15 min, the beaker A and B solutions were irradiated with light emitted at 500,000 and 100,000 lux, respectively, from a halogen light source. The beaker C solutions were exposed to room light. At 3, 6, 9, 12, and 15 min, a 50-μL sample was pipetted from each of the 30 beakers for determination of its light absorbance and the COHb dissociation rate. Under each of the experimental conditions, dissociation progressed but at different rates, and starting at 3 min, the differences in rates between conditions were significant (P poisoning.

  13. Serum bilirubin value predicts hospital admission in carbon monoxide-poisoned patients. Active player or simple bystander?

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    Gianfranco Cervellin

    Full Text Available OBJECTIVES: Although carbon monoxide poisoning is a major medical emergency, the armamentarium of recognized prognostic biomarkers displays unsatisfactory diagnostic performance for predicting cumulative endpoints. METHODS: We performed a retrospective and observational study to identify all patients admitted for carbon monoxide poisoning during a 2-year period. Complete demographical and clinical information, along with the laboratory data regarding arterial carboxyhemoglobin, hemoglobin, blood lactate and total serum bilirubin, was retrieved. RESULTS: The study population consisted of 38 poisoned patients (23 females and 15 males; mean age 39±21 years. Compared with discharged subjects, hospitalized patients displayed significantly higher values for blood lactate and total serum bilirubin, whereas arterial carboxyhemoglobin and hemoglobin did not differ. In a univariate analysis, hospitalization was significantly associated with blood lactate and total serum bilirubin, but not with age, sex, hemoglobin or carboxyhemoglobin. The diagnostic performance obtained after combining the blood lactate and total serum bilirubin results (area under the curve, 0.90; 95% CI, 0.81-0.99; p<0.001 was better than that obtained for either parameter alone. CONCLUSION: Although it remains unclear whether total serum bilirubin acts as an active player or a bystander, we conclude that the systematic assessment of bilirubin may, alongside lactate levels, provide useful information for clinical decision making regarding carbon monoxide poisoning.

  14. Detection of neutrophil-lymphocyte ratio as a serum marker associated with inlfammations by acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    Mustafa Karabacak; Kenan Ahmet Turkdogan; Abuzer Coskun; Orhan Akpinar; Ali Duman; Mcahit Kapci; Sevki Hakan Eren; Pnar Karabacak

    2015-01-01

    Objective: To investigate neutrophil–lymphocyte ratio (NLR), which is an indicator of systemic inflammation, in patients with carbon monoxide (CO) poisoning. Methods: We included 528 patients (275 women) who presented with a diagnosis of CO poisoning between June 2009 and March 2014. Control group was composed of 54 patients (24 women). Platelet count and mean platelet volume level were significantly higher in the CO poisoning group. Results: White blood cell level (9.8 ± 3.3vs 8.6 ± 2.9× 103/mL, respectively;P= 0.01), neutrophil count (6.00 ± 2.29vs 4.43 ± 2.04×103/mL, respectively;P Conclusions: The increase ofNLR may indicate the progression of fatal complications due to CO poisoning.

  15. Notes from the field: carbon monoxide exposures reported to poison centers and related to hurricane Sandy - Northeastern United States, 2012.

    Science.gov (United States)

    2012-11-09

    Hurricane Sandy made landfall as a post-tropical cyclone along the coast of southern New Jersey on Monday, October 29, 2012. In the wake of Sandy, state and federal public health agencies have observed an increase in the number of exposures to carbon monoxide (CO) reported to poison centers. CO is imperceptible and can cause adverse health effects ranging from fatigue and headache to cardiorespiratory failure, coma, and death. CO poisoning is a leading cause of mortality and morbidity in post-disaster situations, when widespread power outages occur and risky behaviors, such as improper placement of generators and indoor use of charcoal grills, increase.

  16. Research progress on delayed encephalopathy after acute carbon monoxide poisoning%急性一氧化碳中毒迟发性脑病研究进展

    Institute of Scientific and Technical Information of China (English)

    葛桂荣

    2010-01-01

    @@ 急性一氧化碳(CO)中毒迟发性脑病(Delayed encephalopathy after acute canbon monoxide poisoning,DEACMP)系指急性CO中毒(Acute carbon monoxide poisoning,ACOP)患者经抢救,中毒症状缓解或消失2~30 d后,再度出现的神经精神症状.

  17. Status epilepticus and cardiopulmonary arrest in a patient with carbon monoxide poisoning with full recovery after using a neuroprotective strategy: a case report

    OpenAIRE

    Abdulaziz Salman; Dabbagh Ousama; Arabi Yaseen; Kojan Suleiman; Hassan Imad

    2012-01-01

    Abstract Introduction Carbon monoxide poisoning can be associated with life-threatening complications, including significant and disabling cardiovascular and neurological sequelae. Case presentation We report a case of carbon monoxide poisoning in a 25-year-old Saudi woman who presented to our facility with status epilepticus and cardiopulmonary arrest. Her carboxyhemoglobin level was 21.4 percent. She made a full recovery after we utilized a neuroprotective strategy and normobaric oxygen the...

  18. New approach to carbon monoxide poisoning treatment by laser-induced photodissociation of carboxyhemoglobin of cutaneous blood vessels

    Science.gov (United States)

    Asimov, Mustafo M.; Asimov, Rustam M.; Gisbrecht, Alexander

    2005-04-01

    A new approach to carbon monoxide poisoning treatment based on laser-induced photodissociation of the carboxyhemoglobin is proposed. Using the simple model of laser tissue interaction the action spectra of laser radiation on carboxyhemoglobin of cutaneous blood vessels has been calculated. The results of the calculatoins indicate that there is a relatively narrow spectral range in the visible region where one could effectively irradiate carboxyhemoglobin through the tissue not in a deep distances. In the case of deeper penetration, the action spectra of laser radiation shifts toward the longer wavelength region. Despite the similarity of the carboxyhemoglobin and oxyhemoglobin action spectra, the significant difference in quantum yields of photodissociation makes possible to develop an effective method of carbon monoxide poisoning treatment.

  19. Carbon monoxide poisoning and flooding: changes in risk before, during and after flooding require appropriate public health interventions.

    Science.gov (United States)

    Waite, Thomas; Murray, Virginia; Baker, David

    2014-07-03

    Introduction While many of the acute risks posed by flooding and other disasters are well characterised, the burden of carbon monoxide (CO) poisoning and the wide range of ways in which this avoidable poisoning can occur around flooding episodes is poorly understood, particularly in Europe. The risk to health from CO may continue over extended periods of time after flooding and different stages of disaster impact and recovery are associated with different hazards. Methods A review of the literature was undertaken to describe the changing risk of CO poisoning throughout flooding/disaster situations. The key objectives were to identify published reports of flood-related carbon monoxide incidents that have resulted in a public health impact and to categorise these according to Noji's Framework of Disaster Phases (Noji 1997); to summarise and review carbon monoxide incidents in Europe associated with flooding in order to understand the burden of CO poisoning associated with flooding and power outages; and to summarise those strategies in Europe which aim to prevent CO poisoning that have been published and/or evaluated. The review identified 23 papers which met its criteria. The team also reviewed and discussed relevant government and non-government guidance documents. This paper presents a summary of the outcomes and recommendations from this review of the literature. Results Papers describing poisonings can be considered in terms of the appliance/source of CO or the circumstances leading to poisoning.The specific circumstances identified which lead to CO poisoning during flooding and other disasters vary according to disaster phase. Three key situations were identified in which flooding can lead to CO poisoning; pre-disaster, emergency/recovery phase and post-recovery/delayed phase. These circumstances are described in detail with case studies. This classification of situations is important as different public health messages are more appropriate at different phases

  20. Carbon Monoxide Poisoning and Flooding: Changes in Risk Before, During and After Flooding Require Appropriate Public Health Interventions

    Science.gov (United States)

    Waite, Thomas; Murray, Virginia; Baker, David

    2014-01-01

    Introduction While many of the acute risks posed by flooding and other disasters are well characterised, the burden of carbon monoxide (CO) poisoning and the wide range of ways in which this avoidable poisoning can occur around flooding episodes is poorly understood, particularly in Europe. The risk to health from CO may continue over extended periods of time after flooding and different stages of disaster impact and recovery are associated with different hazards. Methods A review of the literature was undertaken to describe the changing risk of CO poisoning throughout flooding/disaster situations. The key objectives were to identify published reports of flood-related carbon monoxide incidents that have resulted in a public health impact and to categorise these according to Noji’s Framework of Disaster Phases (Noji 1997); to summarise and review carbon monoxide incidents in Europe associated with flooding in order to understand the burden of CO poisoning associated with flooding and power outages; and to summarise those strategies in Europe which aim to prevent CO poisoning that have been published and/or evaluated. The review identified 23 papers which met its criteria. The team also reviewed and discussed relevant government and non-government guidance documents. This paper presents a summary of the outcomes and recommendations from this review of the literature. Results Papers describing poisonings can be considered in terms of the appliance/source of CO or the circumstances leading to poisoning.The specific circumstances identified which lead to CO poisoning during flooding and other disasters vary according to disaster phase. Three key situations were identified in which flooding can lead to CO poisoning; pre-disaster, emergency/recovery phase and post-recovery/delayed phase. These circumstances are described in detail with case studies. This classification of situations is important as different public health messages are more appropriate at different

  1. A modern literature review of carbon monoxide poisoning theories, therapies, and potential targets for therapy advancement.

    Science.gov (United States)

    Roderique, Joseph D; Josef, Christopher S; Feldman, Michael J; Spiess, Bruce D

    2015-08-06

    The first descriptions of carbon monoxide (CO) and its toxic nature appeared in the literature over 100 years ago in separate publications by Drs. Douglas and Haldane. Both men ascribed the deleterious effects of this newly discovered gas to its strong interaction with hemoglobin. Since then the adverse sequelae of CO poisoning has been almost universally attributed to hypoxic injury secondary to CO occupation of oxygen binding sites on hemoglobin. Despite a mounting body of literature suggesting other mechanisms of injury, this pathophysiology and its associated oxygen centric therapies persists. This review attempts to elucidate the remarkably complex nature of CO as a gasotransmitter. While CO's affinity for hemoglobin remains undisputed, new research suggests that its role in nitric oxide release, reactive oxygen species formation, and its direct action on ion channels is much more significant. In the course of understanding the multifaceted character of this simple molecule it becomes apparent that current oxygen based therapies meant to displace CO from hemoglobin may be insufficient and possibly harmful. Approaching CO as a complex gasotransmitter will help guide understanding of the complex and poorly understood sequelae and illuminate potentials for new treatment modalities.

  2. Use of carbon monoxide alarms to prevent poisonings during a power outage--North Carolina, December 2002.

    Science.gov (United States)

    2004-03-12

    Each year in the United States, approximately 500 persons die from unintentional carbon monoxide (CO) poisoning, often during electric power outages caused by severe storms. Use of residential CO alarms has been recommended to reduce the incidence of CO poisoning. In September 2000, Mecklenburg County, North Carolina (2002 population: 722,367), adopted a public health ordinance requiring a CO alarm in the majority of residences; all-electric residences without attached garages (35.4% of all homes) were exempt. The ordinance also permitted use of alarms without battery back-up. On December 4, 2002, an ice storm caused 78.9% of county households to lose power. During the next 9 days, 124 cases of symptomatic CO poisoning were reported. To characterize these poisonings and the effectiveness of the CO alarm ordinance, local emergency physicians, fire department authorities, and CDC conducted an investigation. This report summarizes the results of that investigation, which determined that 96.2% of the severe poisonings occurred in homes with no reported functioning CO alarm. As a result of these findings, on October 8, 2003, Mecklenburg County officials amended the ordinance to require alarms with battery back-ups in all residences. Officials in other communities should consider enacting such alarm ordinances to prevent CO poisonings.

  3. Comparison of carbon monoxide poisonings originated from coal stove and natural gas and the evaluation of Neutrophil/Lymphocyte ratio

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    Yahya Kemal Günaydın

    2015-09-01

    Full Text Available Objective: The aim of our study is to present the epidemiologic, clinical, laboratory and prognosis differences between the coal stove origin poisoning and natural gas leakages. We also aimed to investigate relationship between the severity of clinical picture, prognosis, complications develop in CO poisoning with neutrophil/lymphocyte ratio (NLR at the initial admission. Methods: All the acute carbon monoxide cases who applied to Ankara Training and Research Hospital Emergency Medicine Clinic between October 2009 and April 2010 were included to this prospective study. CO poisoning diagnosis was made by the history of CO poisoning with carboxyl hemoglobin (COHb concentration is over 10%. 100 patients were included to our study. Results: Of the patients, 55(55% were poisoned from the coal-stove and 45(45% from natural gas leakage. The mean COHb level of the natural gas group was significantly high (p=0.01. The mean value of GCS of the natural gas group was significantly lower (p=0.018. The number of patients with indication for HBO therapy were 17 and 6 in the natural gas group and coal-stove group, respectively, being significantly higher in the natural gas group(p=0.001. There was no statistically significant relationship between the value of NLR and values of COHb, troponin, and GCS (p=0.872, p=0.470, and p=0.896, respectively. Conclusions: Carbon monoxide poisoning from natural gas leakage is more toxic than that from the coal-stove. There is no relationship between NLR at the time of presentation and the severity of clinical findings, prognosis and complications.

  4. [Clinical examination of 3 patients with delayed neuropsychiatric encephalopathy induced by carbon monoxide poisoning, who recovered from severe neurocognitive impairment by repetitive hyperbaric oxygen therapy].

    Science.gov (United States)

    Watanuki, Toshio; Matsubara, Toshio; Higuchi, Naoko; Higuchi, Fumihiro; Inoue, Koji; Otsuchi, Hironobu; Tsuruta, Ryosuke; Watanabe, Yoshifumi

    2014-01-01

    We performed hyperbaric oxygen (HBO) therapy for 3 patients with delayed neuropsychiatric encephalopathy induced by carbon monoxide (CO) poisoning. All patients were male and around 50 years old, and they had not received HBO therapy within 24 h after CO poisoning, even though they showed severe consciousness disturbance. In these patients, delayed neuropsychiatric encephalopathy appeared about 25 days after acute CO poisoning, and HBO therapy was initiated within 8 days after disease onset. Although the condition of 2 of the patients worsened initially, they showed significant improvement of neurocognitive impairment after 30 sessions of HBO therapy. The clinical courses of these patients suggest that the effect of HBO therapy can be evaluated after 30 sessions. To evaluate the validity of the indices of the clinical effect of HBO therapy, we performed brain magnetic resonance imaging, single photon emission computed tomography, electroencephalography (EEG), and neurocognitive tests (HDS-R, and Wechsler Adult Intelligence Scale-Revised or III). Our results showed that changes in EEG signals and neurocognitive tests were closely correlated with the patients' clinical courses.

  5. Asymmetric Dimethylarginine and Pro-B-Type Natriuretic Peptide Levels in Patients With Carbon Monoxide Poisoning

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    Murat Eroglu

    2013-04-01

    CONCLUSIONS: Despite COHB level decreased, ADMA increased after oxygen therapy in patients with CO poisoning. We think that CO poisoning induced oxidative stress may cause increased ADMA levels. Further studies are needed to evaluate the importance of ADMA in CO poisoning. [Dis Mol Med 2013; 1(2.000: 21-25

  6. Hospital emergency department visits for carbon monoxide poisoning following an October 2006 snowstorm in western New York.

    Science.gov (United States)

    Muscatiello, Neil A; Babcock, Gwen; Jones, Rena; Horn, Edward; Hwang, Syni-An

    2010-01-01

    Following an October 2006 snowstorm that caused widespread power outages in western New York State, hospital emergency department (ED) visits for carbon monoxide (CO) poisoning increased. Overall, 264 people representing 155 households were diagnosed with CO poisoning during the power outages. Telephone interviews were conducted with a subset of these individuals. Respondents provided information about exposure sources, CO alarms, and awareness of CO warnings. In many households, portable generators were operated in an enclosed area. Awareness of CO warnings may have contributed to knowledge about locating portable generators outside. When operated outside, however, portable generators were generally located too close to the home. Gas kitchen ranges were used for heat by numerous households. In the short term, CO education and improved clarity of CO warning information is important for increasing awareness about power outage-related CO risks. Improvements in the combustion efficiency of portable generators should be a long-term goal.

  7. Status epilepticus and cardiopulmonary arrest in a patient with carbon monoxide poisoning with full recovery after using a neuroprotective strategy: a case report

    Directory of Open Access Journals (Sweden)

    Abdulaziz Salman

    2012-12-01

    Full Text Available Abstract Introduction Carbon monoxide poisoning can be associated with life-threatening complications, including significant and disabling cardiovascular and neurological sequelae. Case presentation We report a case of carbon monoxide poisoning in a 25-year-old Saudi woman who presented to our facility with status epilepticus and cardiopulmonary arrest. Her carboxyhemoglobin level was 21.4 percent. She made a full recovery after we utilized a neuroprotective strategy and normobaric oxygen therapy, with no delayed neurological sequelae. Conclusions Brain protective modalities are very important for the treatment of complicated cases of carbon monoxide poisoning when they present with neurological toxicities or cardiac arrest. They can be adjunctive to normobaric oxygen therapy when the use of hyperbaric oxygen is not feasible.

  8. Ischemia-modified albumin levels in the prediction of acute critical neurological findings in carbon monoxide poisoning

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    Murat Daş

    2016-04-01

    Full Text Available The aim of the study was to determine whether serum ischemia-modified albumin (IMA levels in patients with carbon monoxide (CO poisoning were higher compared with a control group of healthy volunteers. In addition, the study sought to determine if there was a correlation between serum IMA levels and carboxyhemoglobin (COHB levels and other critical neurological findings (CNFs. In this prospective study, the IMA levels of 100 patients with CO poisoning and 50 control individuals were compared. In addition, the IMA and COHB levels were analyzed according to absence or presence CNFs in patients with CO poisoning. The levels of IMA (mg/dL on admittance, and during the 1st hour and 3rd hour, in patients with CO poisoning (49.90 ± 35.43, 30.21 ± 14.81, and 21.87 ± 6.03 were significantly higher, compared with the control individuals (17.30 ± 2.88. The levels of IMA in the 6th hour were not higher compared with control individuals. The levels of IMA on admittance, and during the 1st hour, 3rd hour, and 6th hour, and COHB (% levels in patients who had CNFs were higher compared with IMA levels and COHB levels in patients who had no CNFs (p < 0.001. However, when the multivariate model was created, it was observed that IMA level on admittance was a poor indicator for prediction of CNFs (odds ratio = 1.05; 95% confidence interval, 1.01–1.08. We therefore concluded that serum IMA levels could be helpful in the diagnosis of CO poisoning. However, we believe that IMA levels cannot be used to predict which patients will develop CNFs due to CO poisoning.

  9. CARBON MONOXIDE TREATMENT GUIDELINES

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    Miran Brvar

    2014-02-01

    Full Text Available Carbon monoxide is the leading cause of unintentional poisoning-related death in Slovenia. It is an odorless, colorless gas that usually remains undetectable until exposures result in injury or death. Exposure to carbon monoxide is most commonly accompanied by headache, nausea, vomiting, dizziness, confusion, drowsiness, fatigue and collapse. Carbon monoxide poisoning management includes normobaric oxygen therapy. Hyperbaric-oxygen treatments reduce the risk of cognitive sequelae after carbon monoxide poisoning

  10. Predicting poor outcome in patients with intentional carbon monoxide poisoning and acute respiratory failure: A retrospective study

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    Chih-Hao Shen

    2015-01-01

    Full Text Available Purpose: Intentional carbon monoxide (CO poisoning has become the commonly used method of suicide in some Asian countries. The objective of this study was to identify the predictors that impact the outcome of intentional CO-poisoned patients with acute respiratory failure. Materials and Methods: This is a retrospective observational study of 796 consecutive patients diagnosed with acute CO poisoning that presented to the emergency department (ED. Patients who were CO poisoned with intentional exposure and acute respiratory failure were enrolled and divided into two groups. The poor outcome group consisted of in-hospital death, the presence of persistent neurological sequelae, and the presence of delayed neurologic sequelae. The good outcome group consisted of other enrolled patients. Demographic and clinical data of the two groups were extracted for analysis. Results: A total of 148 patients were enrolled in this study. Of the eligible subjects, 67.6% (100 were identified with positive toxicology screening results. On arriving ED, parameters associated with patients with a poor outcome included hypotension, myocardial injury, prolonged lag times from the first ED arrival to initiation of hyperbaric oxygen therapy, higher white blood cell count, and higher serum levels of blood urea nitrogen, creatine kinase, and troponin-I (P < 0.05. Positive toxicology screening result did not relate to the outcome. Multivariate analysis showed that the myocardial injury was an independent factor for poor outcome (odds ratio, 2.750; 95% confidence interval, 1.168-6.474; P = 0.021. Conclusions: Myocardial injury is an independent predictor of in-hospital death and neurologic sequelae in patients with intentional CO poisoning and acute respiratory failure.

  11. Early Biomarkers in 1H Nuclear Magnetic Resonance Spectroscopy of Striatal Pathological Mechanisms after Acute Carbon Monoxide Poisoning in Rats

    Institute of Scientific and Technical Information of China (English)

    GUAN Li; LI Zong Yang; ZHANG Yan Lin; CONG Cui Cui; ZHAO Jin Yuan

    2015-01-01

    Objective In vivo Proton Magnetic Resonance Spectroscopy (1H-MRS) can be used to evaluate the levels of specific neurochemical biomarkers of pathological mechanisms in the brain. Methods We conducted T2-Weighted Magnetic Resonance Imaging (MRI) and 1H-MRS with a 3.0-Tesla animal MRI system to investigate the early microstructural and metabolic profiles in vivo in the striatum of rats following carbon monoxide (CO) poisoning. Results Compared to baseline, we found significant cortical surface deformation, cerebral edema changes, which were indicated by the unclear gray/white matter border, and lateral ventricular volume changes in the brain. A significant reduction in the metabolite to total creatine (Cr) ratios of N-acetylaspartate (NAA) was observed as early as 1 h after the last CO administration, while the lactate (Lac) levels increased marginally. Both the Lac/Cr and NAA/Cr ratios leveled off at 6 h and showed no subsequent significant changes. In addition, compared to the control, the choline (Cho)/Cr ratio was slightly reduced in the early stages and significantly increased after 6 h. In addition, a pathological examination revealed mild cerebral edema on cessation of the insult and more severe cerebral injury after additional CO poisoning. Conclusion The present study demonstrated that 1H-MRS of the brain identified early metabolic changes after CO poisoning. Notably, the relationship between the increased Cho/Cr ratio in the striatum and delayed neuropsychologic sequelae requires further research.

  12. Acute carbon monoxide poisoning in an animal model: the effects of altered glucose on morbidity and mortality.

    Science.gov (United States)

    Penney, D G

    1993-06-11

    An animal model in which the common carotid artery and the jugular vein serving one side of the brain are occluded by indwelling catheters has been used during the past few years to investigate acute carbon monoxide (CO) poisoning. This article reviews the recent research examining the pattern of changes in blood glucose concentration which results from CO exposure, and the manner in which altered glucose concentration alters neurologic outcome and mortality. At present it appears that either greatly depressed glucose or greatly elevated glucose during and/or after CO exposure increases morbidity and mortality. Cyanide (CN) poisoning, in contrast to CO, produces a different pattern of changes in blood glucose and lactate, and unlike CO, fails to slow cardiac AV conduction and ventricular repolarization. Through the use of magnetic resonance imaging and spectroscopic techniques, cerebral cortical edema and the changes in brain phosphagens have been assessed following CO poisoning in the rat. The published results as well as data from recent pilot studies are discussed in the light of our current understanding of CO toxicology.

  13. Medical Recapitulate%Role of Nrf-2 Gene in the Pathogenesis of Brain Damage Following Acute Carbon Monoxide Poison-ing

    Institute of Scientific and Technical Information of China (English)

    郑然(综述); 李琴; 邹勇(审校)

    2016-01-01

    Acute brain damage and delayed encephalopathy are two main clinical manifestations of brain damage after carbon monoxide(CO) exposure,and seriously affect the life quality and prognosis of patients with CO poisoning.Hyperbaric oxygen is considered as the main therapy for brain damage after acute CO poi-soning.However,there are many controversies on its clinical application .The pathogenesis of brain damage after acute CO poisoning is poorly elucidated.The activation of nuclear factor erythrocyte two related factors-2 ( Nrf-2) may benefit the therapy for inflammatory and apoptosis mechanism triggered by CO poisoning .Thus, research on the role of Nrf-2 gene in the pathogenesis of brain damage following acute CO poisoning can pro-vide new ideas for the targeted therapy for the acute brain damage and delayed encephalopathy following CO poisoning.%一氧化碳中毒后的急性脑损伤和迟发型脑病严重影响患者的预后及生存质量。高压氧作为临床治疗一氧化碳中毒性脑损伤的主要方法争议颇多,而一氧化碳中毒性脑损伤的发病机制目前也尚未明确。核因子红细胞2相关因子2(Nrf-2)的激活可能对一氧化碳中毒引发的炎症、凋亡等发挥较好的治疗作用。因此,研究Nrf-2在一氧化碳中毒性脑损伤发病机制中的作用可为一氧化碳中毒后急性脑损伤和迟发型脑病的靶向治疗提供新思路。

  14. Risk Factors for Non-Occupational Carbon Monoxide Poisoning: Anshan Prefecture, Liaoning Province, China, 2011-2012.

    Directory of Open Access Journals (Sweden)

    Qiang Lu

    Full Text Available Carbon monoxide (CO poisoning can be fatal but is preventable. From October 2010 to February 2011, Anshan Prefecture reported 57 cases of non-occupational CO poisoning in District A, with two deaths. We conducted an investigation to identify risk factors and recommend preventive measures.We defined a possible case of non-occupational CO poisoning as onset of at least two of the following symptoms: fatigue, headache, dizziness, nausea, vomiting, cyanosis, loss of consciousness, coma, and shock from October 1, 2010, to February 28, 2011, in a resident of Anshan Prefecture with non-occupational exposure to CO poisoning. We defined a probable case as onset of at least one of the following symptoms: cyanosis, loss of consciousness, coma and shock, plus at least one of the following symptoms: fatigue, headache, dizziness, nausea, vomiting, among possible cases. A confirmed CO poisoning case was a possible case or probable case plus hemoglobin (Hb CO higher than 10%. We searched for cases by reviewing medical records and records of hyperbaric oxygen tank usage. In a case-control investigation, we compared home heating practices of 30 case-persons and 120 control-persons who were individually matched to each case by neighborhood.Overall, 56% (39/70 of case-patients' households burned coal for home-heating. In the case-control investigation, 40% (12/30 of case-persons' households compared with 5.8% (7/120 of control-persons' households placed stoves in bedrooms (Mantel-Haenszel odds ratio [ORM-H] = 11, 95% confidence interval [CI] = 3.0-41; 53% (16/30 of case-patients' households and 33% (40/120 of control-patients' households did not extinguish the fire before sleeping (ORM-H = 3.6, 95% CI = 1.1-12; 13% (4/30 of case-patients' households and 3% (4/120 of control-patients' households had not installed the ventilation pipe vertically (ORM-H = 7.3, 95% CI = 1.0-56. Overall, 77% (23/30 of case-patients' households and 39% (47/120 of control

  15. 1H MR spectroscopy of gray and white matter in carbon monoxide poisoning

    DEFF Research Database (Denmark)

    Kondziella, D.; Danielsen, E.R.; Hansen, K.;

    2009-01-01

    -acetyl aspartate (NAA) ratios to creatine (Cr), predominantly in the white matter. Lactate peaks were detected in two patients during the early phase of high-dose CO poisoning. Two patients with chronic low-dose CO exposure and without loss of consciousness had normal MRI and MRS scans. On follow-up. five of our...... limited information is available to date on the use of this protocol in determining the neurological effects of CO poisoning. To further examine the short-term and long-term effects of CO on the central nervous system, we have studied seven patients with CO poisoning assessed by gray and white matter MRS......, magnetic resonance imaging (MRI) and neuropsychological testing. Five patients suffered from acute high-dose CO intoxication and were in coma for 1-6 days. In these patients, MRI revealed hyperintensities of the white matter and globus pallidus and also showed increased choline (Cho) and decreased N...

  16. Delayed neuropsychological sequelae after carbon monoxide poisoning: predictive risk factors in the Emergency Department. A retrospective study

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    Botti Primo

    2011-03-01

    Full Text Available Abstract Background Delayed neuropsychological sequelae (DNS commonly occur after recovery from acute carbon monoxide (CO poisoning. The preventive role and the indications for hyperbaric oxygen therapy in the acute setting are still controversial. Early identification of patients at risk in the Emergency Department might permit an improvement in quality of care. We conducted a retrospective study to identify predictive risk factors for DNS development in the Emergency Department. Methods We retrospectively considered all CO-poisoned patients admitted to the Emergency Department of Careggi University General Hospital (Florence, Italy from 1992 to 2007. Patients were invited to participate in three follow-up visits at one, six and twelve months from hospital discharge. Clinical and biohumoral data were collected; univariate and multivariate analysis were performed to identify predictive risk factors for DNS. Results Three hundred forty seven patients were admitted to the Emergency Department for acute CO poisoning from 1992 to 2007; 141/347 patients participated in the follow-up visit at one month from hospital discharge. Thirty four/141 patients were diagnosed with DNS (24.1%. Five/34 patients previously diagnosed as having DNS presented to the follow-up visit at six months, reporting a complete recovery. The following variables (collected before or upon Emergency Department admission were associated to DNS development at one month from hospital discharge in the univariate analysis: CO exposure duration >6 hours, a Glasgow Coma Scale (GCS score Conclusions Our study identified several potential predictive risk factors for DNS. Treatment algorithms based on an appropriate risk-stratification of patients in the Emergency Department might reduce DNS incidence; however, more studies are needed. Adequate follow-up after hospital discharge, aimed at correct recognition of DNS, is also important.

  17. MRI findings of otic and sinus barotrauma in patients with carbon monoxide poisoning during hyperbaric oxygen therapy.

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    Ping Wang

    Full Text Available BACKGROUND AND PURPOSE: To study the MRI findings of otic and sinus barotrauma in patients with carbon monoxide(CO poisoning during hyperbaric oxygen (HBO therapy and examine the discrepancies of otic and sinus abnormalities on MRI between barotrauma and acute otitis media with effusion. MATERIALS AND METHODS: Eighty patients with CO-poisoning diagnosed with otic and sinus barotrauma after HBO therapy were recruited. Brain MRI was performed to predict delayed encephalopathy. Over the same period, 88 patients with acute otitis media with effusion on MRI served as control. The abnormalities of the middle ear and paranasal sinuses on MRI were noted and were compared between groups. Nine patients with barotrauma were followed up by MRI. RESULTS: In the barotrauma group, 92.5% of patients had bilateral middle ear abnormalities on MRI, and 60% of patients had both middle ear cavity and mastoid cavity abnormalities on MRI in both ears. Both rates were higher than those in the control group (p = 0.000. In the two groups, most abnormalities on MRI were observed in the mastoid cavity. The rate of sinus abnormalities of barotrauma was 66.3%, which was higher than the 50% in the control group (p = 0.033. In the nine patients with barotrauma followed up by MRI, the otic barotrauma and sinus abnormalities had worsened in 2 patients and 5 patients, respectively. CONCLUSION: MRI is able to depict the abnormalities of otic and sinus barotrauma in patients with CO-poisoning during HBO therapy and to differentiate these from acute otitis media with effusion.

  18. A Yearlong Epidemiologic Study on Unintentional Acute Carbon Monoxide Poisoning in Fars Province, Southwest Iran

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    Alireza Mirahmadizadeh

    2016-03-01

    Conclusion: Generally, the incidence and fatality rate of CO poisoning in the current study were comparable to those of the world statistics, but higher than in developed counties. Attention and emphasis on the safety of gas heaters, stoves, and other gas-powered appliances in residential places should be enforced.

  19. Unique case of fatal carbon monoxide poisoning in the absence of a combustible fossil fuel.

    Science.gov (United States)

    Morgan, D R; Poon, P; Titley, J; Jagger, S F; Rutty, G N

    2001-09-01

    A 37-year-old man died as a result of exposure to carbon monoxide within an apartment. An investigation of the apartment showed no gas appliances or gas supply to the apartment and no evidence of any combustion event to any part of the apartment or roof space. Inhalation of dichloromethane was excluded. Heating to the apartment was found to be via an electrical storage heater, the examination of which revealed that the cast-iron core and insulating material showed evidence of heat damage with significant areas devoid of carbon. This electric storage heater is hypothesized to be the source of carbon for the fatal production of carbon monoxide within the apartment.

  20. Combined application of dexamethasone and hyperbaric oxygen therapy yields better efficacy for patients with delayed encephalopathy after acute carbon monoxide poisoning

    Science.gov (United States)

    Xiang, Wenping; Xue, Hui; Wang, Baojun; Li, Yuechun; Zhang, Jun; Jiang, Changchun; Liang, Furu; Pang, Jiangxia; Yu, Lehua

    2017-01-01

    Background Delayed encephalopathy after acute carbon monoxide (CO) poisoning (DEACMP) commonly occurs after recovering from acute CO poisoning. This study was performed to assess the efficacy of the combined application of dexamethasone and hyperbaric oxygen (HBO) therapy in patients with DEACMP. Patients and methods A total of 120 patients with DEACMP were recruited and randomly assigned into the experimental group (receiving dexamethasone 5 mg/day or 10 mg/day plus HBO therapy) and control group (HBO therapy as monotherapy). Meanwhile, the conventional treatments were provided for all the patients. We used the Mini-Mental State Examination (MMSE) scale to assess the cognitive function, the National Institutes of Health Stroke Scale (NIHSS) to assess the neurological function and the remission rate (RR) to assess the clinical efficacy. Myelin basic protein (MBP) in the cerebrospinal fluid (CSF) was also measured. Results After 4 weeks of treatment, compared to the control group, the experimental group had a significantly higher remission rate (P=0.032), a significantly higher average MMSE score (P=0.037) and a significantly lower average NIHSS score (P=0.002). Meanwhile, there was a trend toward better improvement with dexamethasone 10 mg/day, and the level of MBP in the CSF of patients was significantly lower in the experimental group than in the control group (P<0.0001). The addition of dexamethasone did not significantly increase the incidence of adverse events. Conclusion These results indicate that the combined application of dexamethasone and HBO therapy could yield better efficacy for patients with DEACMP and should be viewed as a potential new therapy. PMID:28260864

  1. Combined application of dexamethasone and hyperbaric oxygen therapy yields better efficacy for patients with delayed encephalopathy after acute carbon monoxide poisoning

    Directory of Open Access Journals (Sweden)

    Xiang W

    2017-02-01

    Full Text Available Wenping Xiang,1 Hui Xue,2 Baojun Wang,2 Yuechun Li,2 Jun Zhang,2 Changchun Jiang,2 Furu Liang,2 Jiangxia Pang,2 Lehua Yu1 1Department of Rehabilitation Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, 2Department of Neurology, Baotou Central Hospital, Baotou, Inner Mongolia, People’s Republic of China Background: Delayed encephalopathy after acute carbon monoxide (CO poisoning (DEACMP commonly occurs after recovering from acute CO poisoning. This study was performed to assess the efficacy of the combined application of dexamethasone and hyperbaric oxygen (HBO therapy in patients with DEACMP.Patients and methods: A total of 120 patients with DEACMP were recruited and randomly assigned into the experimental group (receiving dexamethasone 5 mg/day or 10 mg/day plus HBO therapy and control group (HBO therapy as monotherapy. Meanwhile, the conventional treatments were provided for all the patients. We used the Mini-Mental State Examination (MMSE scale to assess the cognitive function, the National Institutes of Health Stroke Scale (NIHSS to assess the neurological function and the remission rate (RR to assess the clinical efficacy. Myelin basic protein (MBP in the cerebrospinal fluid (CSF was also measured.Results: After 4 weeks of treatment, compared to the control group, the experimental group had a significantly higher remission rate (P=0.032, a significantly higher average MMSE score (P=0.037 and a significantly lower average NIHSS score (P=0.002. Meanwhile, there was a trend toward better improvement with dexamethasone 10 mg/day, and the level of MBP in the CSF of patients was significantly lower in the experimental group than in the control group (P<0.0001. The addition of dexamethasone did not significantly increase the incidence of adverse events.Conclusion: These results indicate that the combined application of dexamethasone and HBO therapy could yield better efficacy for patients with DEACMP and

  2. Forensic aspects of carbon monoxide poisoning by charcoal burning in Denmark, 2008-2012

    DEFF Research Database (Denmark)

    Nielsen, Pia Rude; Gheorghe, Alexandra; Lynnerup, Niels

    2014-01-01

    Carbon monoxide (CO) inhalation is a well-known method of committing suicide. There has been a drastic increase in suicide by inhalation of CO, produced from burning charcoal, in some parts of Asia, and a few studies have reported an increased number of these deaths in Europe. CO-related deaths...... found in 9 cases. Data suggest that this method of death has increased significantly in Denmark. Therefore, it is highly relevant to draw attention to the subject, to increase awareness as well as prevent future escalation....

  3. A Randomized Controlled Trial of Puncturing and Bloodletting at Twelve Hand Jing Points to Treat Acute Carbon Monoxide Poisoning as Adjunct to First Aid Treatment: A Study Protocol

    Directory of Open Access Journals (Sweden)

    Ying Yue

    2015-01-01

    Full Text Available Background. Acute carbon monoxide poisoning (ACOP is a significant cause of morbidity and mortality in many countries. Twelve Hand Jing Points (THJP have been believed to be effective to treat all kinds of emergency calls in traditional Chinese medicine (TCM for more than 3000 years. This randomized controlled trial (RCT is designed to evaluate the effectiveness of THJP in curing acute carbon monoxide poisoning in first aid treatment. This paper reports the protocol of the trial. Methods/Design. This RCT is a multicenter, randomized, controlled study undergoing in China. The compliant patients are divided into the bloodletting group and standard of care group. With first aid treatments given to both of the groups, the bloodletting group is bleeding at THJP upon being hospitalized. Primary outcomes and secondary outcomes will be measured and compared between these two groups. Before treatment, immediately after treatment, and 30 minutes, 1 hour, and 4 hours after treatment, patients’ basic vital signs and state of consciousness were observed. Before treatment and 1 and 4 hours after treatment, carboxyhemoglobin concentration in venous blood samples was detected. Discussion. The objective of this study is to provide convincing evidence to clarify the efficacy and safety of THJP for early treatment of acute carbon monoxide poisoning.

  4. Effects of nimodipine and fructose-1,6-diphosphate on cerebral damage in carbon monoxide poisoning mice

    Institute of Scientific and Technical Information of China (English)

    杨俊卿; 赵晓辉; 周岐新; 蒋青松

    2003-01-01

    Objective To study the dose- and time- dependent protective effects and the synergistic effects of nimodipine (NMDP) and fructose-1,6-diphosphate (FDP) against cerebral damage induced by acute carbon monoxide (CO) poisoning in mice.Methods Male mice were exposed to CO 170 mL/kg, i.p. After CO intraperitonealy exposure, mortality of mice, change in memory function estimated by passive avoidance test, the pathomorphologic observation of brain tissue slices, as well as changes of activities of monoamine oxidase (MAO)-B and Ca2+-Mg2+-ATPase in cerebral tissue were studied. In dose-dependent protective effect study, NMDP (10.6, 5.3, 2.7 mg/kg) and FDP (2.6, 1.3, 0.67 g/kg) was injected ip, respectively 15 min after CO exposure. To study the time-effect relationship of drugs, NMDP (5.3 mg/kg) and FDP (1.3 g/kg) were administered ip respectively 15 minutes, 45 minutes and 120 minutes after CO exposure. The combination of NMDP (2.7 mg/kg) and FDP (0.67 g/kg) was administered ip15 minutes, 45 min and 120 minutes after CO exposure to study the synergism of the two drugs.Results Either NMDP (10.6, 5.3 mg/kg) or FDP (2.6, 1.3 g/kg) administered ip within 15 minutes after CO exposure significantly decreased the impairment of memory function and mortality rate induced by CO, inhibited the decrease of Ca2+-Mg2+-ATPase activity, blunted the rising of MAO-B activity and prevented the delayed hippocampal neuronal death in poisoning mice. To our surprise, the combined use of NMDP (2.7 mg/kg) and FDP (0.67 g/kg) within 15 minutes after CO exposure had similar effects to that in NMDP (10.6, 5.3 mg/kg) and FDP (2.6, 1.3 g/kg).Conclusions These results suggest that the impairment of CO on brain can be attenuated if NMDP or FDP are administered sufficiently and quickly as soon as possible after CO exposure and there exists a synergism of FDP and NMDP against CO poisoning damage.

  5. [Carbon monoxide poisoning: clinical features of the victims of the explosion accident of Mitsui-Miike Mikawa coal mine 50 years ago].

    Science.gov (United States)

    Kato, Motohiro

    2015-01-01

    Clinical features of carbon monoxide poisoning have been described in 24 victims of an intense explosion accident of the Mitsui-Miike Mikawa coal mine in Japan 50 years ago; these victims were admitted to the Kyushu University Hospital as they suffered from severe poisoning. In the early stage of poisoning, all victims showed disturbed state of consciousness, varying in duration from 5.5 hours to 3 months, and the duration of unconsciousness was closely correlated to the clinical severity in the late stage. Some of the severely poisoned patients showed a transient stage of apallic syndrome. After recovery from unconsciousness, all patients presented with severe amnestic syndrome and loss of initiative. Neurologically, the extrapyramidal signs were prominent in the early stage, which gradually improved in the late stage. Variable types of agnosia and apraxia were apparent in some of the severely and moderately poisoned patients in the late stage, with prominent Gerstmann syndrome and visual-visuospatial agnosias. Since these signs showed poor improvement, the agnosia and apraxia, as well as impaired intellectual ability, remained as a sequela of the poisoning, and were one of the major causes of deficits of the patients in their daily life activities in the late stage.

  6. Apoptotic and necrotic brain lesions in a fatal case of carbon monoxide poisoning.

    Science.gov (United States)

    Uemura, K; Harada, K; Sadamitsu, D; Tsuruta, R; Takahashi, M; Aki, T; Yasuhara, M; Maekawa, T; Yoshida, K

    2001-02-15

    A 41-year-old man was accidentally exposed to carbon monoxide (CO) gas and found in a state of cardiopulmonary arrest while he took bath. After admission, he was resuscitated and underwent artificial ventilation in a comatose state and died about 19h later. Computed tomography (CT) examination disclosed bilateral low density area in the basal ganglia and the thalamus, a well-known finding in the CO intoxication. Necropsy, histological examination, DNA ladder assay gave the first line of evidence for the presence of apoptosis as well as necrosis in the human case of CO intoxication. TdT-mediated dUTP-biotin nick-end labeling (TUNEL) positive apoptotic cells were more predominant in the CA2 area than in CA1 area. There is general co-relation between the ratio of TUNEL-positive cells and the DNA laddering on the agarose gel. Basal ganglia and thalamus, which showed bilateral low density area in CT, were revealed to be severe edema. The two types of cell death occurred in the cortex, basal ganglia, hippocampus, thalamus, and cerebellum. Hypoxia caused by CO-hemoglobin formation alone cannot explain the phenomena.

  7. DNA pooling base genome-wide association study identifies variants at NRXN3 associated with delayed encephalopathy after acute carbon monoxide poisoning.

    Directory of Open Access Journals (Sweden)

    Wenqiang Li

    Full Text Available Delayed encephalopathy after acute carbon monoxide poisoning (DEACMP is more characteristic of anoxic encephalopathy than of other types of anoxia. Those who have the same poisoning degree and are of similar age and gender have a greater risk of getting DEACMP. This has made it clear that there are obvious personal differences. Genetic factors may play a very important role. The authors performed a genome-wide association study involving pooling of DNA obtained from 175 patients and 244 matched acute carbon monoxide poisoning without delayed encephalopathy controls. The Illumina HumanHap 660 Chip array was used for DNA pools. Allele frequencies of all SNPs were compared between delayed encephalopathy after acute carbon monoxide poisoning and control groups and ranked. A total of 123 SNPs gave an OR >1.4. Of these, 46 mapped in or close to known genes. Forty-eight SNPs located in 19 genes were associated with DEACMP after correction for 5% FDR in the genome-wide association of pooled DNA. Two SNPs (rs11845632 and rs2196447 locate in the Neurexin 3 gene were selected for individual genotyping in all samples and another cohort consisted of 234 and 271 controls. There were significant differences in the genotype and allele frequencies of rs11845632 and rs2196447 between the DEACMP group and controls group (all P-values <0.05. This study describes a positive association between Neurexin 3 and controls in the Han Chinese population, and provides genetic evidence to support the susceptibility of DEACMP, which may be the resulting interaction of environmental and genetic factors.

  8. Carbon monoxide poisoning following use of a water pipe/hookah.

    Science.gov (United States)

    von Rappard, Joscha; Schönenberger, Melanie; Bärlocher, Lorenz

    2014-10-03

    Water pipe (hookah) smoking has become a common activity in Germany, particularly among adolescents and young adults; in 2011, its lifetime prevalence was as high as 68.8%. Similar trends can be seen in other European countries. Water-pipe smokers are exposed to the same health-endangering substances as cigarette smokers, and the inhaled amount of carbon monoxide (CO) can be as much as ten times as high. In CO intoxication, carboxyhemoglobin is formed and causes direct injury at the cellular level, leading to hypoxia and nonspecific neuro logical manifestations. There have only been ten reported cases around the world of CO intoxication due to the use of a water pipe, and none of these were fatal. It should be recalled, however, that accidental CO intoxication is common and is associated with high morbidity and mortality. We present a series of four young adults, aged 16 to 21, three of whom were hospitalized because of transient unconsciousness. The carboxyhemoglobin (CO-Hb) content of the blood in the symptomatic patients ranged from 20.1% to 29.6%, while the asymptomatic patient had a CO-Hb content of 16.7%. Water-pipe smoking was the cause of CO intoxication in all four cases. The CO-Hb values were successfully brought down by the administration of highly concentrated oxygen and all patients were discharged in asymptomatic condition. This case series reveals that CO intoxication due to water-pipe smoking is probably more common than is generally realized. Emergency room staff should be aware of this problem and inquire specifically about water-pipe smoking in patients with nonspecific neurological manifestations.

  9. Lack of pupil reflex and loss of consciousness predict 30-day neurological sequelae in patients with carbon monoxide poisoning.

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    Jian-Fang Zou

    Full Text Available Predicting the neurological sequelae of carbon monoxide poisoning (COP has not been well studied. We investigated the independent predictors of neurological sequelae in patients with COP and combined these predictors to predict the prognosis.This study was conducted at four hospitals in Shandong Province, China. Data were retrospectively collected from 258 patients with COP between November 1990 and October 2011. Thirty-day neurological sequelae were the primary endpoints.A lack of pupil reflex and a loss of consciousness appear to be independent predictors for neurological sequelae in patients with COP. The presence of either one had a sensitivity of 77.0% (95% confidence interval [CI]: 69.3-83.2, a specificity of 47.1% (95% CI: 38.3-56.0, positive predictive value (PPV of 62.9% (95% CI: 55.2-70.1, and a negative predictive value (NPV of 63.6% (95% CI: 52.6-73.4. With both predictors present, the sensitivity was 11.5% (95% CI: 6.9 to 18.3, the specificity was 99.2 (95% CI: 94.7-100.0, the PPV was 94.1% (95% CI: 69.2-99.7, and the NPV was 49.0% (95% CI: 42.5-55.5.The risk for neurological sequelae apparently increased with the number of independent predictors. In patients with both predictors, the risk for neurological sequelae was 94.1%. Almost all (99.2% patients with neither predictor had no neurological sequelae. This finding may help physicians make decisions about and dispositions for patients with COP. For patients with a higher risk, earlier treatment and more appropriate utilization of health care services, including hyperbaric oxygen, should be considered.

  10. Poisoning

    Science.gov (United States)

    ... team will provide additional treatment. They can use methods to get rid of the poison before it causes more harm. Some types of poison have antidotes. These work by reversing the poison’s effects and curing it. Treatment also includes measures to relieve symptoms. ...

  11. Zatrucie tlenkiem węgla – drogi narażenia, obraz kliniczny, metody leczenia = Carbon monoxide poisoning, routes of exposure, clinical manifestation, treatment

    OpenAIRE

    Sowa, Magdalena; Winnicki, Andrzej; Wójcik, Kamil; Tarkowski, Michał; Gnatowski, Tomasz

    2015-01-01

    Sowa Magdalena, Winnicki Andrzej, Wójcik Kamil, Tarkowski Michał, Gnatowski Tomasz. Zatrucie tlenkiem węgla – drogi narażenia, obraz kliniczny, metody leczenia = Carbon monoxide poisoning, routes of exposure, clinical manifestation, treatment. Journal of Education, Health and Sport. 2015;5(4):345-354. ISSN 2391-8306. DOI: 10.5281/zenodo.17251 http://ojs.ukw.edu.pl/index.php/johs/article/view/2015%3B5%284%29%3A345-354 https://pbn.nauka.gov.pl/works/556252 http://dx.doi...

  12. Carbon monoxide poisoning from use of gasoline-fueled power washers in an underground parking garage--District of Columbia, 1994.

    Science.gov (United States)

    1995-05-12

    On June 17, 1994, five workers in the District of Columbia were treated in an emergency department for carbon monoxide (CO) poisoning following exposure to the exhaust from two gasoline-fueled power washers (i.e., pressure washers), which they had used in an empty underground parking garage. These cases were identified by The George Washington University (GWU) Division of Occupational and Environmental Medicine (DOEM) through ongoing surveillance for work-related injuries among construction workers treated in the GWU emergency department (1). This report summarizes the results of an investigation by DOEM of this incident.

  13. Carbon Monoxide Poisoning

    Science.gov (United States)

    ... Spanish) العربية ä¸æ–‡ Deutsch Français Hmoob Kreyol Português Tiếng Việ ... Spanish) العربية ä¸æ–‡ Deutsch Français Hmoob Kreyol Português Tiếng Việ ...

  14. Carbon Monoxide Poisoning

    Science.gov (United States)

    ... within minutes.** Consumers die when they improperly use gas generators, charcoal grills, and fuel-burning camping heaters and stoves inside their homes or in other enclosed or partially- enclosed spaces during power outages. *** Preparedness Tips 9 Install a ...

  15. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Unites States die every year from accidental non-fire related CO poisoning associated with consumer products, including ... CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of ...

  16. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Unites States die every year from accidental non-fire related CO poisoning associated with consumer products, including ... CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of ...

  17. Carbon monoxide is not always a poison gas for human organism: Physiological and pharmacological features of CO.

    Science.gov (United States)

    Olas, Beata

    2014-10-05

    Carbon monoxide (CO) is an odorless, colorless and non-irritating gas. Even a small amount of CO exposure is possibly associated with specific toxic effects. CO is also produced endogenously in the body as a byproduct of heme degradation catalyzed by heme oxygenase. More recently CO has been identified as a gasotransmitter in various biological systems. However, the biological role and the therapeutic potential of carbon monoxide is not clear. This review summarizes the negative and the positive functions of carbon monoxide in various biological systems, including cardiovascular system.

  18. Same Exposure, Various Clinical Pictures: The Carbon Monoxide Enigma

    Directory of Open Access Journals (Sweden)

    Musa Salmanoglu

    2013-02-01

    Full Text Available -Children and adolescents exposed to the same source of carbon monoxide have been shown to demonstrate different clinical pictures (1,2. The same condition probably may be extrapolated between children with varying ages and hence lung surface areas. Smaller children will receive larger doses of carbon monoxide, because they have greater lung surface area/body weight ratios and increased minute volumes/weight ratios. As carbon monoxide accumulation is expected to be more significant nearer to the ground, another explanation for varying clinical pictures in poisoning events may be the different level of sleeping positions of the casualties. Herein, we report a cluster poisoning of carbon monoxide affecting 5 children from the same family at the same time but in different clinical pictures. [TAF Prev Med Bull 2013; 12(1.000: 118-118

  19. Treatment received, satisfaction with health care services, and psychiatric symptoms 3 months after hospitalization for self-poisoning

    Directory of Open Access Journals (Sweden)

    Grimholt Tine K

    2012-04-01

    Full Text Available Abstract Background Patients who self-poison have high repetition and high mortality rates. Therefore, appropriate follow-up is important. The aims of the present work were to study treatment received, satisfaction with health care services, and psychiatric symptoms after hospitalization for self-poisoning. Methods A cohort of patients who self-poisoned (n = 867 over a period of 1 year received a questionnaire 3 months after discharge. The Beck Depression Inventory (BDI, Beck Hopelessness Scale (BHS, and Generalized Self-Efficacy Scale (GSE were used. The participation rate was 28% (n = 242; mean age, 41 years; 66% females. Results Although only 14% of patients were registered without follow-up referrals at discharge, 41% reported no such measures. Overall, satisfaction with treatment was fairly good, although 29% of patients waited more than 3 weeks for their first appointment. A total of 22% reported repeated self-poisoning and 17% cutting. The mean BDI and BHS scores were 23.3 and 10.1, respectively (both moderate to severe. The GSE score was 25.2. BDI score was 25.6 among patients with suicide attempts, 24.9 for appeals, and 20.1 for substance-use-related poisonings. Conclusions Despite plans for follow-up, many patients reported that they did not receive any. The reported frequency of psychiatric symptoms and self-harm behavior indicate that a more active follow-up is needed.

  20. Assessment of damage to cerebral white matter fiber in the subacute phase after carbon monoxide poisoning using fractional anisotropy in diffusion tensor imaging

    Energy Technology Data Exchange (ETDEWEB)

    Beppu, Takaaki [Iwate Medical University, Departments of Neurosurgery, Morioka (Japan); Iwate Medical University, Department of Hyperbaric Medicine, Morioka (Japan); Nishimoto, Hideaki; Ishigaki, Daiya [Iwate Medical University, Departments of Neurosurgery, Morioka (Japan); Iwate Medical University, Advanced Medical Research Center, Morioka (Japan); Fujiwara, Shunrou; Sasaki, Makoto [Iwate Medical University, Advanced Medical Research Center, Morioka (Japan); Yoshida, Tomoyuki [Iwate Medical University, Department of Psychiatry, Morioka (Japan); Oikawa, Hirotaka [Iwate Prefectural Advanced Critical Care and Emergency, Morioka (Japan); Kamada, Katsura [Iwate Medical University, Department of Hyperbaric Medicine, Morioka (Japan); Ogasawara, Kuniaki [Iwate Medical University, Departments of Neurosurgery, Morioka (Japan)

    2010-08-15

    Chronic neuropsychiatric symptoms after carbon monoxide (CO) poisoning are caused by demyelination of cerebral white matter fibers. We examined whether diffusion tensor imaging can sensitively represent damage to fibers of the centrum semiovale in the subacute phase after CO intoxication. Subjects comprised 13 adult patients with CO poisoning, classified into three groups according to clinical behaviors: group A, patients with transit acute symptoms only; group P, patients with persistent neurological symptoms; and group D, patients with ''delayed neuropsychiatric sequelae'' occurring after a lucid interval. Median fractional anisotropy (FA) and apparent diffusion coefficient (ADC) of the centrum semiovale bilaterally at 2 weeks were compared between these groups and a control group of ten healthy volunteers. Myelin basic protein (MBP) concentration in cerebrospinal fluid was examined at 2 weeks to evaluate the degree of demyelination in patients. MBP concentration was abnormal or detectable for all group P and group D patients but was undetectable for all patients assigned to group A. Low FA values in groups P and D displaying chronic neurological symptoms clearly differed from those in controls and group A without chronic neurological symptoms, but ADC showed no significant differences between patient groups. MBP concentration at 2 weeks after CO inhalation confirmed a certain extent of demyelination in the central nervous system of patients who would develop chronic neurological symptoms. In these patients, FA sensitively represented damage to white matter fibers in the centrum semiovale in the subacute phase after CO intoxication. (orig.)

  1. Brain temperature measured by {sup 1}H-magnetic resonance spectroscopy in acute and subacute carbon monoxide poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Fujiwara, Shunrou; Nishimoto, Hideaki; Murakami, Toshiyuki; Ogawa, Akira; Ogasawara, Kuniaki [Iwate Medical University, Department of Neurosurgery, Morioka, Iwate (Japan); Yoshioka, Yoshichika [Osaka University, Laboratory of Biofunctional Imaging, WPI Immunology Frontier Research Center, Osaka (Japan); Matsuda, Tsuyoshi [MR Applications and Workflow Asia Pacific, GE Healthcare Japan, Tokyo (Japan); Beppu, Takaaki [Iwate Medical University, Department of Neurosurgery, Morioka, Iwate (Japan); Iwate Medical University, Department of Hyperbaric Medicine, Iwate (Japan)

    2016-01-15

    Brain temperature (BT) is associated with the balance between cerebral blood flow and metabolism according to the ''heat-removal'' theory. The present study investigated whether BT is abnormally altered in acute and subacute CO-poisoned patients by using {sup 1}H-magnetic resonance spectroscopy (MRS). Eight adult CO-poisoned patients underwent 3-T magnetic resonance imaging in the acute and subacute phases after CO exposure. MRS was performed on deep cerebral white matter in the centrum semiovale, and MRS-based BT was estimated by the chemical shift difference between water and the N-acetyl aspartate signal. We defined the mean BT + 1.96 standard deviations of the BT in 15 healthy controls as the cutoff value for abnormal BT increases (p < 0.05) in CO-poisoned patients. BT of CO-poisoned patients in both the acute and subacute phases was significantly higher than that of the healthy control group. However, BT in the subacute phase was significantly lower than in the acute phase. On the other hand, no significant difference in body temperature was observed between acute and subacute CO-poisoned patients. BT weakly correlated with body temperature, but this correlation was not statistically significant (rho = 0.304, p = 0.2909). The present results suggest that BT in CO-poisoned patients is abnormally high in the acute phase and remains abnormal in the subacute phase. BT alteration in these patients may be associated with brain perfusion and metabolism rather than other factors such as systemic inflammation and body temperature. (orig.)

  2. Pre-hospital emergency and nursing measures of acute carbon monoxide poisoning%急性一氧化碳中毒的院前急救及护理对策

    Institute of Scientific and Technical Information of China (English)

    黎秀英

    2015-01-01

    Objective:To explore the pre-hospital emergency and nursing measures of acute carbon monoxide poisoning.Methods:57 patients with acute carbon monoxide poisoning were given pre-hospital emergency and nursing measures,treatment and nursing measures at the poisoning scene,treatment and nursing measures in the transport process,treatment after admission. Results:In addition to 4 patients were died before the medical personnel arrived at the poisoning scene,other patients were significantly improved and discharged after the treatment,did not appear serious sequelae.Conclusion:Timely taking effective pre-hospital emergency and nursing measures can significantly reduce the disability and mortality of patients with acute carbon monoxide poisoning.%目的:探讨急性一氧化碳(CO)中毒的院前急救及护理对策。方法:对57例急性CO中毒患者采取院外急救及护理措施,中毒现场救治及护理措施,转运过程中救治及护理措施,入院后的治疗。结果:除4例患者在医务人员到达中毒现场前已死亡外,其余患者经治疗,均明显好转出院,未出现严重后遗症。结论:及时采取有效的院前急救及护理对策可明显降低急性CO中毒患者的伤残及死亡率。

  3. Hyperbaric programs in the United States: Locations and capabilities of treating decompression sickness, arterial gas embolisms, and acute carbon monoxide poisoning: survey results.

    Science.gov (United States)

    Chin, Walter; Jacoby, Laura; Simon, Olivia; Talati, Nisha; Wegrzyn, Gracelene; Jacoby, Rachelle; Proano, Jacob; Sprau, Susan E; Markovitz, Gerald; Hsu, Rita; Joo, Ellie

    2016-01-01

    Hyperbaric oxygen therapy is the primary treatment for arterial gas embolism, decompression sickness and acute carbon monoxide poisoning. Though there has been a proliferation of hyperbaric centers throughout the United States, a scarcity of centers equipped to treat emergency indications makes transport of patients necessary. To locate and characterize hyperbaric chambers capable of treating emergency cases, a survey of centers throughout the entire United States was conducted. Using Google, Yahoo, HyperbaricLink and the UHMS directory, a database for United States chambers was created. Four researchers called clinicians from the database to administer the survey. All centers were contacted for response until four calls went unreturned or a center declined to be included. The survey assessed chamber readiness to respond to high-acuity patients, including staff availability, use of medical equipment such as ventilators and intravenous infusion devices, and responding yes to treating hyperbaric emergencies within a 12-month period. Only 43 (11.9%, N = 361) centers had equipment, intravenous infusion pumps and ventilators, and staff necessary to treat high-acuity patients. Considering that a primary purpose of hyperbaric oxygen therapy is the treatment of arterial gas embolism and decompression sickness, more hyperbaric centers nationwide should be able to accommodate these emergency cases quickly and safely.

  4. [A case of carbon monoxide poisoning by explosion of coal mine presenting as visual agnosia: re-evaluation after 40 years].

    Science.gov (United States)

    Takaiwa, Akiko; Yamashita, Kenichiro; Nomura, Takuo; Shida, Kenshiro; Taniwaki, Takayuki

    2005-11-01

    We re-evaluated a case of carbon monoxide poisoning presenting as visual agnosia who had been injured by explosion of Miike-Mikawa coal mine 40 years ago. In an early stage, his main neuropsychological symptoms were visual agnosia, severe anterograde amnesia, alexia, agraphia, constructional apraxia, left hemispatial neglect and psychic paralysis of gaze, in addition to pyramidal and extra pyramidal signs. At the time of re-evaluation after 40 years, he still showed visual agnosia associated with agraphia and constructional apraxia. Concerning visual agnosia, recognition of the real object was preserved, while recognition of object photographs and picture was impaired. Thus, this case was considered to have picture agnosia as he could not recognize the object by pictorial cues on the second dimensional space. MRI examination revealed low signal intensity lesions and cortical atrophy in the bilateral parieto-occipital lobes on T1-weighted images. Therefore, the bilateral parieto-occipital lesions are likely to be responsible for his picture agnosia.

  5. A case of carbon monoxide poisoning by explosion of coal mine presenting as visual agnosia: re-evaluation after 40 years

    Energy Technology Data Exchange (ETDEWEB)

    Takaiwa, A.; Yamashita, K.; Nomura, T.; Shida, K.; Taniwaki, T. [Kyushu University, Fukuoka (Japan). Department of Neurology, Graduate School of Medical Science

    2005-11-15

    We re-evaluated a case of carbon monoxide poisoning presenting as visual agnosia who had been injured by explosion of Miike-Mikawa coal mine 40 years ago. In an early stage, his main neuropsychological symptoms were visual agnosia, severe anterograde amnesia, alexia, agraphia, constructional apraxia, left hemispatial neglect and psychic paralysis of gaze, in addition to pyramidal and extra pyramidal signs. At the time of re-evaluation after 40 years, he still showed visual agnosia associated with agraphia and constructional apraxia. Concerning visual agnosia, recognition of the real object was preserved, while recognition of object photographs and picture was impaired. Thus, this case was considered to have picture agnosia as he could not recognize the object by pictorial cues on the second dimensional space. MRI examination revealed low signal intensity lesions and cortical atrophy in the bilateral parieto-occipital lobes on T1-weighted images. Therefore, the bilateral parieto-occipital lesions are likely to be responsible for his picture agnosia.

  6. Non-occupational Carbon Monoxide Poisoning:Analysis of 201 Incidents%非职业性一氧化碳中毒201起事件分析

    Institute of Scientific and Technical Information of China (English)

    钱旭东; 高金鑫

    2011-01-01

    [ Objective] To analyze the basic features of non-occupational carbon monoxide poisoning, and explore the effective prevention and control measures. [ Methods] Descriptive analysis was performed on 201 incidents of non-occupational carbon monoxide poisoning reported from November 1st, 2009 - October 31st, 2010 in a district of Beijing City. [ Results] Non-occupational carbon monoxide poisoning occurred frequently in winter heating period( 81.6% )and the rurban areas( 55.2% ), with the peak in January 2010(38.3% ). 98.5% occurred in family, 94.0% due to improper use of coal-fired heating with 260 poisoned cases, the young and middle-aged (41.2%), women (54.2%) were the major, 52.7% were sent to emergency centre with hyperbaric oxygen therapy condition. [ Conclusion ] Only strengthening health education about carbon monoxide poisoning knowledge, improving safety awareness, emphasizing the importance of indoor ventilation, correct use of stove, gas water heaters and other heating facilities, can effectively prevent non-occupational carbon monoxide poisoning. Once discovering carbon monoxide poisoning patients, they should be sent to medical institutions with hyperbaric oxygen therapy condition as soon as possible.%目的:分析非职业性一氧化碳中毒事件的基本特征,探讨有效预防和控制措施.方法:对北京市某区2009年11月1日-2010年10月31日报告的201起非职业性一氧化碳中毒事件进行描述性分析.结果:非职业性一氧化碳中毒事件在冬季采暖期(81.6%)和城乡接合部(55.2%)高发,2010年1月为高峰期(38.3%),98.5%发生在家庭,94.0%由于燃煤取暖使用不当引起;中毒患者260人,以20-39岁的青壮年(41.2%)、女性(54.2%)居多,52.7%送往有高压氧治疗条件的急救中心救治.结论:只有加强预防一氧化碳中毒知识的健康宣教工作,提高安全防范意识,强调室内通风的重要性,正确使用煤炉、燃气热水器等采暖

  7. Masimo SET(R)Rad-57碳氧血氧测量仪在急性一氧化碳中毒急救中的应用%Clinical Application of Emergency Treatment in Patients with Carbon Monoxide Poisoning by Masimo SET (R) Rad-57 Carbonic Oxide Poisoning Monitor

    Institute of Scientific and Technical Information of China (English)

    吴耿茂; 林凯胜; 杨小旭; 刘育春; 黄国梁

    2015-01-01

    目的:探讨Masimo SET(R)Rad-57碳氧血氧测量仪在急性一氧化碳中毒患者早期诊断中的价值。方法:将2013年11月-2014年4月收治的急性一氧化碳中毒患者35例按照临床症状和体征分为轻、中、重度一氧化碳中毒,并与Masimo SET(R)Rad-57碳氧血氧测量仪测得的碳氧血红蛋白饱和度进行比较。结果:Masimo SET(R) Rad-57碳氧血氧测量仪测得的碳氧血红蛋白饱和度与一氧化碳中毒的病情相符,且轻、中、重度组间均有显著性差异(P均<0.01)。结论:急诊科应用Masimo SET(R)Rad-57碳氧血氧测量仪对一氧化碳中毒患者有早期诊断价值。%Objective:To investigate the early diagnosis value of patients with carbon monoxide poisoning by Masimo:SET (R)Rad-57 carbonic oxide poisoning monitor. Methods:35 patients with carbonic oxide poisoning were divided into light severity , medium severity and heavy according to the clinical symptoms and signs from Nov 2013 to Apr 2014, and the severities were compared with the saturation of carbonic oxide detected by Masimo SET(R)Rad-57 carbonic oxide poisoning monitor. Results:The saturations of carbonic oxide detected by Masimo SET (R) Rad-57 carbonic oxide poisoning monitor corresponded with the severities of the carbon monoxide poisoning. There were significant differences among the light, moderate and severe groups, all P<0.01. Conclusion:There is early diagnostic value for patients with carbon monoxide poisoning using Masimo SET (R)Rad-57 carbonic oxide poisoning monitor in department of emergency.

  8. Effects of carbon monoxide poisoning on the long-term cognitive function in elderly patients%一氧化碳中毒对老年人远期认知功能的影响

    Institute of Scientific and Technical Information of China (English)

    刘莉; 路小光

    2012-01-01

    Objective To investigate the effects of carbon monoxide poisoning on the long-term cognition in elderly patients.Methods Totally 53 patients with carbon monoxide poisoning and 51 healthy persons at our Hospital from June 2005 to June 2008 were enrolled.Mini-mental state examination(MMSE) and activities of daily living(ADL) scale were utilized to evaluale the life quality of the elderly patients through a cross-sectional study on July 2011.Results MMSE score showed that the attention calculation score,delayed recall score,and total score were higher in control group (4.9±0.4,2.9±1.0,28.3±2.3,respectively) than in carbon monoxide poisoning group (4.5±0.8,2.6±0.6,25.5±3.5,respectively) (t=3.138,3.607,4.802,all P<0.05).ADL score of carbon monoxide poisoning group was 26.7±7.3,and that of the control group was 2.04±7.6 (t=1.827,P>0.05).Conclusions Elderly patients with acute carbon monoxide poisoning may cause long-term cognitive impairment with decreasing attention calculation and delayed recall.%目的 探讨一氧化碳中毒对老年人远期认知功能的影响.方法 选取2005年6月至2008年6月因一氧化碳中毒于大连大学附属中山医院住院治疗的老年患者53例为一氧化碳中毒组,以及同期该院体检中心收集的健康老年人51例为对照组.应用简易精神状态检查量表(MMSE)和日常生活能力量表(ADL)量表于2011年7月对一氧化碳中毒组和对照组老年人进行评价.结果 MMSE评分显示对照组老年人的注意计算力、延迟回忆力以及总分分别为(4.9±0.4)分、(2.9±1.0)分、(28.3±2.3)分,而一氧化碳中毒组分别为(4.5±0.8)分、(2.6±0.6)分、(25.5±3.5)分,与对照组相比均显著降低(t= 3.138、3.607、4.802,均P<0.05).ADL量表显示一氧化碳中毒组老年人生活自理能力评分为(26.7±7.3)分,对照组为(24.0±7.6)分,一氧化碳中毒组评分有增高趋势,但差异无统计学意义(t=1.827,P>0.05).结论 老年人一氧化

  9. Food Poisoning

    Science.gov (United States)

    ... liver disease or AIDS — or receiving chemotherapy or radiation therapy for cancer reduces your immune response. Complications The most common serious complication of food poisoning is dehydration — a severe loss of water and ...

  10. Engineering evidence for carbon monoxide toxicity cases.

    Science.gov (United States)

    Galatsis, Kosmas

    2016-07-01

    Unintentional carbon monoxide poisonings and fatalities lead to many toxicity cases. Given the unusual physical properties of carbon monoxide-in that the gas is odorless and invisible-unorganized and erroneous methods in obtaining engineering evidence as required during the discovery process often occurs. Such evidence gathering spans domains that include building construction, appliance installation, industrial hygiene, mechanical engineering, combustion and physics. In this paper, we attempt to place a systematic framework that is relevant to key aspects in engineering evidence gathering for unintentional carbon monoxide poisoning cases. Such a framework aims to increase awareness of this process and relevant issues to help guide legal counsel and expert witnesses.

  11. 依达拉奉对一氧化碳中毒后脑损伤的神经保护作用及机制研究%Neuroprotective effect and mechanism of edaravone on brain injury following carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    李琴; 程永梅; 毕明俊; 康海; 邹勇

    2015-01-01

    Objective To evaluate the neuroprotective effect of edaravone on brain tissues after acute carbon monoxide (CO) poisoning and explore its mechanism.Methods Ninety Sprague-Dawley rats were randomly selected as normal control group,poisoning group and treatment group (n=30).Rats in the poisoning group and treatment group were established animal models of acute CO poisoning with hyperbaric chamber method and received hyperbaric oxygen therapy.The rats in the treatment group were given intraperitoneal injection ofedaravone (10 mg/kg) additionally.TUNEL and real time-PCR were used to detect the cell apoptosis and their apoptosis-related gene expressions (Bcl-2 and Bax mRNA) in brain tissues 1,2 and 7 d after CO poisoning in each group.Immunohistochemistry and Western blotting were used to observe the positive cells and protein changes of heme oxygenase-1 (HO-1) and nuclear factor erythrocyte two related factors-2 (NRF-2).Results The apoptosis cell number in the poisoning group and the treatment group was significantly increased as compared with that in the normal control group (P<0.05);that in the treatment group was relatively fewer than that in the poisoning group with significant differences (P<0.05).As compared with those in the normal control group,the Bcl-2 and Bax mRNA expressions in the poisoning group were obviously up-regulated with significant difference (P<0.05);the Bcl-2 mRNA level was significantly increased,the Bax mRNA level was signficantly down-regulated,and the ratio ofBcl-2 mRNA/Bax mRNA was notablyly increased in the treatment group as compared with those in the poisoning group (P<0.05).The positive cells and HO-1 and NRF-2 proteins in the brain tissues of the poisoning group were significantly higher than those in the normal group (P<0.05);those in the treatment group were obviously increased as compared with those in the poisoning group (P<0.05).Conclusion Edaravone might be partly associated with activation of NRF-2/HO-1 pathway to

  12. Detecting damaged regions of cerebral white matter in the subacute phase after carbon monoxide poisoning using voxel-based analysis with diffusion tensor imaging

    Energy Technology Data Exchange (ETDEWEB)

    Fujiwara, Shunrou; Nishimoto, Hideaki; Ogasawara, Kuniaki [Iwate Medical University, Department of Neurosurgery, Morioka (Japan); Beppu, Takaaki [Iwate Medical University, Department of Neurosurgery, Morioka (Japan); Iwate Medical University, Department of Hyperbaric Medicine, Morioka (Japan); Sanjo, Katsumi; Koeda, Atsuhiko [Iwate Medical University, Department of Psychiatry, Morioka (Japan); Mori, Kiyoshi [Iwate Prefectural Critical Care and Emergency Center, Department of Neurology, Morioka (Japan); Kudo, Kohsuke; Sasaki, Makoto [Iwate Medical University, Advanced Medical Research Center, Morioka (Japan)

    2012-07-15

    The present study aimed to detect the main regions of cerebral white matter (CWM) showing damage in the subacute phase for CO-poisoned patients with chronic neurological symptoms using voxel-based analysis (VBA) with diffusion tensor imaging (DTI). Subjects comprised 22 adult CO-poisoned patients and 16 age-matched healthy volunteers as controls. Patients were classified into patients with transient acute symptoms only (group A) and patients with chronic neurological symptoms (group S). In all patients, DTI covering the whole brain was performed with a 3.0-T magnetic resonance imaging system at 2 weeks after CO exposure. As procedures for VBA, all fractional anisotropy (FA) maps obtained from DTI were spatially normalized, and FA values for all voxels in the whole CWM on normalized FA maps were statistically compared among the two patient groups and controls. Voxels with significant differences in FA were detected at various regions in comparisons between groups S and A and between group S and controls. In these comparisons, more voxels were detected in deep CWM, including the centrum semiovale, than in other regions. A few voxels were detected between group A and controls. Absolute FA values in the centrum semiovale were significantly lower in group S than in group A or controls. VBA demonstrated that CO-poisoned patients with chronic neurological symptoms had already suffered damage to various CWM regions in the subacute phase. In these regions, the centrum semiovale was suggested to be the main region damaged in the subacute phase after CO inhalation. (orig.)

  13. Acute lead poisoning with eosinophilic meningoencephalitis in calves on a farm receiving land application of sewage sludge

    Energy Technology Data Exchange (ETDEWEB)

    Dorn, C.R.; Tuomari, D.; Reddy, C.; Logan, T.J.

    1986-03-01

    A total of 3 cases of acute lead poisoning in calves was confirmed by atomic absorption spectrophotometric analysis of biological samples, presence of an acute lead exposure source, clinical signs of impaired vision in one case and eosinophilic meningoencephalitis in another case. One of two other calves which died approximately 2 months earlier had nervous signs and it is likely that they also had lead poisoning. Dams of two of the cases did not have elevated lead levels. Municipal sewage sludge had been applied to most fields on the farm during the preceding 5 year period. There had been approximately a doubling of the lead content in the soil; however, the foodstuffs produced on the farm had low lead concentrations. The extremely high lead levels in the abomasal contents and feces of calves eliminated sludge as the source of the lead in this acute poisoning episode. The contents of oil filters, accessible to calves but not to adult cattle, had lead levels as high as 26,922 micrograms/g and was the most likely lead source responsible for this lead intoxication. It appears that the manifestation of eosinophilic meningoencephalitis in lead poisoning cases may occur in young calves as well as in cows and in acute as well as in chronic intoxications.

  14. Carbon monoxide exposures after hurricane Ike - Texas, September 2008.

    Science.gov (United States)

    2009-08-14

    During power outages after hurricanes, survivors can be at risk for carbon monoxide (CO) poisoning if they use portable generators improperly. On September 13, 2008, Hurricane Ike struck the coast of Texas, leaving approximately 2.3 million households in the southeastern portion of the state without electricity. Six days later, 1.3 million homes were still without electrical power. To assess the impact of storm-related CO exposures and to enhance prevention efforts, CDC analyzed data from five disparate surveillance sources on CO exposures reported during September 13--26 in counties of southeast Texas that were declared disaster areas by the federal government. This report describes the results of that analysis, which indicated that one data source, Texas poison centers, received reports of 54 persons with storm-related CO exposures during the surveillance period. Another data source, the Undersea and Hyperbaric Medical Society (UHMS) hyperbaric oxygen treatment database, reported that 15 persons received hyperbaric oxygen treatment for storm-related CO poisoning. Medical examiners, public health officials, and hospitals in Texas reported that seven persons died from storm-related CO poisoning. Among the data sources, the percentage of reported storm-related CO exposures caused by improper generator use ranged from 82% to 87%. These findings underscore the need for effective prevention messages during storm preparation, warnings, and response periods regarding the correct use of generators and the installation and maintenance of battery-powered CO detectors.

  15. Experimental investigation of carbon monoxide poisoning effect on a PBI/H3PO4 high temperature polymer electrolyte membrane fuel cell

    DEFF Research Database (Denmark)

    Zhou, Fan; Andreasen, Søren Juhl; Kær, Søren Knudsen

    2015-01-01

    The PBI/H3PO4 high temperature (HT) PEM fuel cell is often fueled with H2-rich reformates which typically contain impurities such as CO, CO2 and water vapor. CO in the concentration level of several percent can cause apparent loss in performance of the HT-PEM fuel cell. In this study the influences...... humidity level reduced the cell performance loss caused by CO poisoning. When the fuel cell was operated with pure H2, the cell performance was not significantly affect by the change in anode dew point temperature in the range of room temperature and 60 °C. CO2 in anode stream resulted in slight decrease...

  16. Effect of the chemical termination of conductive diamond substrate on the resistance to carbon monoxide-poisoning during methanol oxidation of platinum particles

    Science.gov (United States)

    Spătaru, Tanţa; Osiceanu, Petre; Anastasescu, Mihai; Pătrinoiu, Greta; Munteanu, Cornel; Spătaru, Nicolae; Fujishima, Akira

    2014-09-01

    Boron-doped diamond (BDD) films were annealed in hydrogen or oxygen streams and were further used as substrates for Pt electrochemical deposition. SEM and AFM measurements have shown that, from the point of view of the efficiency of noble metal utilization, a hydrogen-terminated diamond (HT-BDD) support is more convenient because it enables better dispersion and smaller size of the deposited particles. An enhancement of ca. 23% of the electrocatalyst specific surface area was observed for Pt/HT-BDD, compared to the case of Pt deposited at oxygen-terminated diamond (OT-BDD). Nevertheless, it was found that when deposited on oxidized BDD, Pt particles are more resistant to fouling during methanol oxidation. Electrochemical oxidation of adsorbed carbon monoxide was investigated by anodic stripping voltammetry and it was demonstrated that the use of OT-BDD substrate facilitates oxidative desorption of CO from the platinum active sites. This behavior was tentatively ascribed to the high surface concentration of oxygenated carbon species, evidenced by XPS, which may act as oxygen donors and/or could partially weaken Pt-CO bonds, thus enabling easier CO eviction from the electrocatalyst surface.

  17. 急性一氧化碳中毒对大鼠少突胶质前体细胞的影响%Effect of acute carbon monoxide poisoning on oligodendrocyte precursor cells in rats

    Institute of Scientific and Technical Information of China (English)

    孙瑞佼; 郭大志; 李航; 李铭鑫; 胡慧军; 潘晓雯

    2015-01-01

    目的:通过制备急性一氧化碳中毒(acute carbon monoxide poisoning ,ACOP)大鼠模型,观察大鼠中毒后中枢神经系统髓鞘改变,以及髓鞘标志物髓鞘碱性蛋白(myelin basic protein ,MBP)和少突胶质前体细胞(oligoden‐drocyte precursor cells ,OPCs)特异性细胞标志物硫酸软骨素蛋白多糖 NG2在中毒后表达的变化,为研究 ACOP后中枢神经系统髓鞘脱失的机制提供实验依据。方法:24只雄性健康SD大鼠,随机分为对照组和染毒组各12只。染毒组利用分次腹腔注射CO制作急性中毒模型,对照组注射空气。于造模后1d、3d取材,采用免疫组织化学染色和Western Blot方法检测中毒后中枢神经系统髓鞘的损伤和MBP、NG2表达的变化。结果:免疫组织化学染色结果显示,与对照组比较,染毒组染毒1d后MBP、NG2表达即减少,3d时进一步降低(P<0.05);Western Blot结果显示,染毒组染毒1d后MBP、NG2表达即减少,3d时进一步降低(P<0.05)。结论:ACOP后大鼠发生中枢神经系统脱髓鞘以及OPCs损伤。%Objective:To observe the changes in myelin and expression of myelin basic protein (MBP) and NG2 in the brain tissue of rats through the establishment of the acute carbon monoxide poisoning (ACOP) model ,and to provide experimental evidence for the mechanism of demyelination of the central nervous system after ACOP .Meth‐ods:Twenty‐four male rats were divided into the control group (n=12) and the intoxication group (n=12) random‐ly .Animals in the intoxication group were intraperitoneally injected with pure CO repeatedly ,and those in the con‐trol group with air by the same protocol .The brain tissues were taken from the animals of the two groups at 1st and 3rd day after the establishment of the model .Changes in myelin were observed by immunohistochemical staining , and the expression of MBP and NG2 was detected using immunohistochemistry and

  18. Food Poisoning

    Science.gov (United States)

    ... Want to Know About Puberty Train Your Temper Food Poisoning KidsHealth > For Kids > Food Poisoning Print A ... find out how to avoid it. What Is Food Poisoning? Food poisoning comes from eating foods that ...

  19. Application value of MR diffusion-weighted imaging(DWI)in the diagnosis of delayed encephalopathy after carbon monoxide poisoning%DWI诊断CO中毒迟发性脑病的应用价值

    Institute of Scientific and Technical Information of China (English)

    刘力; 白旭

    2011-01-01

    目的 研究弥散加权成像(DWI)诊断CO中毒迟发性脑病的应用价值.方法 对31例CO中毒迟发性脑病患者均行MR DWI检查,MRI检查在CO中毒后15 ~90d内完成,DWI使用单次激发平面回波序列,TR =2 900 ms,TE =84 ms,b值为0和1 000 s/mn2.通过常规MRI、DWI及ADC图评价脑室周围脑白质区信号改变,测量病变区ADC值并与正常信号区进行对比.结果 所有患者DWI序列均显示在双侧脑室周围脑白质区及半卵圆中心弥漫高信号影,显示范围与T2WI及Flair序列所显示范围相似,ADC图显示为轻度低信号或等信号,其平均ADC值均较T2WI及Flair序列显示正常的区域明显减低(P<0.05).结论 脑白质区ADC值减低的程度和持续时间与患者临床进展过程有关,通过对ADC值的观察能对CO中毒迟发性脑病患者的临床进展过程及预后进行推测.%Objective To investigate the application value of diffusion-weighted imaging (DWI) in diagnosing delayed encephalopathy after carbon monoxide (CO) poisoning. Methods 31 patients with delayed encephalopathy after CO poisoning were enrolled in this study. All of them underwent MR imaging 15-90 days after exposure to CO. DW images were acquired using a single-shot echoplanar imaging sequence in the transverse plane (TR/TE, 2900 ms/84 ms) with b values of 0 and 1 000 s/mm2. Conventional MR images, DWIs, and apparent diffusion coefficient (ADC) maps of lesions in the white matter were evaluated. ADC values in the white matter lesions were calculated and compared with normal white matter. Results In all patients, DWIs showed bilateral areas of diffuse high signal intensity in the periventricular white matter and centrum semiovale, similar to areas shown on T2-weighted and FLAIR images. White matter lesions showed hypo-intensity or iso-intensity on ADC maps. Mean ADC values of the white matter lesions were significantly lower than those of the normal-looking white matter( P < 0.05). Conclusion The degree and

  20. 不同氧疗方式对急性一氧化碳中毒大鼠血气的影响%Effect of different oxygen therapy on blood gas in rats following acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    马琳琳; 葛环; 高春锦; 宋鸿雁; 刘福佳; 侯晓敏

    2010-01-01

    目的 观察不同氧疗方式对急性一氧化碳中毒(acute carbon monoxide poisoning,ACOP)大鼠血气的影响.方法 将70只雄性Wistar大鼠随机分成健康对照组10只;染毒即刻组12只;余48只CO染毒后再分为4组,分别为空气组、鼻导管组、面罩组、HBO组各12只.制备ACOP动物模型,给予3种不同方式的氧疗,自腹主动脉取血行血气分析.结果 pH值:染毒即刻即出现明显下降(P0.05).PaO2及PaCO2:染毒后各组差异无统计学意义(P>0.05).乳酸及COHb%:染毒即刻即出现明显升高(P0.05).HCO3-:染毒后各组均明显低于正常(P0.05); PaO2 and PaCO2: no statistical significance in PaO2 or PaCO2 could be seen between the groups after ACOP(P >0.05); Lactic acid and COHb%: levels of lactic acid and COHb% in the COST group increased significantly, when compared with those of the control group (P 0.05); Bicarbonate (HCO3 -):statistical differences in HCO3 - between the groups could be noted after ACOP (P < 0. 05). Conclusions Various types of oxygen therapy could rectify hypoxia and metabolic acidosis in rats following ACOP. Compared with other two types of therapy, HBO could remove carboxyhemoglobin (COHb) from the body most significantly.

  1. Search of medical literature for indoor carbon monoxide exposure

    Energy Technology Data Exchange (ETDEWEB)

    Brennan, T.; Ivanovich, M.

    1995-12-01

    This report documents a literature search on carbon monoxide. The search was limited to the medical and toxicological databases at the National Library of Medicine (MEDLARS). The databases searched were Medline, Toxline and TOXNET. Searches were performed using a variety of strategies. Combinations of the following keywords were used: carbon, monoxide, accidental, residential, occult, diagnosis, misdiagnosis, heating, furnace, and indoor. The literature was searched from 1966 to the present. Over 1000 references were identified and summarized using the following abbreviations: The major findings of the search are: (1) Acute and subacute carbon monoxide exposures result in a large number of symptoms affecting the brain, kidneys, respiratory system, retina, and motor functions. (2) Acute and subacute carbon monoxide (CO) poisonings have been misdiagnosed on many occasions. (3) Very few systematic investigations have been made into the frequency and consequences of carbon monoxide poisonings.

  2. The analysis of evoked potentials about the patients who suffered from delayed encephalopathy by acute carbon monoxide poisoning%急性一氧化碳中毒后迟发性脑病患者诱发电位的分析

    Institute of Scientific and Technical Information of China (English)

    任何茂; 王芳; 王丽

    2014-01-01

    目的:分析急性一氧化碳中毒迟发性脑病(DEACMP)患者脑干听觉诱发电位(BAEP)、视觉诱发电位(VEP)的变化。方法对38例DEACMP患者进行BAEP、VEP检查。结果本组BAEP、VEP的异常率分别为71.1%,63.2%。结论 BAEP、VEP检查对DEACMP患者听神经、视神经功能的评估有一定意义。%Objective Analyze the change of brainstem auditory evoked potential and visual evoked potential of the patients who Suffered from delayed encephalopathy by acute carbon monoxide poisoning.Methods Inspect 38 patients who Suffered from delayed encephalopathy by acute carbon monoxide poisoning.Results The abnormal rates of BAEP, VEP of this group were 71.1% and 63.2%.Conclusion The check of BAEP,VEP have some significance for the evaluation the patients' functions of auditory nerve and optic nerve.

  3. Deodorant poisoning

    Science.gov (United States)

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  4. Jimsonweed poisoning

    Science.gov (United States)

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  5. Detergent poisoning

    Science.gov (United States)

    ... if known) Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  6. Foxglove poisoning

    Science.gov (United States)

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  7. Nicotine poisoning

    Science.gov (United States)

    ... help if this information is not immediately available. Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  8. Mistletoe poisoning

    Science.gov (United States)

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  9. Bee poison

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/002847.htm Bee poison To use the sharing features on this page, ... of insect, if possible Time of the sting Poison Control Your local poison center can be reached ...

  10. Philodendron poisoning

    Science.gov (United States)

    ... if known Time it was swallowed Amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  11. 急性一氧化碳中毒危险分层与常压氧或高压氧综合治疗预后研究%Hazard stratification of acute carbon monoxide poisoning and study on the prognosis of related patients

    Institute of Scientific and Technical Information of China (English)

    侯晓敏; 葛环; 李茁; 高宇; 马琳琳; 梁芳; 张奕; 杨琳

    2010-01-01

    Objective To analyze treatment methods for patients with acute carbon monoxide poisoning and features of delayed encephalopathy following acute carbon monoxide poisoning (DEACMP). Methods A retrospective analysis was made by using 201 cases of patients, who were admitted for emergency treatment upon first clinical visit from January 2007 to February 2009 due to coma induced by acute carbon monoxide poisoning (ACOP). The patients were stratified into 2 groups according to coma time. Group A consisted of patients with a coma time less than 2 h and Group B consisted of patients with a coma time over 2 h. The latter group was subdivided according to coma time and age. Patients of Group A were given hyperbaric oxygen (HBO) treatment, and/ or normobarie oxygen (NBO)and patients of Group B given integrated hyperbaric oxygen treatment. Incidence rate of delayed encephalopathy following acute carbon monoxide poisoning was analyzed statistically. Results Total incidence rate of DEACMP in ACOP patients with conscious disorder was 3.5%. In Group A, there were no patients with DEACMP; and rate of DEACMP for patients in Group B was 10.3%. And in Group B, incidence rate of DEACMP for patients with a coma time over 2 h was 27.3%, indicating a significant statistical difference, when compared with that of those patients with a coma time for 2~6 h (P 0.05). Conclusions The degree of unconsciousness and coma time were high risk factors of DEACMP for patients with acute carbon monoxide poisoning. Integrated HBO treatment based on risk stratification of DEACMP might result in a relatively low incidence rate of DEACMP.%目的 分析急性一氧化碳中毒(ACOP)患者的治疗方法与一氧化碳中毒迟发脑病(DEACMP)发病特点.方法 对我院高压氧科2007年1月至2009年2月经急诊首诊的201例有昏迷史的ACOP患者进行回顾性分析,根据ACOP中毒时间分组,A组患者昏迷时间2 h,B组根据昏迷时间及年龄再次分组.A组予高压氧(HBO)或常压

  12. 急性一氧化碳中毒后迟发性脑病发病的危险因素分析%Risk factor analysis of the delayed encephalopathy after acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    张晓莉; 潘登; 韩亚州; 赵国有; 顾仁骏; 曾皎; 顾家鹏; 李瑞杰; 张萍; 吴强; 田松朝; 赵建华; 靳玫

    2016-01-01

    Objective To investigate the associated risk factors of the delayed encephalopathy after acute carbon mon-oxide poisoning (DEACMP) .Methods Seven hundred and fifty-two cases of acute carbon monoxide poisoning (ACMP) in-patients admitted to 10 hospitals in northern Henan during 2001 -2014 who met the inclusive and exclusive criteria were re-cruited .The clinical information of each ACMP patient was collected ,and following-up for each patient was more than 90 days .Based on the occurrence of DEACMP ,the patients were divided into ACMP group and DEACMP group .The statistical induction of 26 indicators in each patient ,such as age ,coma duration ,severity of coma ,smoking & drinking ,etc .was con-ducted to analyze the possible risk factors of DEACMP in ACMP patients .Results One hundred and twenty-seven out of 752 patients demonstrated DEACMP ,the univariate analysis showed that male ACMP patients were more susceptible to DEACMP than female patients ,and the difference was statistically significant (P12 h ,the inci-dence of DEACMP significantly increased ,and up to 58 .3% once the coma last for >48 h .The patients who had moderate-a-bove coma ,positive pathology ,being widowed ,history of smoking and drinking ,major mental stimulation was more suscepti-ble to DEACMP than those without above issues ,and the differences were all statistically significant (All P12 h .Additional care has to be taken for their clinical monitoring to take premorbid preventive treatment as early in-tervention to the disease .%目的:探讨急性一氧化碳中毒后迟发性脑病(DEACM P)发病的相关危险因素。方法以2001—2014年在豫北地区10家医院符合入组标准和排除标准的急性一氧化碳中毒(ACM P)752例住院患者为研究对象,收集临床资料,并随访90 d以上,根据以后是否发生DEACM P分为ACM P组和DEACM P组,对所有患者的年龄、昏迷时间、昏迷程度、吸烟饮酒史等26个指标

  13. Protecting Children from Carbon Monoxide Poisoning

    Science.gov (United States)

    ... AAP Advertise with AAP Advertising on AAP.org Advertising on AAP Journals & Publications AAP Mailing and eMail List Corporate Relationships Conflict of Interest and Industry Relations Sponsorships Corporate Friends of Children Fund Corporate Relationship Guidelines Help/Feedback It looks ...

  14. [Delayed neurological syndrome following carbon monoxide poisoning].

    Science.gov (United States)

    Vázquez-Lima, Manuel J; Álvarez-Rodríguez, Cesáreo; Cruz-Landeira, Angelines; López-Rivadulla, Manuel

    2015-08-16

    Introduccion. La intoxicacion por monoxido de carbono es la mas frecuente en nuestro medio a consecuencia de la exposicion a gases toxicos. Los efectos de la intoxicacion por monoxido de carbono no se limitan a la exposicion aguda porque, tras la aparente recuperacion de la intoxicacion, pueden aparecer alteraciones neurologicas o del comportamiento. Pacientes y metodos. Se realizo un estudio de las intoxicaciones por monoxido de carbono en un area sanitaria de 80.000 habitantes durante un periodo de 10 años. Posteriormente se hizo un seguimiento de estos pacientes y se valoro la aparicion de sindrome neurologico tardio (SNT) y su relacion con diferentes variables en la exposicion inicial al monoxido de carbono, en el tratamiento administrado o en la gravedad de la intoxicacion. Resultados y conclusiones. Se observo que el 9,1% de los intoxicados por monoxido de carbono detectados en el area sanitaria de Salnes desarrollan el SNT, que es mas frecuente en los pacientes con criterios analiticos de gravedad y muy poco probable en los que no los tienen. Los pacientes con SNT no expresaron manifestaciones clinicas ni analiticas diferentes a los que no presentaron el sindrome; tampoco se observaron diferencias en relacion con la terapia con oxigeno administrada. La tasa de SNT en el area sanitaria de Salnes entre 2002 y 2012 es de 0,84 casos por 100.000 habitantes y año.

  15. Bilateral Globus Pallidus Ischemia: Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Hizir Akdemir

    2014-03-01

    Karbonmonoksit zehirlenmesi ile iliskili serebral lezyonlar BT ve MRG ile tespit edilebilir. Karbonmonoksit zehirlenmesi sonrasi serebral korteks, derin beyaz cevher, bazal gangliyonlar ve hipokampal bölgede lezyonlar ortaya çikabilir. Radyolojik bulgularin ortaya çikisi farkli zamanlarda olabilir. Karbonmonoksit zehirlenmelerinde en sik beyaz cevher degisiklikleri görülür. Siklikla derin beyaz cevher ve sentrum semiovale düzeyinde bilateral diffüz radyolojik etkilenim saptanir.

  16. Correlation analysis between fever and prognosis in patients with acute carbon monoxide poisoning%急性一氧化碳中毒患者发热情况与预后的相关性分析

    Institute of Scientific and Technical Information of China (English)

    张月战

    2014-01-01

    目的:观察急性一氧化碳中毒(ACOP)患者发热症状的比例,鉴别发热的原因,探讨ACOP发热与其预后的相关性。方法选取我院202例ACOP住院患者,对其发热情况、预后、抗生素的使用及血常规检查等资料表格化登记,随后进行统一数据整理和统计学分析,比较发热组及无发热组的白细胞计数水平,同时比较不同发热组及无发热组间的2周病死率。结果202例ACOP患者中无发热者114例(56.4%),入院后48 h内发热者88例(43.6%);发热组白细胞升高比率明显高于无发热组(P0.05)。结论发热是ACOP常见的伴随症状,引起ACOP患者发热的原因多样,需仔细鉴别,以减少抗生素的不必要使用。中度以上发热是ACOP死亡的危险因素之一,与其预后具有一定的相关性。%Objective To observe the proportion of of fever symptoms in patients with acute carbon monoxide poisoning ( ACOP ), identify the causes of fever and explore the correlation between fever and prognosis in patients with ACOP. Methods 202 cases of hospitalized patients with ACOP in our hospital were selected, whose information on fever, prognosis, use of antibiotics, blood routine examination and so on were registered in form, then followed by a unified data collection and statistical analysis. The count levels of white blood cell were compared between fever group and no fever group , meanwhile the two-weeks mortality was compared among different fever groups and no fever group. Results There were 114 patients without fever (56.5%)and 88 cases with fever (43.5%) in 48h after admission in 202 patients with ACOP. The white blood cell increase ratio of fever group was significantly higher than no fever group (P0.05). Conclusion Fever is a common accompanying symptoms in ACOP. There are a variety of causes leading to fever in ACOP, which needs to identify carefully in order to reduce the unnecessary use of antibiotics

  17. Acute Cyanide Poisoning from Jewelry Cleaning Solutions

    Directory of Open Access Journals (Sweden)

    Ines Bel Waer

    2015-05-01

    Full Text Available Cyanide is one of the most lethal and devastating poisons. It causes acute toxicity through smoke inhalation simultaneously with carbon monoxide, or by ingestion of cyanide salts that are commonly used in metallurgy and in jewelry or textile industries. Cyanide intoxication is an extremely rare event; in the present study, we report a case of cyanide poisoning involving a 25-year-old jeweler, who ingested a jewelry cleaning solution containing potassium cyanide in a suicide attempt.

  18. Insecticide poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002832.htm Insecticide poisoning To use the sharing features on this page, please enable JavaScript. Insecticide is a chemical that kills bugs. Insecticide poisoning ...

  19. Methylmercury poisoning

    Science.gov (United States)

    ... grain that was treated with this from of mercury. Poisoning from eating fish from water that is contaminated ... into the body. Many of the symptoms of mercury poisoning are similar to symptoms of cerebral palsy . In ...

  20. Starch poisoning

    Science.gov (United States)

    Cooking starch poisoning; Laundry starch poisoning ... Cooking and laundry starch are both made from vegetable products, most commonly: Corn Potatoes Rice Wheat Both are usually considered nonpoisonous (nontoxic), but ...

  1. Copper poisoning

    Science.gov (United States)

    ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 75. Holland MG. Pulmonary toxicology. ... Poisoning and Drug Overdose . 4th ed. Philadelphia, PA: Elsevier Saunders; 2007:chap 9. Jones AL, Dargan PI. ...

  2. Poisonous Plants

    Science.gov (United States)

    ... Publications and Products Programs Contact NIOSH NIOSH POISONOUS PLANTS Recommend on Facebook Tweet Share Compartir Photo courtesy ... U.S. Department of Agriculture Many native and exotic plants are poisonous to humans when ingested or if ...

  3. Poison Prevention

    Science.gov (United States)

    ... the Word Shop AAP Find a Pediatrician Safety & Prevention Immunizations All Around At Home At Play On ... Listen Español Text Size Email Print Share Poison Prevention Page Content Article Body Post the Poison Help ...

  4. Ethanol poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002644.htm Ethanol poisoning To use the sharing features on this page, please enable JavaScript. Ethanol poisoning is caused by drinking too much alcohol. ...

  5. Overview of Poisoning

    Science.gov (United States)

    ... Abbreviations Weights & Measures ENGLISH View Professional English Deutsch Japanese Espaniol Find information on medical topics, symptoms, drugs, ... Insecticide Poisoning Iron Poisoning Lead Poisoning Overview of Food Poisoning Mushroom (Toadstool) Poisoning Plant and Shrub Poisoning ...

  6. Alcohol Poisoning

    Science.gov (United States)

    ... t be awakened is at risk of dying. Alcohol poisoning is an emergency If you suspect that someone has alcohol poisoning — even if you don't see the ... immediately. Never assume the person will sleep off alcohol poisoning. Be prepared to provide information. If you ...

  7. Photographic fixative poisoning

    Science.gov (United States)

    Photographic developer poisoning; Hydroquinone poisoning; Quinone poisoning; Sulfite poisoning ... Quinones Sodium thiosulfate Sodium sulfite/bisulfite Boric acid Photographic fixative can also break down (decompose) to form ...

  8. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... main content Languages 简体中文 English Bahasa Indonesia 한국어 Español ภาษาไทย Tiếng Việt Text Size: Decrease Font Increase ... Monoxide Information Center Carbon Monoxide Information Center En Español The Invisible Killer Carbon monoxide, also known as ...

  9. [Mortality by poisoning in children].

    Science.gov (United States)

    Híjar, M; Blanco, J; Carrillo, C; Rascón, A

    1998-01-01

    To determine the standing of mortality by poisoning in children in the Mexican Republic, in the years from 1979-1994. Secondary sources were employed. Analyzed variables were: age, sex, year, external cause of trauma and poisoning according to the 9th International Classification of Diseases: E850-E858, E860-E869 and E905. Tendencies by specific causes were analyzed with a Poisson regression model and relative risk by age, sex and district were obtained. A total of 11,272 children under 15 years of age were recorded. The main causes were poisoning and toxic reactions caused by venomous plants or animals (E905); accidental poisoning by household gas or carbon monoxide (E868); and accidental poisoning by other drugs (E858). The relative risk was highest in age group Aguascalientes consistently presented the highest risk values and the state of Nuevo Leon, the lowest. Poisoning is an important cause of child mortality. Considering that most of these deaths can potentially be prevented since they occur at home it is recommended that responsible adults can build protection into their environment and into the way society operates. Prevention should involve a multidisciplinary approach since the phenomenon has multiple causes and possible solutions.

  10. Poison Ivy Rash

    Science.gov (United States)

    Diseases and Conditions Poison ivy rash By Mayo Clinic Staff Poison ivy rash is caused by an allergic reaction to an oily resin ... is in the leaves, stems and roots of poison ivy, poison oak and poison sumac. Wash your ...

  11. Carbonmonoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Huseyin Sen

    2009-08-01

    Full Text Available An odorless, colorless, tasteless, non-irritant properties as a gas carbon monoxide (CO is common cause of intoxications in daily life. CO intoxication diagnosis depends on suspicious anamnesis. Carbon monoxide intoxication treatment basis is oxygen supply. Hyperbaric oxygen treatment should be started in first 24 hours. And after diagnosis of carbon monoxide intoxication patient should be transfered to the center as possible as where hyperbaric oxygen treatment is avaible. [TAF Prev Med Bull 2009; 8(4.000: 351-356

  12. Cerebral perfusion semi-quantitative imaging for assessing the treatment of delayed encephalopathy from carbon monoxide poisoning%脑血流灌注半定量法显像评价高压氧联合药物治疗一氧化碳中毒迟发性脑病疗效

    Institute of Scientific and Technical Information of China (English)

    熊冰; 周游; 蔡亚利; 刘洪彪; 汤中泉; 孙达; 徐昕; 刘文明

    2009-01-01

    目的 对比研究一氧化碳中毒后迟发性脑病(DEACMP)患者在高压氧(HBO)联合药物治疗前、后单光子发射计算机断层成像(SPECT)脑血流灌注显像结果,并对其优越性及临床意义进行评价.方法 34例DEACMP患者接受20~40次HBO联合药物治疗,并在治疗前、后用双半胱乙酯(~(99m)Tc-ECD)脑SPECT血流灌注扫描半定量法进行疗效监测和对比分析.结果 HBO治疗后,DEACMP患者脑血流灌注减低区有明显改善,脑SPECT血流灌注半定量值与治疗前比较,差异有统计学意义(P<0.05),而治疗前、后脑磁共振显像无明显差异.结论 脑SPECT血流灌注半定量法显像在DEACMP的诊断和HBO治疗的疗效监测中可起重要作用.%Objective To evaluate the effects of hyperbaric oxygen (HBO) combined with drug therapy on patients with delayed encephalopathy caused by carbon monoxide poisoning ( COP). Methods Twenty to forty sessions of HBO therapy were used to treat 34 COP patients. Assessment relied on 99mTc-ethyl cysteinate dimer (~(99m)Tc-ECD) single photon emission computed tomography (SPECT) imaging of cerebral perfusion before and after treatment. Results After HBO therapy, cerebral perfusion in the COP patients improved significantly. There was a significant difference of the SPECT images before and after treatment. Conclusions SPECT imaging of cerebral perfusion can play an important role in the diagnosis of delayed encephalopathy caused by carbon monoxide poisoning, and it can be used for the therapeutic surveillance of HBO treatment.

  13. Effect of safety management on mental states of patients with carbon monoxide poisoning treated by hyperbaric oxygen%安全管理对采用高压氧治疗一氧化碳中毒患者心理状态的影响

    Institute of Scientific and Technical Information of China (English)

    刘瑾; 林少虹; 廖惠璇; 陆琼妹; 黄秀婷

    2012-01-01

    Objective To study the effect of safety management on mental states of patients with carbon monoxide poisoning treated by hyperbaric oxygen.Methods Safety management was performed for 56 patients with carbon monoxide poisoning treated by hyperbaric oxygen by means of regulating and implementing safety management system,preventing barotraumas and conducting psychological nursing.The mental states before and after safety management were assessed by self-rating anxiety scale (SAS) and self- rating depression scale (SDS).Result The rates of depression and anxiety were significantly decreased after safety management (P < 0.05).Conclusion Safety management can decrease the negativity of mental states so that the patients can be active in curative cooperation and completing the course of treatment.%目的 探讨安全管理对采用高压氧治疗一氧化碳中毒患者心理状态的影响.方法 对56例采用高压氧治疗的一氧化碳中毒患者实施安全管理,包括制订和实施安全管理制度、气压伤预防管理和心理疏导.采用Zung焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(Self-rating Depression Scale,SDS)测评安全管理前后患者心理状态的差异.结果 安全管理后患者抑郁和焦虑情绪发生率均较安全管理前降低,管理前后比较,均P<0.05,差异具有统计学意义.结论 一氧化碳中毒患者在高压氧治疗过程中实施安全管理,可有效降低患者的负性心理,使其主动和积极配合治疗,从而保证治疗顺利完成.

  14. Malathion poisoning

    Science.gov (United States)

    ... local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) ... to kill and control insects on crops and in gardens. The government also uses it to kill mosquitoes in large ...

  15. Lithium Poisoning

    DEFF Research Database (Denmark)

    Baird-Gunning, Jonathan; Lea-Henry, Tom; Hoegberg, Lotte C G

    2017-01-01

    is required. The cause of lithium poisoning influences treatment and 3 patterns are described: acute, acute-on-chronic, and chronic. Chronic poisoning is the most common etiology, is usually unintentional, and results from lithium intake exceeding elimination. This is most commonly due to impaired kidney...... function caused by volume depletion from lithium-induced nephrogenic diabetes insipidus or intercurrent illnesses and is also drug-induced. Lithium poisoning can affect multiple organs; however, the primary site of toxicity is the central nervous system and clinical manifestations vary from asymptomatic...... supratherapeutic drug concentrations to clinical toxicity such as confusion, ataxia, or seizures. Lithium poisoning has a low mortality rate; however, chronic lithium poisoning can require a prolonged hospital length of stay from impaired mobility and cognition and associated nosocomial complications. Persistent...

  16. The effects of hyperoxygen solution injected in vein on biochemical indexes of rats with acute carbon monoxide poisoning%静脉输注高氧液对急性一氧化碳中毒大鼠生化指标的影响

    Institute of Scientific and Technical Information of China (English)

    徐浩; 孟祥忠; 高巍; 宋博; 徐礼鲜; 张惠

    2011-01-01

    目的 本研究旨在探讨静脉输注高氧液(hyperoxygen solution,HOS)对急性一氧化碳(CO)中毒大鼠生化指标的影响.方法 采用随机数字表法将18只SD大鼠随机分为3组(每组6只):正常组(N组)、中毒组(C组)和中毒治疗组(H15组).在中毒后1h,C组输注平衡盐溶液15 ml/kg,H15组输注HOS 15 ml/kg.大鼠经腹腔注入CO 120 ml/kg建立中毒模型,N组给予同等剂量的空气.各组大鼠分别在输注不同剂量的液体后即刻抽取动脉血0.5 ml进行血气指标检测,染毒后1d抽取静脉血3ml进行脑、心、肝、肾敏感生化指标的测定.结果 CO 120 ml/kg腹腔注射1.5 h能引起严重的低氧血症动脉血氧分压(PaO2)由(96.6±2.4)mm Hg(1 mm Hg=0.133 kPa)降低到(43.0±4.1)mm Hg.中毒后1d能够引起神经元特异性烯纯化酶(neuron-specific enolase,NSE)、S-100β蛋白、肌酸激酶(creatine kinase,CK)、肌酸激酶同工酶(creatine kinase MB,CK-MB)、乳酸脱氢酶(lactate dehydrogenase,LDH)、α-羟丁酸脱氢酶(α-hydroxybutyrate dehydrogenase,α-HBDH)、总胆红素(total bilirubin,TBIL)、谷草转氨酶(aspartate aminotransferase,AST)、谷丙转氨酶(alanine aminotransferase,ALT)、谷氨酰转移酶(glutamyl transferase,GGT)、尿素氮(blood urea nitrogen,BUN)和肌酐(creatinine,Cr)的明显升高,CO中毒组与正常对照组相比差异有统计学意义(P<0.01).静脉输注HOS后,血浆溶解氧的含量显著升高,PaO2由(43.0±4.1)mm Hg上升到(77.1±2.5)mm Hg.各种生化指标也均有不同程度的降低,虽然明显高于正常对照组,但与CO中毒组相比各种指标的升高均有所降低(P<0.0l).结论 经静脉输注HOS 15 ml/kg能明显降低急性CO中毒大鼠血浆各种生化指标的含量,对急性CO中毒引起的重要脏器损害具有很好的保护作用.%Objective To investigate the effects of hyperoxygen solution(HOS)injected in vein on biochemical indexes of rats with acute carbon monoxide poisoning.Methods Eighteen SD

  17. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Estimates OCTOBER 13, 2015 Incidents, Deaths, and In-Depth Investigations Associated with Non-Fire Carbon Monoxide from Engine-Driven Generators and ... Engine-Driven Tools, 2004–2014 JANUARY 08, 2015 Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2011 Annual Estimates View All ... Inside CPSC Accessibility ...

  18. Propane poisoning

    Science.gov (United States)

    Seek medical help right away. If the person breathed in the poison, immediately move him or her to fresh air. If the person does not improve rapidly after moving to fresh air, call your local emergency number (such as ...

  19. Menthol poisoning

    Science.gov (United States)

    Menthol is used to add peppermint flavor to candy and other products. It is also used in certain skin lotions and ointments. This article discusses menthol poisoning from swallowing pure menthol. This article is ...

  20. Lead Poisoning

    Science.gov (United States)

    ... lead is of microscopic size, invisible to the naked eye. More often than not, children with elevated ... majority of the childhood lead poisoning cases we see today. Children and adults too can get seriously ...

  1. Shellac poisoning

    Science.gov (United States)

    ... in shellac that can be harmful are: Ethanol Isopropanol Methanol Methyl isobutyl ketone ... Isopropanol and methanol are extremely poisonous. As little as 2 tablespoons (14.8 mL) of methanol can ...

  2. Gasoline poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002806.htm Gasoline poisoning To use the sharing features on this ... This article discusses the harmful effects from swallowing gasoline or breathing in its fumes. This article is ...

  3. Iodine poisoning

    Science.gov (United States)

    Symptoms of iodine poisoning include: Abdominal pain Coughing Delirium Diarrhea , sometimes bloody Fever Gum and tooth soreness Loss of appetite Metallic taste in mouth Mouth and throat pain and burning No urine output Rash Salivation (producing saliva) Seizures ...

  4. Zinc poisoning

    Science.gov (United States)

    ... Hill; 2006. Hall AH, Shannon MW. Other heavy metals. In: Shannon MW, Borron SW, Burns MJ,eds. Haddad and Winchester's Clinical Management of Poisoning and Drug Overdose . 4th ed. Philadelphia, PA. Elsevier ...

  5. Paraffin poisoning

    Science.gov (United States)

    Wax poisoning - paraffin ... Paraffin ... Eating a lot of paraffin can lead to intestinal obstruction, which can cause abdominal pain, nausea, vomiting, and possible constipation. If the paraffin contains a ...

  6. Naphthalene poisoning

    Science.gov (United States)

    ... K. General approach to the poisoned patient. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical ... 147. Levine MD, Zane R. Chemical injuries. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical ...

  7. Ammonia poisoning

    Science.gov (United States)

    ... K. General approach to the poisoned patient. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical ... 147. Levine MD, Zane R. Chemical injuries. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical ...

  8. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... CONSUMER PRODUCT SAFETY COMMISSION Search CPSC Search Menu Home Recalls Recall List CPSC Recall API Recall Lawsuits ... and Bans Report an Unsafe Product Consumers Businesses Home Safety Education Safety Education Centers Carbon Monoxide Information ...

  9. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Safety Blogs: CO Safety More CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths ... 2011 Annual Estimates View All CO-Related Injury Statistics and Technical Reports Related Links Recalls Safety Education ...

  10. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... On Safety Blogs: CO Safety More CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide ... Related Links Recalls Safety Education Regulations, Laws & Standards Research & Statistics Business & Manufacturing Small Business Resources OnSafety Blogs ...

  11. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Community Outreach Resource Center Toy Recall Statistics CO Poster Contest Pool Safely Business & Manufacturing Business & Manufacturing Business ... Featured Resources CPSC announces winners of carbon monoxide poster contest Video View the blog Clues You Can ...

  12. Carbon Monoxide Information Center

    Science.gov (United States)

    ... and Criminal Penalties Federal Court Orders & Decisions Research & Statistics Research & Statistics Technical Reports Injury Statistics NEISS Injury Data ... On Safety Blogs: CO Safety More CO Blogs Research & Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths ...

  13. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Statistics JANUARY 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2012 Annual Estimates OCTOBER 13, 2015 Incidents, Deaths, and In-Depth Investigations Associated with Non-Fire ...

  14. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... Import Safety International Recall Guidance Civil and Criminal Penalties Federal Court Orders & ... 07, 2016 Non-Fire Carbon Monoxide Deaths Associated with the Use of Consumer Products 2012 ...

  15. Carbon Monoxide Nonattainment Areas

    Data.gov (United States)

    U.S. Environmental Protection Agency — This data layer identifies areas in the U.S. where air pollution levels have not met the National Ambient Air Quality Standards (NAAQS) for Carbon Monoxide and have...

  16. Histopathalogical characteristics of delayed brain injury affected by hyperbaric oxygen after acute carbon monoxide poisoning in rats%高压氧对急性一氧化碳中毒大鼠迟发型脑损伤影响的组织病理学特点

    Institute of Scientific and Technical Information of China (English)

    李金声; 常耀明; 李清波; 谢小平

    2006-01-01

    均轻于模型组;凋亡神经元数目减少,尤以中毒后5和7 d明显(P<0.01).高压氧促进模型大鼠海马区Bcl-2蛋白表达,尤以CO暴露后3,5 d明显(P<0.01).结论:①急性一氧化碳中毒大鼠出现广泛的迟发性神经元损伤,表现为迟发的神经元坏死和凋亡.②高压氧治疗可以有效减少变性坏死神经元,促进凋亡抑制基因bcl-2表达,从而抑制神经元坏死和凋亡.%BACKGROUND: In clinical practice, delayed brain injury after carbon monoxide (CO) poisoning occurs in 3% to 30% of the persons who suffered carbon monoxide poisoning and is in the main presence of dementia, psychiatric symptom and extrapyramidal symptoms. At present, its pathogenesis is unclear.OBJECTIVE: To investigate the pathological damage mechanism of delayed brain injury after CO poisoning and the protective effect of hyperbaric oxygen on delayed brain injury.DESIGN: A randomized controlled animal experiment.SETTING: Staff Room of Aviation Health, Department of Aerospace Medicine, the Fourth Military Medical University of Chinese PLA.MATERIALS: This experiment was carried out in the Laboratory of Aviation Pathology and Molecular Biology, Department of Aerospace Medicine, the Fourth Military Medical University of Chinese PLA in March 2004. Totally 80 healthy male Sprague-Dawley, of clean grade, were used in this experiment. The animals were randomized into 3 groups: normal control group (n=10), model group (n=35) and hyperbaric oxygen group (n=35).The latter two groups were separately divided into 7 time points: poisoning 6 hours, 1,3,5,7,14 and 21 days, 5 rats at each time point.METHODS: In the model group, acute CO poisoning rat models were developed by placing the rats in the poisoning jar which contained the mixture of CO and air for 60 minutes. The volume faction of CO was kept at 2 500×10-6. In the hyperbaric oxygen group, modeling was the same as that in the model group. Three hours after poisoning, the rats were given 115

  17. 急性一氧化碳中毒后迟发性脑病患者血清胰岛素样生长因子-1水平及其临床意义研究%Serum IGF-1 Level in Patients with Delayed Encephalopathy after Acute Carbon Monoxide Poisoning and Its Clinical Significance

    Institute of Scientific and Technical Information of China (English)

    顾家鹏; 李艳丽; 王冀康; 张萍; 顾仁骏; 李静; 潘登; 衣学伟; 史玫; 高琦

    2013-01-01

    Objective To investigate the dynamic changes of level of serum insulin - like growth factor - 1 ( IGF - 1 ) and its clinical significance in patients with delayed encephalopathy after acute carbon monoxide poisoning ( DEACMP ). Methods 33 DEACMP patients were selected form November 2007 to Jun 2008, IGF - 1 level was assayed with enzyme - linked im-munno - sorbent assay ( ELISA ). Their condition changes were evaluated with Activity of Daily Living Scale ( ADL ), Information - Memory - Concentration Test ( IMCT ) and Hasegawa's Dementia Scale ( HDS ). The above indexes were compared with those of 32 acute carbon monoxide poisoning ( ACMP ) patients without occurrence of DEACMP ( ACMP group ) and of 32 healthy subjects ( control group ). Results ( 1 ) IGF - 1 at acute stage was significantly lower in DEACMP group [ ( 136. 10 ±51. 51 ) μg/L ] than in control group [ ( 192. 91 ± 145. 97 ) μg/L, P 0. 05 ). IGF - 1 was higher at recovery stage [ ( 187. 69 ±92. 46 ) μg/L ] than at acute stage in DEACMP group, the difference was significant (P <0. 05 ). (2) ADL, HDS, IMCT at acute stage was significantly different from those at recovery stage in DEACMP group ( P < 0. 05 ). ( 3 ) IGF - 1 was negatively correlated with ADL in DEACMP group ( r = - 0. 377 , P = 0. 03 ). Conclusion IGF - 1, protecting probably DEACMP patients from brain damage, may be used as one of indexes for clinical outcomes and therapeutic effectiveness assessment.%目的 研究急性一氧化碳中毒后迟发性脑病(DEACMP)患者血清胰岛素样生长因子-1(IGF-1)水平的动态变化及其临床意义.方法 选择2007年11月-2008年6月在我院住院的33例DEACMP患者,采用酶联免疫吸附法动态测定血清IGF-1水平,用日常生活能力量表(ADL)、长谷川痴呆量表(HDS)、常识-记忆-注意测验(IMCT)动态评估DEACMP患者的病情变化,并与32例急性一氧化碳中毒(ACMP)后未发生DEACMP的患者(ACMP组)和32例健康体检者(正常对照组)的

  18. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... as CO, is called the "Invisible Killer" because it's a colorless, odorless, poisonous gas. More than 150 ... CPSC does not control this external site or its privacy policy and cannot attest to the accuracy ...

  19. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... as CO, is called the "Invisible Killer" because it's a colorless, odorless, poisonous gas. More than 150 ... Working CO alarms matter. Install one and check its batteries regularly. View Information About CO Alarms Other ...

  20. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... as CO, is called the "Invisible Killer" because it's a colorless, odorless, poisonous gas. More than 150 ... Working CO alarms matter. Install one and check its batteries regularly. View Information About CO Alarms Other ...

  1. Evidence-based care in patients receiving heterozygous renal replacement therapy after organophosphate poisoning *%杂合肾脏替代治疗救治有机磷中毒患者的循证护理

    Institute of Scientific and Technical Information of China (English)

    彭炜

    2013-01-01

    目的探讨循证护理在使杂合肾脏替代治疗救治有机磷中毒患者中的效果。方法选择2009年1月1日至2012年12月31日重庆医科大学附属第一医院收治的有机磷中毒患者共52例,将其随机均分为常规护理组(采用常规护理模式)、循证护理组(采用循证护理模式)。评价患者精神状态、生活质量、认知能力、累计阿托品用量、胆碱酯酶恢复时间、对护理质量的满意度。结果两组患者入院时一般资料、各项评分资料差异无统计学意义(P>0.05);入院1周后,与常规护理组相比,循证护理组精神状态、生活质量、认知能力均优于常规护理组,差异有统计学意义(P<0.05);循证护理组累计阿托品用量更小、胆碱酯酶恢复时间更快、对护理质量的满意度更高(P<0.05)。结论有机磷中毒患者行杂合肾脏替代治疗时,采用循证护理模式进行护理,可显著改善患者的精神状态、生活质量、自我认知能力,并显著促进患者身体机能的恢复、提升疗效和护理质量。%Objective To investigate the efficacy of evidence-based nursing (EBN) in patients receiving heter-ozygous renal replacement ( HRR) therapy after organophosphate poisoning .Methods 52 patients with organophos-phate poisoning ,treated in this hospital from Jan .1 2009 to Dec .31 2012 ,were randomly divided into control group , receiving routine nursing ,and observation group ,receiving EBN .Mental state ,quality of life ,cognitive ability ,cumu-lative dosage of atropine ,cholinesterase recovery time and degree of satisfaction with the quality of care were evalua -ted .Results General data and score of various evaluation were without difference between the two groups at admis -sion (P> 0 .05) .Compared with control group ,1 week after admission ,state of mind ,quality of life and cognitive a-bilities were better in experiment group (P< 0 .05) .Atropine

  2. Calcium channel blocker poisoning

    Directory of Open Access Journals (Sweden)

    Miran Brvar

    2005-04-01

    Full Text Available Background: Calcium channel blockers act at L-type calcium channels in cardiac and vascular smooth muscles by preventing calcium influx into cells with resultant decrease in vascular tone and cardiac inotropy, chronotropy and dromotropy. Poisoning with calcium channel blockers results in reduced cardiac output, bradycardia, atrioventricular block, hypotension and shock. The findings of hypotension and bradycardia should suggest poisoning with calcium channel blockers.Conclusions: Treatment includes immediate gastric lavage and whole-bowel irrigation in case of ingestion of sustainedrelease products. All patients should receive an activated charcoal orally. Specific treatment includes calcium, glucagone and insulin, which proved especially useful in shocked patients. Supportive care including the use of catecholamines is not always effective. In the setting of failure of pharmacological therapy transvenous pacing, balloon pump and cardiopulmonary by-pass may be necessary.

  3. Recognizing the Toxicodendrons (poison ivy, poison oak, and poison sumac).

    Science.gov (United States)

    Guin, J D; Gillis, W T; Beaman, J H

    1981-01-01

    Poison ivy, poison oak, and poison sumac are now classified in the genus Toxicodendron which is readily distinguished from Rhus. In the United States, there are two species of poison oak, Toxicodendron diversilobum (western poison oak) and Toxicodendron toxicarium (eastern poison oak). There are also two species of poison ivy, Toxicodendron rydbergii, a nonclimbing subshrub, and Toxicodendron radicans, which may be either a shrub or a climbing vine. There are nine subspecies of T. radicans, six of which are found in the United States. One species of poison sumac, Toxicodendron vernix, occurs in the United States. Distinguishing features of these plants and characteristics that separate Toxicodendron from Rhus are outlined in the text and illustrated in color plates.

  4. Poison Control Centers

    Science.gov (United States)

    ... 1222 immediately. Name State American Association of Poison Control Centers Address AAPCC Central Office NOT A POISON ... not for emergency use. Arkansas ASPCA Animal Poison Control Center Address 1717 S. Philo Road, Suite 36 Urbana, ...

  5. Mercuric oxide poisoning

    Science.gov (United States)

    ... of mercury salt. There are different types of mercury poisonings . This article discusses poisoning from swallowing mercuric oxide. ... Disinfectants Fungicides There have been reports of inorganic mercury poisoning from the use of skin-lightening creams. Note: ...

  6. Poison ivy - oak - sumac

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002886.htm Poison ivy - oak - sumac To use the sharing features ... the plant, if known Amount swallowed (if swallowed) Poison Control Your local poison center can be reached ...

  7. Nail polish poisoning

    Science.gov (United States)

    ... The time it was swallowed The amount swallowed Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  8. Bug spray poisoning

    Science.gov (United States)

    ... was swallowed or inhaled Amount swallowed or inhaled Poison Control Your local poison center can be reached directly by calling the national toll-free Poison Help hotline (1-800-222-1222) from anywhere ...

  9. A Narrative Review of Acute Adult Poisoning in Iran

    Science.gov (United States)

    Alinejad, Samira; Zamani, Nasim; Abdollahi, Mohammad; Mehrpour, Omid

    2017-01-01

    Poisoning is a frequent cause of referral to medical emergencies and a major health problem around the world, especially in developing countries. We aimed to review the epidemiology and pattern of adult poisoning in Iran in order to facilitate the early diagnosis and management of poisoning. The pattern of poisoning is different in various parts of Iran. Pharmaceutical compounds were the most common cause of poisoning in most parts of Iran. Pesticide-related toxicities were more common in northern agricultural regions, whereas bites and stings were seen more commonly in southern Iran. Carbon monoxide poisoning was common in cities with many motor vehicles such as Tehran and in colder climates such as in northern and western regions due to inadequately vented gas appliances such as stoves and heaters. Majoon Birjandi (containing cannabis) is a unique substance used in eastern Iran. Poisoning by opioids, tramadol, and pesticides (organophosphate and aluminum phosphide) has remained a common hazard in Iran. Poisoning-associated morbidity and mortality rates vary by region and have changed over time due to the introduction of new drugs and chemicals. Early diagnosis and proper treatment may be lifesaving; thus, understanding the general pattern of poisoning in different regions is important. PMID:28761199

  10. 磷酸肌酸钠联合高压氧治疗一氧化碳中毒迟发性脑病疗效观察%Curative effect observation of creatine phosphate sodium combined with high pressure oxygen in the treatment of chronic encephalopathy of carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    李伟; 台立稳

    2016-01-01

    Objective:To explore the curative effect of creatine phosphate sodium combined with high pressure oxygen in the treatment of chronic encephalopathy of carbon monoxide poisoning(DEACMP).Methods:43 patients with DEACMP were selected. They were randomly divided into the treatment group and the control group.Patients in the control group were given conventional treatment.Patients in the treatment group were given injection creatine phosphate sodium treatment on the basis of the control group.The curative effects of two groups were observed.Results:The cure rate and effective rate of the treatment group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:The creatine phosphate sodium can improve the cell energy supply of DEACMP patients,protect the brain function,improve the hypoxia tolerance of brain cells,improve the life quality of DEACMP patients.%目的:探讨磷酸肌酸钠联合高压氧治疗一氧化碳中毒迟发性脑病(DEACMP)的疗效。方法:收治DEACMP患者43例,随机分为治疗组和对照组。对照组给予常规治疗,治疗组则在对照组的基础上加注射用磷酸肌酸钠治疗。观察两组患者的疗效。结果:治疗组治愈率及有效率均明显高于对照组,差异有统计学意义(P<0.05)。结论:磷酸肌酸钠可以改善DEACMP患者的细胞能量供应,保护脑功能,提高脑细胞对缺氧的耐受性,提高DEACMP患者的生活质量。

  11. Organophosphate poisoning : A review

    Directory of Open Access Journals (Sweden)

    Parmod K. Sinha

    2003-06-01

    Full Text Available Organophosphate pesticides are used extensively worldwide, and poisoning by these agents, particularly in developing nations is a public health problem. Organophosphorous nerve agents are still considered as potential threat in both military or terrorism situations. The mechanism of toxicity is the inhibition of acetylcholinesterase, resulting in accumulation of the neurotransmitter acetylcholine and continued stimulation of acetylcholine receptors both in central and peripheral nervous systems. Beside acute cholinergic crisis, organophosphates are capable of producing several subacute or chronic neurological syndromes. The well described intermediate syndrome (IMS emerges 1-4 days after an apparently well treated cholinergic crisis. The standard treatment consists of reactivation of inhibited acetylcholinesterase with an oxime antidote (pralidoxime, obidoxime, HI-6 and Hlo7 and reversal of the biochemical effects of acetylcholine with atropine. The newer oximes HI-6 and Hlo& are much more suitable and efficacious acetylcholinesterase reactivator for severe acute nerve agent induced poisoning than currently used pralidoxime or obidoxime. Patients who receive treatment promptly usually recover from acute toxicity but may suffer from neurologic sequelae. (Med J Indones 2003; 12: 120-6 Keywords: poisoning, insecticide, organophosphate (OP, carbamates, acetylcholinesterase, oxime, pralidoxime, obidoxime, HI-6, HLo7

  12. Outsmarting Poison Ivy and Other Poisonous Plants

    Science.gov (United States)

    ... poison oak, and poison sumac. Protectants such as baking soda or colloidal oatmeal relieve minor irritation and ... Compliance Federal, State & Local Officials Consumers Health Professionals Science & Research Industry Scroll back to top Popular Content ...

  13. 血清白细胞介素-6、白细胞介素-17和基质金属蛋白酶9水平与一氧化碳中毒迟发性脑病的关系%The relationship between the level of interleukin-6, interleukin-17 matrix metallo proteinase 9 and delayed encephalopathy after acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    陈艳荣; 李晓; 徐化利; 潘双双; 李丽

    2016-01-01

    Objective To explore the relationship between the level of IL-6,IL-17 and matrix metallo proteinase 9 (MMP9) with deleyed encephelopathy after aucte carbon monoxide poisoning metal protease (DEACMP).Methods Rarcdomly selected 58 healthy people and 71 (delayed encephalopathy after acute carbon monoxide poisoning,DEACMP) patients were taken as control and experimental group,respectively.Enzyme-linked immunosorbent assay(ELISA) was used to detect the expression of IL-6,IL-17 and MMP9.Results Compared with control,the expression of IL-6 and MMP9 were significantly increased in mild and severe DEACMP patients,while both IL-6 and MMP9 showed largest increase in severe DEACMP patients with statistical significanc (F =22.47,F =36.51,P < 0.05).There was no significant expression changes of IL-17 (F =19.62,P > 0.05).Pearson analysis showed that the expressions of IL-6 and MMP9 were positively correlated with DEACMP (r =0.58,P < 0.05).Conclusions The expression of IL-6 and MMP9 in serum of DEACMP patients were associated with the degree of carbon monoxide poisoning.%目的 探讨白细胞介素(IL)-6)、IL-17和基质金属蛋白酶9(MMP9)与一氧化碳中毒迟发性脑病(DEACMP)的关系.方法 随机抽取58例体检健康人群为对照组,抽取71例DEACMP患者为实验组,采用酶联免疫吸附试验(ELISA)检测DEACMP患者血清中IL-6、IL-17和MMP9的表达水平.结果 和对照组相比,轻重度DEACMP患者血清中IL-6和MMP9表达水平升高(F=22.47、F=36.51,P<0.05),其中在重度DEACMP患者血清中升高最显著;IL-17表达水平未有显著变化,差异无统计学意义(F=19.62,P>0.05).Pearson相关分析显示,DEACMP患者血清IL-6和MMP9浓度呈正相关(r=0.58,P<0.05).结论 DEACMP患者血清中IL-6和MMP9的表达水平与一氧化碳中毒的程度和预后密切相关.

  14. House of Poison: Poisons in the Home.

    Science.gov (United States)

    Keller, Rosanne

    One of a series of instructional materials produced by the Literacy Council of Alaska, this booklet provides information about common household poisons. Using a simplified vocabulary and shorter sentences, it provides statistics concerning accidental poisonings; a list of the places poisons are usually found in the home; steps to make the home…

  15. Carbon Monoxide Information Center

    Medline Plus

    Full Text Available ... 150 people in the Unites States die every year from accidental non-fire related CO poisoning associated ... Toll Free Consumer Hotline | Time: 8 a.m. - 5.30. p.m. ET | Message can be left ...

  16. Hydrogen Oxidation on Gas Diffusion Electrodes for Phosphoric Acid Fuel Cells in the Presence of Carbon Monoxide and Oxygen

    DEFF Research Database (Denmark)

    Gang, Xiao; Li, Qingfeng; Hjuler, Hans Aage

    1995-01-01

    Hydrogen oxidation has been studied on a carbon-supported platinum gas diffusion electrode in a phosphoric acidelectrolyte in the presence of carbon monoxide and oxygen in the feed gas. The poisoning effect of carbon monoxide presentin the feed gas was measured in the temperature range from 80...... to 150°C. It was found that throughout the temperaturerange, the potential loss due to the CO poisoning can be reduced to a great extent by the injection of small amounts ofgaseous oxygen into the hydrogen gas containing carbon monoxide. By adding 5 volume percent (v/o) oxygen, an almost......CO-free performance can be obtained for carbon monoxide concentrations up to 0.5 v/o CO at 130°C, 0.2 v/o CO at 100°C,and 0.1 v/o CO at 80°C, respectively....

  17. [Mercury poisoning].

    Science.gov (United States)

    Bensefa-Colas, L; Andujar, P; Descatha, A

    2011-07-01

    Mercury is a widespread heavy metal with potential severe impacts on human health. Exposure conditions to mercury and profile of toxicity among humans depend on the chemical forms of the mercury: elemental or metallic mercury, inorganic or organic mercury compounds. This article aims to reviewing and synthesizing the main knowledge of the mercury toxicity and its organic compounds that clinicians should know. Acute inhalation of metallic or inorganic mercury vapours mainly induces pulmonary diseases, whereas chronic inhalation rather induces neurological or renal disorders (encephalopathy and interstitial or glomerular nephritis). Methylmercury poisonings from intoxicated food occurred among some populations resulting in neurological disorders and developmental troubles for children exposed in utero. Treatment using chelating agents is recommended in case of symptomatic acute mercury intoxication; sometimes it improves the clinical effects of chronic mercury poisoning. Although it is currently rare to encounter situations of severe intoxication, efforts remain necessary to decrease the mercury concentration in the environment and to reduce risk on human health due to low level exposure (dental amalgam, fish contamination by organic mercury compounds…). In case of occupational exposure to mercury and its compounds, some disorders could be compensated in France. Clinicians should work with toxicologists for the diagnosis and treatment of mercury intoxication.

  18. Mania following organophosphate poisoning

    Directory of Open Access Journals (Sweden)

    Satyakam Mohapatra

    2014-01-01

    Full Text Available Organophosphate poisoning is the most common poisoning in developing countries. Although the acute muscarinic and nicotinic side-effects of organophosphate poisoning are well known and easily recognized, but neuropsychiatric changes are rarely reported. We are reporting a case of a 33-year-old female who developed manic episode following acute organophosphate poisoning.

  19. Mania following organophosphate poisoning

    OpenAIRE

    Satyakam Mohapatra; Neelmadhav Rath

    2014-01-01

    Organophosphate poisoning is the most common poisoning in developing countries. Although the acute muscarinic and nicotinic side-effects of organophosphate poisoning are well known and easily recognized, but neuropsychiatric changes are rarely reported. We are reporting a case of a 33-year-old female who developed manic episode following acute organophosphate poisoning.

  20. Mania following organophosphate poisoning.

    Science.gov (United States)

    Mohapatra, Satyakam; Rath, Neelmadhav

    2014-11-01

    Organophosphate poisoning is the most common poisoning in developing countries. Although the acute muscarinic and nicotinic side-effects of organophosphate poisoning are well known and easily recognized, but neuropsychiatric changes are rarely reported. We are reporting a case of a 33-year-old female who developed manic episode following acute organophosphate poisoning.

  1. Prevention of Food Poisoning.

    Science.gov (United States)

    Army Quartermaster School, Ft. Lee, VA.

    The programed text provides a single lesson, four-hour, correspondence subcourse on the prevention of food poisoning. It covers the following areas: a definition of food poisoning; chemical food poisoning; biological food poisoning; causes and prevention of trichinosis; six factors controlling bacteria growth; bacterial infection; prevention of…

  2. Deactivation and poisoning of fuel cell catalysts

    Science.gov (United States)

    Ross, P. N., Jr.

    1985-06-01

    The deactivation and poisoning phenomena reviewed are: the poisoning of anode (fuel electrode) catalyst by carbon monoxide and hydrogen sulfide; the deactivation of the cathode (air electrode) catalyst by sintering; and the deactivation of the cathode by corrosion of the support. The anode catalyst is Pt supported on a conductive, high area carbon black, usually at a loading of 10 w/o. This catalyst is tolerant to some level of carbon monoxide or hydrogen sulfide or both in combination, the level depending on temperature and pressure. Much less is known about hydrogen sulfide poisoning. Typical tolerance levels are 2% CO, and 10 ppM H2S. The cathode catalyst is typically Pt supported on a raphitic carbon black, usually a furnace black heat-treated to 2700 C. The Pt loading is typically 10 w/o, and the dispersion (or percent exposed) as-prepared is typically 30%. The loss of dispersion in use depends on the operational parameters, most especially the cathode potential history, i.e., higher potentials cause more rapid decrease in dispersion. The mechanism of loss of dispersion is not well known. The graphitic carbon support corrodes at a finite rate that is also potential dependent. Support corrosion causes thickening of the electrolyte film between the gas pores and the catalyst particles, which in turn causes increased diffusional resistance and performance loss.

  3. Ciguatera poisoning.

    Science.gov (United States)

    Achaibar, Kira C; Moore, Simon; Bain, Peter G

    2007-10-01

    Ciguatera is a form of poisoning that occurs after eating tropical and subtropical ciguatoxic fish. The ciguatoxins are a family of heat stable, lipid soluble cyclic polyether compounds that bind to and open voltage-sensitive Na(+) channels at resting membrane potential, resulting in neural hyperexcitability, as well as swelling of the nodes of Ranvier. The authors describe a 45-year-old man who developed acute gastrointestinal symptoms in Antigua soon after eating red snapper and grouper, potentially "ciguatoxic fish". This was followed by neurological symptoms 24-48 hours later, including temperature reversal (paradoxical dysaesthesia), intense pruritus and increased nociception as a result of a small fibre peripheral neuropathy. The patient's symptoms and small fibre neuropathy improved over a period of 10 months.

  4. 金纳多对急性一氧化碳中毒迟发性脑病患者脑氧利用率和乳酸清除率的影响%Effects of Ginaton on cerebral oxygen utilization coefficients and lactate clearance rate in patients with delayed encephalopathy after acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    王维展; 李伟; 齐洪娜; 肖青勉; 刘倩; 李敬; 马国营; 高珣; 李百艳; 刘永建

    2016-01-01

    ObjectiveTo observe the effects of extract of Ginkgo biloba, Ginaton, on cerebral oxygen utilization coefficients (O2UCc) and lactate clearance rate (LCR) in patients with delayed encephalopathy after acute carbon monoxide poisoning (DEACMP).Methods The 196 patients with DEACMP admitted to Harrison International Peace Hospital Affiliated to Hebei Medical University from January 2011 to March 2016 were enrolled, and they were randomly divided into a control group and an observation group, 98 cases in each groups. The control group received routine treatments such as hyperbaric oxygen, measures to prevent and treat cerebral edema, and promote brain cell metabolism, etc routine therapies: while in the observation group, besides the above routine treatments, additionally intravenous drip of Ginaton 70 mg (with 0.9% sodium chloride injection 250 mL added), once a day, for consecutive 2 weeks to complete one therapeutic course. At ambient air, before treatment and 6, 24 and 72 hours after treatment, the O2UCc and LCR and the changes of mini-mental state examination (MMSE) score, clinical efficacy and hospital mortality were observed and compared between two groups. Pearson correlation test was used to analyze the correlations between O2UCc, LCR and MMSE score.Results On the day of admission before treatment, there were no differences in O2UCc, lactate and MMSE score between the two groups (allP > 0.05). At 6 hours, 24 hours after treatment, the levels of O2UCc in observation group were obviously lower than those in control group [6 hours: (40.64±9.50)% vs. (45.78±7.94)%, P = 0.000; 24 hours: (30.51±6.76)% vs. (33.34±8.19)%,P = 0.009], while the levels of LCR were significantly higher than those in control group [6 hours: (14.93±2.27)% vs. (11.45±1.88)%,P = 0.000; 24 hours: (19.86±3.42)% vs. (13.73±2.35)%,P = 0.009]. There were no statistical significant differences in O2UCc and LCR at 72 hours after treatment between the two groups (P > 0.05). The MMSE scores at

  5. Intoxicación por gases Gas poisoning

    Directory of Open Access Journals (Sweden)

    I Santiago

    2003-01-01

    Full Text Available La intoxicación por gases en nuestro medio es un problema importante debido a su alta incidencia. En el caso concreto de la intoxicación por monóxido de carbono, es la principal causa de muerte por intoxicación involuntaria en nuestro medio, muchas veces coexistiendo con una intoxicación por cianuro. Ambas intoxicaciones pueden ser de carácter grave, basándose su diagnóstico en la mera sospecha del médico. Además, su importancia radica en que ambas intoxicaciones tienen un tratamiento concreto. La oxigenoterapia normo o hiperbárica es el tratamiento de elección de la intoxicación por monóxido de carbono. En el caso de la intoxicación por cianuro, la hidroxocobalamina es hoy día el tratamiento de elección, ya que ha demostrado ser un eficaz antídoto.Poisoning by gases in our area is an important problem due to its high incidence. In the specific case of carbon monoxide poisoning, this is the main cause of death by poisoning in our environment, on many occasions coexisting with cyanide poisoning. Both poisonings can be severe, their diagnosis being based on the mere suspicions of the doctor. Besides, their importance lies in the fact that both poisonings have a very specific treatment. Normo or hyperbaric oxygenotherapy is the treatment for carbon monoxide poisoning. In the case of cyanide poisoning, hydroxocobalamin is nowadays the treatment of choice, since it has proved itself to be an efficient antidote.

  6. Serum IL-18 Levels and Its Clinical Significance in the Blood of Patients with Delated Encephalopathy after Acute Carbon Monoxide Poisoning%急性一氧化碳中毒后迟发性脑病患者血清白介素18水平及临床意义研究

    Institute of Scientific and Technical Information of China (English)

    张萍; 王传升; 韩永凯; 赵国有; 顾家鹏; 魏蕤荭; 顾仁骏

    2013-01-01

    目的 探讨白介素18(IL-18)的水平动态变化与急性一氧化碳中毒后迟发性脑病(DEACMP)发生机制的关系,寻找其发生时可能引起的细胞因子的变化,为进一步研究DEACMP免疫学机制提供线索.方法 选择2009年1月-2011年1月住我院神经内科的DEACMP患者40例为DEACMP组及同期我院门诊体检健康者36例为对照组,应用酶联免疫吸附法分别测定DEACMP患者急性期及恢复期的血清IL-18水平,并与对照者进行比较分析.结果 DEACMP患者急性期、恢复期血清IL-18水平[(29.7±8.4)ng/L、(28.3±7.9)ng/L]均高于对照组[(24.1±5.3)ng/L、(24.1±5.3)ng/L],差异均有统计学意义(t=3.433,P=0.001;t=2.693,P=0.009).DEACMP组急性期血清IL-18水平高于恢复期差异有统计学意义(t=2.421,P=0.020).结论 IL-18可能通过迟发性免疫途径参与DEACMP的发病过程,对疾病的发展可能有一定的影响.%Objective To investigate the relationship between dynamic changes of serum IL - 18 level and mechanism of delayed encephalopathy after acute carbon monoxide poisoning ( DEACMP ) to find potential cytokine variation during DEAC-MP occurrence and to provide evidence for further study on immunological mechanism of DEACMP. Methods 40 DEACMP patients admitted to the Neurology Department of our hospital from January 2009 to January 2011 were selected as DEACMP group and another 36 healthy people underwent physical examination in the same period were selected as control group. Enzyme - linked Immunoassay ( ELISA ) method was used to detect the levels of IL - 18 in acute stage and recovery stage, and the results were compared with the control group. Results The levels of IL - 18 in DEACMP patients [ ( 29. 7 ± 8. 4 ) ng/L, ( 28. 3 ± 7. 9 ) ng/L ] were significantly higher than the control group [ ( 24. 1 ±5.3) ng/L, ( 24. 1 ±5.3 ) ng/L ] both in acute stage and recovery stage ( t =3. 433 , P = 0. 001 ; t = 2. 693 , P =0. 009 ). In DEACMP group, the IL - 18 level in

  7. 多奈哌齐对急性一氧化碳中毒迟发性脑病患者认知功能的影响%Effects of Donepezil on cognitive function of delayed encephalophthy after acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    徐海波; 赵琦

    2015-01-01

    Objective To observe the effects of Donepezil on cognitive function of delyed ephalophthy after acute carbon monoxide poisoning ( DEACMP) .Methods Eighty patients with DEACMP were randomly divided into control group ( 40 cases ) and treatment group ( 40 cases ) .The control group was given treatment of regular medicine, placebo and hyperbaric oxygenation.The treatment group was given treatment of regular medicine, Donepezil and hyperbaric oxygenation.The dose of Donepezil was 5.0 mg per night, and 90 d was a period of treatment.The cognitive function of patients was evaluated respectively by MMSE and Barthel Index rating scale ( BI) .And the results were compared between the two groups.Results Compared with before treatment, the MMSE and BI scores of the two groups after treatment were significantly increased (P<0.05 -0.01).And after the treatment, the MMSE and BI scores of the treatment group were significantly higher than those in the control group (P<0.05-0.01).Conclusion Donepezil can greatly improve the cognitive function of DEACMP patients, it is worthy to be clinical promoted.%目的:观察多奈哌齐对急性一氧化碳中毒迟发性脑病( DEACMP)患者认知功能的影响。方法将80例DEACMP患者随机分成对照组(40例)和治疗组(40例)。对照组给予常规药物、安慰剂加高压氧治疗,治疗组给予常规药物、多奈哌齐加高压氧治疗,多奈哌齐剂量为每晚5.0 mg,连续治疗90 d为一疗程。采用MMSE及Barthel指数评定量表( BI)对患者的认知功能和日常生活能力进行评价,并进行组间比较。结果与治疗前比较,两组患者治疗后MMSE及BI评分均明显升高(P<0.05~0.01)。治疗后治疗组MMSE及BI评分均明显高于对照组(P<0.05~0.01)。结论多奈哌齐可明显改善DEACMP痴呆患者的认知功能及日常生活能力,值得临床推广。

  8. Poisoning - fish and shellfish

    Science.gov (United States)

    ... and diarrhea. These symptoms are followed by short-term memory loss, and other less common nervous system symptoms. ... the summer months. If you are poisoned, your long-term outcome is usually quite good. Scombroid poisoning symptoms ...

  9. Plant fertilizer poisoning

    Science.gov (United States)

    Plant fertilizers and household plant foods are used to improve plant growth. Poisoning can occur if someone swallows these products. Plant fertilizers are mildly poisonous if small amounts are swallowed. ...

  10. Hair straightener poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002706.htm Hair straightener poisoning To use the sharing features on this page, please enable JavaScript. Hair straightener poisoning occurs when someone swallows products that ...

  11. Hair spray poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002705.htm Hair spray poisoning To use the sharing features on this page, please enable JavaScript. Hair spray poisoning occurs when someone breathes in (inhales) ...

  12. Poison Ivy Dermatitis

    Science.gov (United States)

    ... Favorite Name: Category: Share: Yes No, Keep Private Poison Ivy Dermatitis Share | "Leaves of three - let it ... has a longer stem than the other two. Poison ivy clings to tree trunks and other vertical ...

  13. Suspected poisoning of domestic animals by pesticides.

    Science.gov (United States)

    Caloni, Francesca; Cortinovis, Cristina; Rivolta, Marina; Davanzo, Franca

    2016-01-01

    A retrospective study was carried out by reviewing all suspected cases of domestic animal poisoning attributed to pesticides, reported to the Milan Poison Control Centre (MPCC) between January 2011 and December 2013. During this period, pesticides were found to be responsible for 37.3% of all suspected poisoning enquiries received (815). The most commonly species involved was the dog (71.1% of calls) followed by the cat (15.8%), while a limited number of cases involved horses, goats and sheep. Most cases of exposure (47.1%) resulted in mild to moderate clinical signs. The outcome was reported in 59.9% of these cases, with death occurring in 10.4% of them. Insecticides (40.8%) proved to be the most common group of pesticides involved and exposure to pyrethrins-pyrethroids accounted for the majority of calls. According to the MPCC data, there has been a decrease in the number of suspected poisonings cases attributed to pesticides that have been banned by the EU, including aldicarb, carbofuran, endosulfan and paraquat. In contrast, there has been an increase of suspected poisoning cases attributed to the neonicotinoids, imidacloprid and acetamiprid, probably due to their widespread use in recent years. Cases of suspected poisoning that involved exposure to rodenticides accounted for 27.6% of calls received by the MPCC and anticoagulant rodenticides were the primary cause of calls, with many cases involving brodifacoum and bromadiolone. Herbicides were involved in 14.2% of calls related to pesticides and glyphosate was the main culprit in cases involving dogs, cats, horses, goats and sheep. As far as exposure to molluscicides (11.5%) and fungicides (5.9%), most of the cases involved dogs and the suspected poisoning agents were metaldehyde and copper compounds respectively. The data collected are useful in determining trends in poisoning episodes and identifying newly emerging toxicants, thus demonstrating the prevalence of pesticides as causative agents in animal

  14. Oral hyposensitization to poison ivy and poison oak.

    Science.gov (United States)

    Marks, J G; Trautlein, J J; Epstein, W L; Laws, D M; Sicard, G R

    1987-04-01

    We evaluated the safety and efficacy of a 1:1 mixture of pentadecylcatechol (PDC) and heptadecylcatechol (HDC) diacetate in reducing hypersensitivity to poison ivy and poison oak. The study was double-blind, parallel, randomized, and placebo controlled. The 44 subjects receiving the active drug ingested a cumulative dose of 306.5 mg over a five-week period. Subsequently, 14 patients were continued on a maintenance phase, ingesting an additional 960 mg of drug. The PDC-HDC diacetate was well tolerated, with no significant side effects. Evaluation of efficacy compared poststudy and prestudy reactions to patch tests using urushiol in doses of 0.025, 0.05, 0.125, 0.25, and 0.5 micrograms applied to the forearm. The results indicated that the induction phase as well as the maintenance phase did not induce a statistically significant hyposensitivity to urushiol, and we were thus unable to decrease sensitivity to poison ivy and poison oak in humans using orally ingested PDC-HDC diacetate.

  15. Lead Poisoning in Children.

    Science.gov (United States)

    Drummond, A. H., Jr.

    1981-01-01

    Early symptoms of lead poisoning in children are often overlooked. Lead poisoning has its greatest effects on the brain and nervous system. The obvious long-term solution to the lead poisoning problem is removal of harmful forms of the metal from the environment. (JN)

  16. A Review on Preferential Oxidation of Carbon Monoxide in Hydrogen Rich Gases

    Directory of Open Access Journals (Sweden)

    A. Mishra

    2011-05-01

    Full Text Available In this review, recent works on the preferential oxidation of carbon monoxide in hydrogen rich gases for fuel cell applications are summarized. H2 is used as a fuel for polymer-electrolyte membrane fuel cell (PEMFC. It is produced by reforming of natural gas or liquid fuels followed by water gas shift reaction. The produced gas consists of H2, CO, and CO2. In which CO content is around 1%, which is highly poisonous for the Pt anode of the PEMFC so that further removal of CO is needed. Catalytic preferential oxidation of CO (CO-PROX is one of the most suitable methods of purification of H2 because of high CO conversion rate at low temperature range, which is preferable for PEMFC operating conditions. Catalysts used for COPROX are mainly noble metal based; gold based and base metal oxide catalysts among them Copper-Ceria based catalysts are the most appropriate due to its low cost, easy availability and result obtained by these catalysts are comparable with the conventional noble metal catalysts. Copyright © 2011 BCREC UNDIP. All rights reserved(Received: 22nd October 2010, Revised: 12nd January 2011, Accepted: 19th January 2011[How to Cite: A. Mishra, R. Prasad. (2011. A Review on Preferential Oxidation of Carbon Monoxide in Hydrogen Rich Gases. Bulletin of Chemical Reaction Engineering & Catalysis, 6 (1: 1-14. doi:10.9767/bcrec.6.1.191.1-14][How to Link / DOI: http://dx.doi.org/10.9767/bcrec.6.1.191.1-14 || or local:  http://ejournal.undip.ac.id/index.php/bcrec/article/view/191] | View in 

  17. Carbon monoxide gas is not inert, but global, in its consequences for bacterial gene expression, iron acquisition and antibiotic resistance

    NARCIS (Netherlands)

    Wareham, L.K.; Begg, R.; Jesse, H.E.; van Beilen, J.W.A.; Ali, S.; Svistunenko, D.; McLean, S.; Hellingwerf, K.J.; Sanguinetti, G.; Poole, R.K.

    2016-01-01

    Carbon monoxide is a respiratory poison and gaseous signaling molecule. Although CO-releasing molecules (CORMs) deliver CO with temporal and spatial specificity in mammals, and are proven antimicrobial agents, we do not understand the modes of CO toxicity. Our aim was to explore the impact of CO gas

  18. Status and trends in poisonings in Denmark 2007-2009

    DEFF Research Database (Denmark)

    Bøgevig, Søren; Høgberg, Lotte Christine Groth; Dalhoff, Kim Peder

    2011-01-01

    The Danish Poison Information Centre (DPIC) provides information to the public and health care professionals on acute poisonings. The DPIC received 41,000 enquiries during the first three years of its existence as an open 24h telephone service. The aim of this data register study was to classify...... all substance exposures, to gain knowledge of the status and trends in poisonings (toxico-surveillance) and to evaluate the development in the number of contacts....

  19. Neurobehavioral Aspects of the Delayed Encephalopathy of Carbon Monoxide Intoxication: Case Report and Review

    Directory of Open Access Journals (Sweden)

    M. F. Mendez

    1995-01-01

    Full Text Available We report the neurobehavioral aspects of the delayed encephalopathy of carbon monoxide (CO intoxication in a 29 year old woman and review the literature. Four weeks after CO poisoning, the patient developed a frontal lobe syndrome, visuoperceptual impairment, and diffuse white matter lesions with an otherwise normal neurological examination. In contrast, patients with the classical syndrome also have a parkinsonian state or an akinetic–mute state. The delayed encephalopathy of CO poisoning usually results from demyelination of subcortical white matter, necrosis of the globus pallidus, or both. The clinical aspects, risk factors, neurobiological features, and therapy and prognosis are discussed.

  20. Carbon Monoxide Mixing Ratio System

    Data.gov (United States)

    Oak Ridge National Laboratory — The Southern Great Plains (SGP) Carbon Monoxide (CO) system provides high-precision atmospheric concentration measurements of CO mixing ratio (ppbv dry air) every 10...

  1. Marijuana poisoning.

    Science.gov (United States)

    Fitzgerald, Kevin T; Bronstein, Alvin C; Newquist, Kristin L

    2013-02-01

    , tremors, hypothermia, and bradycardia. Higher dosages may additionally cause nystagmus, agitation, tachypnea, tachycardia, ataxia, hyperexcitability, and seizures. Treatment of marijuana ingestion in animals is largely supportive. Vital signs including temperature and heart rate and rhythm must be continually monitored. Stomach content and urine can be tested for cannabinoids. Gas chromatography and mass spectrometry can be utilized for THC detection but usually may take several days and are not practical for initiation of therapy. Human urine drug-screening tests can be unreliable for confirmation of marijuana toxicosis in dogs owing to the interference of a large number of the metabolites in canine urine. False negatives may also arise if testing occurs too recently following THC ingestion. Thus, the use of human urine drug-screening tests in dogs remains controversial. No specific antidote presently exists for THC poisoning. Sedation with benzodiazepines may be necessary if dogs are severely agitated. Intravenous fluids may be employed to counter prolonged vomiting and to help control body temperature. Recently, the use of intralipid therapy to bind the highly lipophilic THC has been utilized to help reduce clinical signs. The majority of dogs experiencing intoxication after marijuana ingestion recover completely without sequellae. Differential diagnoses of canine THC toxicosis include human pharmaceuticals with central nervous system stimulatory effects, drugs with central nervous system depressant effects, macrolide parasiticides, xylitol, and hallucinogenic mushrooms.

  2. Recognition and Management of Pesticide Poisonings. Third Edition.

    Science.gov (United States)

    Morgan, Donald P.

    This manual aids health professionals in recognizing and treating pesticide poisonings. Suggested treatments are appropriate for implementation in the small hospitals and clinics which usually receive the victims of pesticide poisoning. Classes of compounds covered include: (1) organophosphate cholinesterase-inhibiting pesticides; (2) carbamate…

  3. Acute Poisoning in Children Referred to Qazvin Children Hospital (2009 to 2012

    Directory of Open Access Journals (Sweden)

    Pirzadeh

    2016-11-01

    Full Text Available Background Acute poisoning in children (APC is a preventable cause of pediatric emergency visits. Patterns of acute poisoning in children are different in various regions and times. Objectives The aim of this study was to assess the epidemiology of acute poisoning in children, who were referred to the emergency department of Qods teaching hospital in Qazvin, Iran. Methods In this descriptive, cross-sectional study, all children younger than 13 years old, admitted to the Qods teaching hospital in Qazvin (Iran, were assessed during September 2009 to September 2012. Demographic and clinical symptoms and signs of poisoned cases, poisonous agents and outcome of patients were studied. Results Four hundreds and thirty-four (2.59% of total hospital admission patients with APC were admitted to the emergency department during the study period; 63.36% were male. Overall, 345 (79.5% cases were under 6 years old. Drugs (265 cases were common agents for APC. The ingestion route was responsible in 391 of APC. Methadone, benzodiazepines and kerosene were the most frequent poisonous agents. Neurologic symptoms and signs (256 cases were the most common presentation of APC. Forty-five patients (10.36% were admitted to the PICU. Three deaths (%0.06 occurred with monoxide carbon and methadone poisoning. Monoxide carbon poisoning was the deadliest agent. Conclusions Acute poisoning in children is a serious preventable cause of hospital admissions. It is one of the differential diagnoses in patients with sudden onset of neurological, alimentary, respiratory symptoms and signs, who are visited at the emergency department. Parental awareness and education about keeping potential poisoning agents safely is essential to reduce APC in children.

  4. Hair dye poisoning

    Science.gov (United States)

    Hair tint poisoning ... Different types of hair dye contain different harmful ingredients. The harmful ingredients in permanent dyes are: Naphthylamine Other aromatic amino compounds Phenylenediamines Toluene ...

  5. N-Butylphthalide Alleviates Blood-Brain Barrier Impairment in Rats Exposed to Carbon Monoxide

    Directory of Open Access Journals (Sweden)

    Mingjun Bi

    2016-10-01

    Full Text Available Carbon monoxide (CO poisoning is one of the most important health concerns and may result in neuropathologic changes and neurologic sequelae. However, few studies have addressed the correlation between CO poisoning and blood-brain barrier (BBB impairment. In this study, we investigated the effects of N-butylphthalide (NBP on the expressions of zonula occludens-1 (ZO-1, claudin-5 and aquaporin-4 (AQP-4 proteins in a CO poisoning rat model. The results indicated that the brain water content was obviously increased, and the tight junctions (TJs between endothelial cells were disrupted, resulting in significant cerebral edema and BBB dysfunction in a rat model of CO poisoning. Meanwhile, the ultrastructure of endothelial cells and pericytes was seriously damaged, and the expressions of ZO-1 and claudin-5 were decreased at an early stage (<7 days. NBP treatment could efficiently maintain the ultrastructural and functional integrity of BBB, alleviate cerebral edema. Besides, NBP could also markedly increase the levels of both ZO-1 and claudin-5 proteins compared with those in rats exposed to CO (P<0.05, whereas NBP had no apparent regulatory effect on AQP-4 expression. Taken together, this study highlights the importance of ZO-1 and claudin-5 proteins in maintaining BBB ultrastructure and function after CO poisoning. NBP, as a novel treatment approach, may effectively inhibit the down-regulation of ZO-1 and claudin-5 proteins (but not AQP-4, thereby preserving the barrier function and reducing cerebral edema after CO poisoning.

  6. (Carbon monoxide metabolism by photosynthetic bacteria)

    Energy Technology Data Exchange (ETDEWEB)

    1989-01-01

    Research continued on the metabolism of carbon monoxide by Rhodospirillum rubrum. This report discusses progress on the activity, induction, inhibition, and spectroscopic analysis of the enzyme Carbon Monoxide Dehydrogenase. (CBS)

  7. Carbon Monoxide Silicate Reduction System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Carbon Monoxide Silicate Reduction System (COSRS) is an innovative method that for the first time uses the strong reductant carbon monoxide to both reduce iron...

  8. Amnesic Shellfish Poisoning (ASP)

    DEFF Research Database (Denmark)

    Ravn, H.

    HAB Publ. Ser. vol 1 is a supplement to Chapter 7 Mehtods for Domoic Acid, the Amnesic Shellfish Poisons in the IOC Manual of Harmful Marine Microalgae......HAB Publ. Ser. vol 1 is a supplement to Chapter 7 Mehtods for Domoic Acid, the Amnesic Shellfish Poisons in the IOC Manual of Harmful Marine Microalgae...

  9. Amnesic Shellfish Poisoning (ASP)

    DEFF Research Database (Denmark)

    Ravn, H.

    HAB Publ. Ser. vol 1 is a supplement to Chapter 7 Mehtods for Domoic Acid, the Amnesic Shellfish Poisons in the IOC Manual of Harmful Marine Microalgae......HAB Publ. Ser. vol 1 is a supplement to Chapter 7 Mehtods for Domoic Acid, the Amnesic Shellfish Poisons in the IOC Manual of Harmful Marine Microalgae...

  10. DRUG POISONING IN SLOVENIA

    Directory of Open Access Journals (Sweden)

    Miran Brvar

    2008-01-01

    Poisoning by drugs for the nervous system, particularly benzodiazepines, is the most commonform of poisoning by drugs in Slovenia. It would be necessary to report all acutelypoisoned patients to the Register of Intoxications, since we need data about all poisoningin Slovenia to improve their prophylaxis and treatment

  11. Cartap Hydrochloride Poisoning.

    Science.gov (United States)

    Kalyaniwala, Kimmin; Abhilash, Kpp; Victor, Peter John

    2016-08-01

    Cartap hydrochloride is a moderately hazardous nereistoxin insecticide that is increasingly used for deliberate self-harm in India. It can cause neuromuscular weakness resulting in respiratory failure. We report a patient with 4% Cartap hydrochloride poisoning who required mechanical ventilation for 36-hours. He recovered without any neurological deficits. We also review literature on Cartap hydrochloride poisoning.

  12. Carbon monoxide formation in tomatoes

    Energy Technology Data Exchange (ETDEWEB)

    Gladon, R.J.; Staby, G.L.

    1979-01-01

    Carbon monoxide (CO) is not emanated to any large extent from tomato fruits (Lycopersicon esculentum, Mill. cvs. Rutgers and Ohio MR-13), but is retained within the internal atmosphere. CO is found during all stages of fruit development, but no set pattern of CO concentration is evident.

  13. MOPITT Carbon Monoxide Over India

    Science.gov (United States)

    2002-01-01

    MOPITT observed high levels of carbon monoxide (red and yellow pixels) over the Indian sub-continent during March. These values are associated with industrial activity in the region just south of the Himalayan Mountains. Notice that to the north, the Himalayas are characterized by low values (blue pixels).

  14. Look Out! It's Poison Ivy!

    Science.gov (United States)

    Darlington, Elizabeth, Day

    1986-01-01

    Provides background information on poison ivy and offers suggestions for instructional activities. Includes illustrations of the varieties of poison ivy leaf forms and poison ivy look-alikes. Highlights interesting facts and cases associated with poison ivy and its relatives. (ML)

  15. Poison Center Data for Public Health Surveillance: Poison Center and Public Health Perspectives

    Science.gov (United States)

    Law, Royal K.; Schier, Josh; Schauben, Jay; Wheeler, Katherine; Mulay, Prakash

    2013-01-01

    Objective To describe the use of poison center data for public health surveillance from the poison center, local, state, and federal public health perspectives and to generate meaningful discussion on how to address the challenges to collaboration. Introduction Since 2008, poisoning has become the leading cause of injury-related death in the United States (US); since 1980, the poisoning-related fatality rate in the US has almost tripled.1 Many poison-related injuries and deaths are reported to regional poison centers (PCs) which receive about 2.4 million reports of human chemical and poison exposures annually.2 Federal, state, and local public health (PH) agencies often collaborate with poison centers and use PC data for public health surveillance of poisoning-related health issues. Many state and local PH agencies have partnerships with regional PCs for direct access to local PC data which help them perform this function. At the national level, CDC conducts public health surveillance for exposures and illnesses of public health significance using the National Poison Data System (NPDS), the national PC reporting database. Though most PC and PH officials agree that PC data play an important role in PH practice and surveillance, collaboration between PH agencies and PCs has been hindered by numerous challenges. To address these challenges and bolster collaboration, the Poison Center and Public Health Collaborations Community of Practice (CoP) was created in 2010 by CDC as a means to share experiences, identify best practices, and facilitate relationships among federal, state and local public health agencies and PCs. To date, the Poison Center and Public Health Collaborations CoP includes over 200 members from state and local public health, regional PCs, CDC, the American Association of Poison Control Centers (AAPCC), and the Environmental Protection Agency (EPA). A leadership team was created with representatives of the many stakeholders of the community to drive its

  16. Status and trends in poisonings in Denmark 2007-2009

    DEFF Research Database (Denmark)

    Dalhoff, Kim Peder; Bøgevig, Søren; Høgberg, Lotte Christine Groth

    2011-01-01

    INTRODUCTION: The Danish Poison Information Centre (DPIC) provides information to the public and health care professionals on acute poisonings. The DPIC received 41,000 enquiries during the first three years of its existence as an open 24h telephone service. The aim of this data register study...... was to classify all substance exposures, to gain knowledge of the status and trends in poisonings (toxico-surveillance) and to evaluate the development in the number of contacts. MATERIAL AND METHODS: Information and inquiries were continuously entered into a poison-centre database. A new classification system...... in the Danish population were registered in 2009. For all groups, except drugs of abuse, the data showed an increase in the actual number of exposures from 2008 to 2009. Pharmaceuticals represent one third of substance exposures, and analgesics constitute a third of these poisonings. A relative increase...

  17. Potassium carbonate poisoning

    Science.gov (United States)

    Potassium carbonate is a white powder used to make soap, glass, and other items. This article discusses poisoning from swallowing or breathing in potassium carbonate. This article is for information only. Do ...

  18. Bracken fern poisoning

    Science.gov (United States)

    Bracken fern (Pteridium aquilinum) has worldwide distribution and in some areas dominated plant communities replacing desirable forages. Poisoning is identified as enzootic hematuria, bright blindness, and bracken staggers. This chapter reviews updates new information on the plant, the various poi...

  19. Poison plants (image)

    Science.gov (United States)

    ... by poor circulation, even stress. An example of contact dermatitis is the reaction of a sensitive person's skin to poison ivy, oak or sumac. Contact with these plants, which contain a chemical called ...

  20. Cedar leaf oil poisoning

    Science.gov (United States)

    Cedar leaf oil is made from some types of cedar trees. Cedar leaf oil poisoning occurs when someone swallows this substance. ... The substance in cedar leaf oil that can be harmful is thujone (a hydrocarbon).

  1. Ciguatera Fish Poisoning

    Science.gov (United States)

    ... debilitating (Miller, 1991). To date there is no antidote or effectivc treatment, so supportive care and medications ... Diagnosis, Management and Treatment, Chemical Structure, and Molecular Mechanism of Action. Additional Resources Ciguatera Fish Poisoning: Treatment, ...

  2. Sodium carbonate poisoning

    Science.gov (United States)

    Sodium carbonate (known as washing soda or soda ash) is a chemical found in many household and ... products. This article focuses on poisoning due to sodium carbonate. This article is for information only. Do ...

  3. Jerusalem cherry poisoning

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002871.htm Jerusalem cherry poisoning To use the sharing features on this page, please enable JavaScript. The Jerusalem cherry is a plant that belongs to the ...

  4. Oximes in organophosphorus poisoning

    Directory of Open Access Journals (Sweden)

    Cherian M

    2005-01-01

    Full Text Available Acute organic insecticide poisoning is a major health problem all over the world, particularly in the developing countries, where organophosphates (OPs are the most common suicidal poisons with high morbidity and mortality and account for a large proportion of patients admitted to intensive care units. Other insecticides less commonly used are organocarbamates, organochlorides, and pyrethroids, which are less toxic and are associated with less morbidity and mortality. Patients with poisoning present with a wide spectrum of gastrointestinal, neurological, and cardiac manifestations. A strong clinical suspicion is necessary to make an early diagnosis and to start appropriate therapy. Treatment is primarily supportive and includes decontamination, anticholinergics, protection of the airway, and cardiac and respiratory support. The use of oximes has been controversial and may be associated with higher mortality owing to a higher incidence of type-II paralysis. They may have other toxic side effects. This paper reviews the literature on OP poisoning.

  5. [Suicidal poisoning with benzodiazepines].

    Science.gov (United States)

    Chodorowski, Z; Sein Anand, J

    1997-01-01

    In the period from 1987 to 1996, 103 patients with suicidal benzodiazepines poisoning were treated, including 62 women and 41 men from 16 to 79 (mean 34) years old. 23 persons were poisoned only by benzodiazepines, in 80 remaining cases intoxications were mixed eg. including benzodiazepines and alcohol, tricyclic antidepressants, barbiturates, opioids, phenothiazines. The main causes of suicides were mainly depression, drug addiction and alcoholism. Nobody died in the benzodiazepines group, while mortality rate in the group of mixed poisoning was 4%. Prescribing benzodiazepines by physicians was quite often not justified and facilitated, among others, accumulation of the dose sufficient for suicide attempt. Flumazenil was efficient for leading out from coma in 86% of cases with poisoning only by benzodiazepines and 13% of cases with mixed intoxications mainly containing benzodiazepines and alcohol or carbamazepine.

  6. Swimming pool cleaner poisoning

    Science.gov (United States)

    Swimming pool cleaner poisoning occurs when someone swallows this type of cleaner, touches it, or breathes in ... The harmful substances in swimming pool cleaner are: Bromine ... copper Chlorine Soda ash Sodium bicarbonate Various mild acids

  7. Hand lotion poisoning

    Science.gov (United States)

    ... lotion or cream can be harmful if swallowed: Dimethicone Mineral oil Paraffins (waxes) Petrolatum Various alcohols Where ... Hand cream poisoning References Caraccio TR, McFee RB. Cosmetics and toilet articles. In: Shannon MW, Borron SW, ...

  8. Pine oil poisoning

    Science.gov (United States)

    ... K. General approach to the poisoned patient. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical ... Mosby; 2013:chap 147. Lee DC. Hydrocarbons. In: Marx J, ed. Rosen's Emergency Medicine: Concepts and Clinical ...

  9. Lead Poisoning (For Parents)

    Science.gov (United States)

    ... organs and tissues that need it, thus causing anemia. Most lead ends up in the bone, where it causes ... vomiting or nausea constipation pallor (pale skin) from ... look for lead poisoning or other health problems. Treatment Treatment for ...

  10. A carbon monoxide passive sampler: Research and development needs

    Energy Technology Data Exchange (ETDEWEB)

    Traynor, G.W.; Apte, M.G.; Diamond, R.C.; Woods, A.L.

    1991-11-01

    In rare instances, carbon monoxide (CO) levels in houses can reach dangerously high concentrations, causing adverse health effects ranging from mild headaches to, under extreme conditions, death. Hundreds of fatal accidental carbon monoxide poisonings occur each year primarily due to the indoor operation of motor vehicles, the indoor use of charcoal for cooking, the operation of malfunctioning vented and unvented combustion appliances, and the misuse combustion appliances. Because there is a lack of simple, inexpensive, and accurate field sampling instrumentation, it is difficult for gas utilities and researchers to conduct field research studies designed to quantify the concentrations of CO in residences. Determining the concentration of CO in residences is the first step towards identifying the high risk appliances and high-CO environments which pose health risks. Thus, there exists an urgent need to develop and field-validate a CO-quantifying technique suitable for affordable field research. A CO passive sampler, if developed, could fulfill these requirements. Existing CO monitoring techniques are discussed as well as three potential CO-detection methods for use in a CO passive sampler. Laboratory and field research needed for the development and validation of an effective and cost-efficient CO passive sampler are also discussed.

  11. Hydroxocobalamin in cyanide poisoning.

    Science.gov (United States)

    Thompson, John P; Marrs, Timothy C

    2012-12-01

    On theoretical grounds, hydroxocobalamin is an attractive antidote for cyanide poisoning as cobalt compounds have the ability to bind and detoxify cyanide. This paper reviews the pharmacokinetic and pharmacodynamic aspects of hydroxocobalamin, its efficacy in human cyanide poisoning and its adverse effects. PubMed was searched for the period 1952 to April 2012. A total of 71 papers were identified in this way; and none was excluded. PHARMACOKINETICS AND PHARMACODYNAMICS: Pharmacokinetic studies in dogs and humans suggest a two-compartment model, with first order elimination kinetics. Pharmacodynamic studies in animals suggest that hydroxocobalamin would be a satisfactory antidote for human cyanide poisoning. EFFICACY IN HUMAN POISONING: There is limited evidence that hydroxocobalamin alone is effective in severe poisoning by cyanide salts. The evidence for the efficacy of hydroxocobalamin in smoke inhalation is complicated by lack of evidence for the importance of cyanide exposure in fires and the effects of other chemicals as well as confounding effects of other therapeutic measures, including hyperbaric oxygen. Evidence that hydroxocobalamin is effective in poisoning due to hydrogen cyanide alone is lacking; extrapolation of efficacy from poisoning by ingested cyanide salts may not be valid. The rate of absorption may be greater with inhaled hydrogen cyanide and the recommended slow intravenous administration of hydroxocobalamin may severely limit its clinical effectiveness in these circumstances. Both animal and human data suggest that hydroxocobalamin is lacking in clinically significant adverse effects. However, in one human volunteer study, delayed but prolonged rashes were observed in one-sixth of subjects, appearing 7 to 25 days after administration of 5 g or more of hydroxocobalamin. Rare adverse effects have included dyspnoea, facial oedema, and urticaria. Limited data on human poisonings with cyanide salts suggest that hydroxocobalamin is an effective

  12. Pyopneumothorax following kerosene poisoning.

    Science.gov (United States)

    Chaudhary, Shyam Chand; Sawlani, Kamal Kumar; Yathish, B E; Singh, Ambukeshwar; Kumar, Suresh; Parihar, Anit

    2014-01-01

    Kerosene poisoning is a common poisoning in India especially in childhood, and clinical spectrum can range from meager chemical pneumonitis to grave complications such as hypoxia, pneumothorax, pneumomediastinum, and emphysema. Pyopneumothorax that may require aggressive management in the form of thoracotomy has not been reported in literature. We hereby report a 22-year young female who had developed series of respiratory complications including pyopneumothorax following ingestion of kerosene with suicidal intent and was treated successfully.

  13. Occupational lead poisoning

    OpenAIRE

    Ramírez, Augusto V; Médico del Trabajo. American College of Occupational and Environmental Medicine.

    2013-01-01

    Lead, a ubiquitous heavy metal, has been found in places as unlikely as Greenland’s fossil ice. Egyptians and Hebrews used it. In Spain, Phoenicians c. 2000 BC worked ores of lead. At the end of the XX century, occupational lead’s poisoning became a public health problem in developed countries. In non-developed countries occupational lead poisoning is still frequent. Diagnosis is directed to recognize lead existence at the labor environment and good clinical and occupational documentation. Di...

  14. Carbon monoxide inhalation increases microparticles causing vascular and CNS dysfunction.

    Science.gov (United States)

    Xu, Jiajun; Yang, Ming; Kosterin, Paul; Salzberg, Brian M; Milovanova, Tatyana N; Bhopale, Veena M; Thom, Stephen R

    2013-12-01

    We hypothesized that circulating microparticles (MPs) play a role in pro-inflammatory effects associated with carbon monoxide (CO) inhalation. Mice exposed for 1h to 100 ppm CO or more exhibit increases in circulating MPs derived from a variety of vascular cells as well as neutrophil activation. Tissue injury was quantified as 2000 kDa dextran leakage from vessels and as neutrophil sequestration in the brain and skeletal muscle; and central nervous system nerve dysfunction was documented as broadening of the neurohypophysial action potential (AP). Indices of injury occurred following exposures to 1000 ppm for 1h or to 1000 ppm for 40 min followed by 3000 ppm for 20 min. MPs were implicated in causing injuries because infusing the surfactant MP lytic agent, polyethylene glycol telomere B (PEGtB) abrogated elevations in MPs, vascular leak, neutrophil sequestration and AP prolongation. These manifestations of tissue injury also did not occur in mice lacking myeloperoxidase. Vascular leakage and AP prolongation were produced in naïve mice infused with MPs that had been obtained from CO poisoned mice, but this did not occur with MPs obtained from control mice. We conclude that CO poisoning triggers elevations of MPs that activate neutrophils which subsequently cause tissue injuries.

  15. A Wireless and Batteryless Intelligent Carbon Monoxide Sensor.

    Science.gov (United States)

    Chen, Chen-Chia; Sung, Gang-Neng; Chen, Wen-Ching; Kuo, Chih-Ting; Chue, Jin-Ju; Wu, Chieh-Ming; Huang, Chun-Ming

    2016-09-23

    Carbon monoxide (CO) poisoning from natural gas water heaters is a common household accident in Taiwan. We propose a wireless and batteryless intelligent CO sensor for improving the safety of operating natural gas water heaters. A micro-hydropower generator supplies power to a CO sensor without battery (COSWOB) (2.5 W at a flow rate of 4.2 L/min), and the power consumption of the COSWOB is only ~13 mW. The COSWOB monitors the CO concentration in ambient conditions around natural gas water heaters and transmits it to an intelligent gateway. When the CO level reaches a dangerous level, the COSWOB alarm sounds loudly. Meanwhile, the intelligent gateway also sends a trigger to activate Wi-Fi alarms and sends notifications to the mobile device through the Internet. Our strategy can warn people indoors and outdoors, thereby reducing CO poisoning accidents. We also believe that our technique not only can be used for home security but also can be used in industrial applications (for example, to monitor leak occurrence in a pipeline).

  16. A Wireless and Batteryless Intelligent Carbon Monoxide Sensor

    Directory of Open Access Journals (Sweden)

    Chen-Chia Chen

    2016-09-01

    Full Text Available Carbon monoxide (CO poisoning from natural gas water heaters is a common household accident in Taiwan. We propose a wireless and batteryless intelligent CO sensor for improving the safety of operating natural gas water heaters. A micro-hydropower generator supplies power to a CO sensor without battery (COSWOB (2.5 W at a flow rate of 4.2 L/min, and the power consumption of the COSWOB is only ~13 mW. The COSWOB monitors the CO concentration in ambient conditions around natural gas water heaters and transmits it to an intelligent gateway. When the CO level reaches a dangerous level, the COSWOB alarm sounds loudly. Meanwhile, the intelligent gateway also sends a trigger to activate Wi-Fi alarms and sends notifications to the mobile device through the Internet. Our strategy can warn people indoors and outdoors, thereby reducing CO poisoning accidents. We also believe that our technique not only can be used for home security but also can be used in industrial applications (for example, to monitor leak occurrence in a pipeline.

  17. Accidental dapsone poisoning in children.

    Science.gov (United States)

    Nair, P M; Philip, E

    1984-12-01

    Accidental poisoning in children shows a trend towards poisoning with various newer drugs and chemicals used in the household. Sixty-one cases of accidental poisoning in children were seen in Sree Avittam Thirunal Hospital, (S.A.T.H.), Trivandrum, South India during the year 1982, constituting 0.61% of the total pediatric admissions. Dapsone poisoning constituted 9.8% of the total accidental poisonings, emphasising the need for safe storage of drugs out of the reach of young children. Dapsone poisoning with resultant methaemoglobinaemia responded well to intravenous ascorbic acid and other supportive measures.

  18. Treatment of severe chloroquine poisoning.

    Science.gov (United States)

    Riou, B; Barriot, P; Rimailho, A; Baud, F J

    1988-01-07

    No therapy has been proved to be effective for patients with severe chloroquine poisoning, which is usually fatal. In a retrospective study of 51 cases, we found that ingestion of more than 5 g of chloroquine was an accurate predictor of a fatal outcome, and therefore chose this dose as the criterion for severe chloroquine poisoning. We selected as a control group 11 consecutive patients who had ingested more than 5 g of chloroquine between July 1983 and December 1985. We then undertook a prospective study to determine whether a better outcome could be obtained with immediate mechanical ventilation and the administration of diazepam and epinephrine. Eleven consecutive patients who ingested more than 5 g of chloroquine in 1986 received this combination therapy. Ten of these patients survived, whereas only one control had survived (P = 0.0003). There was no significant difference between the combination-therapy and control groups in age (29 +/- 3 vs. 27 +/- 2 years), amount of chloroquine ingested (7.5 +/- 0.5 vs. 8.5 +/- 0.8 g), systolic arterial pressure (74 +/- 2 vs. 74 +/- 3 mm Hg), or QRS duration (0.14 +/- 0.01 vs. 0.14 +/- 0.01 second). In our combination-therapy group, blood chloroquine levels ranged from 40 to 80 mumol per liter, whereas a literature search showed that no patient in whom blood levels were more than 25 mumol per liter had survived. These preliminary data suggest that combining early mechanical ventilation with the administration of diazepam and epinephrine may be effective in the treatment of severe chloroquine poisoning.

  19. Carbon monoxide kinetics following simulated cigarette smoking

    Energy Technology Data Exchange (ETDEWEB)

    Karnik, A.S. (Wayne State Univ., Detroit, MI); Coin, E.J.

    1980-05-01

    Carbon monoxide kinetics were measured in the blood (% carboxyhemoglobin) and alveolar phase (ppM carbon monoxide) after simulated cigarette smoking. Cigarette smoking was siumlated using the same amount of carbon monoxide that 2R1F cigarettes manufactured by the Tobacco Research Institute would contain. Ten boluses of air containing carbon monoxide equivalent to smoking one cigarette were inhaled by six healthy nonsmoker volunteers. Carbon monoxide in the air phase was measured by an Ecolyzer and carboxyhemoglobin was measured by a CO-Oximeter. The mean rise in alveolar carbon monoxide immediately and 20 min after inhaling the last bolus was 3.3 and 3.1 ppM, respectively (p<.005). The mean rise in carboxyhemoglobin immediately and 20 min after inhalation of the last bolus was 0.8 and 0.5% respectively (P<.005). The changes in carboxyhemoglobin were found to be similar to changes that occur when one cigarette is actually smoked.

  20. [Homeostasis changes during rehabilitation period after acute chemical poisoning].

    Science.gov (United States)

    Badalian, A V; Luzhnikov, E A; Gol'dfarb, Iu S; Godkov, M A; Khvatov, V B; Bitkova, E E; El'kov, A N; Il'iashenko, K K; Nikulina, V P; Matveev, S B

    2013-01-01

    The article deals with review of 78 patients of rehabilitation toxicological unit. The patients received resuscitation and detoxification. All patients were divided into three groups; 1st group--patients after poisoning with psychopharmaceuticals, 2nd group--patients after poisoning with cauterizing liquids and 3rd group--patients with encephalopathy after poisoning with neurotoxin (psychopharmaceuticals, narcotics and ethanol). Disorders of rheology, haemostasis and endotoxicosis accrued in all groups. These disorders were a signs of the erythrocytes and platelets aggregation developing and viscoelasticity disorder. Homeostasis changes during rehabilitation period need an accurate diagnostics for purposeful treatment of the defined disorders.

  1. Benzodiazepine poisoning in elderly.

    Science.gov (United States)

    Vukcević, Natasa Perković; Ercegović, Gordana Vuković; Segrt, Zoran; Djordjević, Snezana; Stosić, Jasmina Jović

    2016-03-01

    Benzodiazepines are among the most frequently ingested drugs in self-poisonings. Elderly may be at greater risk compared with younger individuals due to impaired metabolism and increased sensitivity to benzodiazepines. The aim of this study was to assess toxicity of benzodiazepines in elderly attempted suicide. A retrospective study of consecutive presentations to hospital after self-poisoning with benzodiazepines was done. Collected data consisted of patient's characteristics (age, gender), benzodiazepine ingested with its blood concentrations at admission, clinical findings including vital signs and Glasgow coma score, routine blood chemistry, complications of poisoning, details of management, length of hospital stay and outcome. According the age, patients are classified as young (15-40-year old), middle aged (41-65-year old) and elderly (older than 65). During a 2-year observational period 387 patients were admitted because of pure benzodiazepine poisoning. The most frequently ingested drug was bromazepam, the second was diazepam. The incidence of coma was significantly higher, and the length of hospital stay significantly longer in elderly. Respiratory failure and aspiration pneumonia occurred more frequently in old age. Also, flumazenil was more frequently required in the group of elderly patients. Massive benzodiazepines overdose in elderly may be associated with a significant morbidity, including deep coma with aspiration pneumonia, respiratory failure, and even death. Flumazenil is indicated more often to reduce CNS depression and prevent complications of prolonged unconsciousness, but supportive treatment and proper airway management of comatose patients is the mainstay of the treatment of acute benzodiazepine poisoning.

  2. Oil-based paint poisoning

    Science.gov (United States)

    Paint - oil based - poisoning ... Hydrocarbons are the primary poisonous ingredient in oil paints. Some oil paints have heavy metals such as lead, mercury, cobalt, and barium added as pigment. These heavy metals can cause additional ...

  3. Poison control center - emergency number

    Science.gov (United States)

    For a POISON EMERGENCY call: 1-800-222-1222 ANYWHERE IN THE UNITED STATES This national hotline number will let you ... is a free and confidential service. All local poison control centers in the United States use this ...

  4. OCCUPATIONAL CARBAMATE POISONING IN THAILAND

    National Research Council Canada - National Science Library

    Tongpoo, Achara; Sriapha, Charuwan; Wongvisawakorn, Sunun; Rittilert, Panee; Trakulsrichai, Satariya; Wananukul, Winai

    2015-01-01

    Carbamate insecticide is a leading cause of poisoning in Thailand. The objective of this study was to characterize the clinical manifestations and modes of occupational exposure in carbamate poisoning cases...

  5. Extracorporeal treatment for thallium poisoning

    DEFF Research Database (Denmark)

    Ghannoum, Marc; Nolin, Thomas D; Goldfarb, David S

    2012-01-01

    The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl).......The EXtracorporeal TReatments In Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatment (ECTR) in poisoning. To test and validate its methods, the workgroup reviewed data for thallium (Tl)....

  6. [Electronic poison information management system].

    Science.gov (United States)

    Kabata, Piotr; Waldman, Wojciech; Kaletha, Krystian; Sein Anand, Jacek

    2013-01-01

    We describe deployment of electronic toxicological information database in poison control center of Pomeranian Center of Toxicology. System was based on Google Apps technology, by Google Inc., using electronic, web-based forms and data tables. During first 6 months from system deployment, we used it to archive 1471 poisoning cases, prepare monthly poisoning reports and facilitate statistical analysis of data. Electronic database usage made Poison Center work much easier.

  7. Ototoxicity (Ear Poisoning) (For Parents)

    Science.gov (United States)

    ... Teaching Kids to Be Smart About Social Media Ototoxicity (Ear Poisoning) KidsHealth > For Parents > Ototoxicity (Ear Poisoning) Print A A A What's in ... result of taking the drugs. This is called ototoxicity or " ear poisoning ." Ototoxicity damages the inner ear — ...

  8. Black-spot poison ivy.

    Science.gov (United States)

    Schram, Sarah E; Willey, Andrea; Lee, Peter K; Bohjanen, Kimberly A; Warshaw, Erin M

    2008-01-01

    In black-spot poison ivy dermatitis, a black lacquerlike substance forms on the skin when poison ivy resin is exposed to air. Although the Toxicodendron group of plants is estimated to be the most common cause of allergic contact dermatitis in the United States, black-spot poison ivy dermatitis is relatively rare.

  9. Poison Ivy/Oak/Sumac

    Science.gov (United States)

    ... Your 1- to 2-Year-Old First Aid: Poison Ivy/Oak/Sumac KidsHealth > For Parents > First Aid: Poison Ivy/Oak/Sumac Print A A A The oil in poison ivy /oak/sumac plants (called urushiol ) can cause ...

  10. Cow dung powder poisoning

    Directory of Open Access Journals (Sweden)

    Khaja Mohideen Sherfudeen

    2015-01-01

    Full Text Available Cow dung, which has germicidal property, was used in ancient days to clean living premises in South India. Nowadays, people are using commercially available synthetic cow dung powder. It is locally known as "saani powder" in Tamil Nadu. It is freely available in homes and is sometimes accidentally consumed by children. It is available in two colors - yellow and green. Cow dung powder poisoning is common in districts of Tamil Nadu such as Coimbatore, Tirupur, and Erode. We report two cases of yellow cow dung powder poisoning from our hospital.

  11. Cow dung powder poisoning.

    Science.gov (United States)

    Sherfudeen, Khaja Mohideen; Kaliannan, Senthil Kumar; Dammalapati, Pavan Kumar

    2015-11-01

    Cow dung, which has germicidal property, was used in ancient days to clean living premises in South India. Nowadays, people are using commercially available synthetic cow dung powder. It is locally known as "saani powder" in Tamil Nadu. It is freely available in homes and is sometimes accidentally consumed by children. It is available in two colors - yellow and green. Cow dung powder poisoning is common in districts of Tamil Nadu such as Coimbatore, Tirupur, and Erode. We report two cases of yellow cow dung powder poisoning from our hospital.

  12. Evidence for significant photochemical production of carbon monoxide by particles in coastal and oligotrophic marine waters

    Science.gov (United States)

    Xie, Huixiang; Zafiriou, Oliver C.

    2009-12-01

    Carbon monoxide (CO) photoproduction from particulate and chromophoric dissolved organic matter (CDOM) was determined in seawater from open-ocean and coastal areas. In confirmatory tests, poisoned or non-poisoned filtered and unfiltered blue-water samples, were exposed to sunlight. CO photoproduction was 21-42% higher in the unfiltered than in the filtered samples. In a more thorough study utilizing concentrated particles prepared by 0.2-μm cross-flow filtration, samples containing varying levels of particles were irradiated under simulated solar radiation. Their CO photoproduction rates increased linearly with particle concentration factor. Particulate CO production was 11-35% of CDOM-based CO production. On an absorbed-photons basis, the former was 30-108% more efficient than the latter. This study suggests that in both coastal and blue waters these new-found particulate photoprocesses are of similar biogeochemical importance to the well-known CDOM photoproduction term.

  13. Carbon monoxide intoxication: an event to be detected by the emergency service

    Directory of Open Access Journals (Sweden)

    Arnulfo Orobio-Quiñones

    2016-06-01

    Full Text Available The carbon monoxide poisoning (CO is a common condition. It is presented in 17.5 per 100,000 habitants. It is the main cause of poisoning mortality in developed countries. The condition requires a high index of suspicion and exhaustive evaluation of the patient circumstances. The diagnosis is complicated by the unspecific symptoms and lack of reliable markers. CO-oximetry is a tool that helps the diagnosis, therapeutic decision-making and monitoring. Although the evidence is still controversial, the best opportunity for patients intoxicated with CO is the use of oxygen at high concentrations in a hyperbaric chamber. Considering the difficult access to hyperbaric chamber in our setting, we must consider alternative therapies that can help reduce acute complications and chronic consequences.

  14. Carbon monoxide conversion by anaerobic bioreactor sludges

    NARCIS (Netherlands)

    Sipma, J.; Stams, A.J.M.; Lens, P.N.L.; Lettinga, G.

    2003-01-01

    Seven different anaerobic sludges from wastewater treatment reactors were screened for their ability to convert carbon monoxide (CO) at 30 and 55degreesC
    Seven different anaerobic sludges from wastewater treatment reactors were screened for their ability to convert carbon monoxide (CO) at 30 and

  15. Redotex ingestions reported to Texas poison centers.

    Science.gov (United States)

    Forrester, Mathias B

    2010-09-01

    Although the multi-component weight loss supplement Redotex is banned in the United States, the supplement can be obtained in Mexico. The intent of this report was to describe the pattern of Redotex calls received by a statewide poison center system. Cases were all Redotex calls received by Texas poison centers during 2000-2008. The distribution of total calls and those involving ingestion of the supplement were determined for selected demographic and clinical factors. Of 34 total Redotex calls received, 55.9% came from the 14 Texas counties that border Mexico. Of the 22 reported Redotex ingestions, 77.3% of the patients were female and 45.5% 20 years or more. Of the 17 ingestions involving no co-ingestants, 52.9% were already at or en route to a health care facility, 41.2% were managed on site, and 5.9% was referred to a health care facility. The final medical outcome was no effect in 23.5% cases, minor effect in 5.9%, moderate effect in 11.8%, not followed but minimal clinical effects possible in 47.1%, and unable to follow but judged to be potentially toxic in 11.8%. Most Redotex calls to the Texas poison center system originated from counties bordering Mexico.

  16. Chelation Therapy for Mercury Poisoning

    Directory of Open Access Journals (Sweden)

    Rong Guan

    2009-01-01

    Full Text Available Chelation therapy has been the major treatment for heavy metal poisoning. Various chelating agents have been developed and tested for treatment of heavy metal intoxications, including mercury poisoning. It has been clearly shown that chelating agents could rescue the toxicity caused by heavy metal intoxication, but the potential preventive role of chelating agents against heavy metal poisoning has not been explored much. Recent paper by Siddiqi and colleagues has suggested a protective role of chelating agents against mercury poisoning, which provides a promising research direction for broader application of chelation therapy in prevention and treatment of mercury poisoning.

  17. [Acute arsenic poisoning].

    Science.gov (United States)

    Montelescaut, Etienne; Vermeersch, Véronique; Commandeur, Diane; Huynh, Sophie; Danguy des Deserts, Marc; Sapin, Jeanne; Ould-Ahmed, Mehdi; Drouillard, Isabelle

    2014-01-01

    Acute arsenic poisoning is a rare cause of suicide attempt. It causes a multiple organs failure caused by cardiogenic shock. We report the case of a patient admitted twelve hours after an ingestion of trioxide arsenic having survived thanks to a premature treatment.

  18. Kerosene poisoning in children

    Science.gov (United States)

    Nouri, L.; Al-Rahim, K.

    1970-01-01

    The epidemiological and clinical aspects of 100 cases of kerosene poisoning have been studied. The use of gastric lavage is discussed, and it is considered that this measure is probably valuable in treatment. The importance of preventive measures is stressed. PMID:5416507

  19. Pre-hospital treatment of acute poisonings in Oslo

    Directory of Open Access Journals (Sweden)

    Nore Anne K

    2008-11-01

    Full Text Available Abstract Background Poisoned patients are often treated in and discharged from pre-hospital health care settings. Studies of poisonings should therefore not only include hospitalized patients. Aims: To describe the acutely poisoned patients treated by ambulance personnel and in an outpatient clinic; compare patients transferred to a higher treatment level with those discharged without transfer; and study the one-week mortality after pre-hospital discharge. Methods A one-year multi-centre study with prospective inclusion of all acutely poisoned patients ≥ 16 years of age treated in ambulances, an outpatient clinic, and hospitals in Oslo. Results A total of 3757 health service contacts from 2997 poisoning episodes were recorded: 1860 were treated in ambulances, of which 15 died and 750 (40% were discharged without transfer; 956 were treated in outpatient clinic, of which 801 (84% were discharged without transfer; and 941 episodes were treated in hospitals. Patients discharged alive after ambulance treatment were mainly poisoned by opiates (70%, were frequently comatose (35%, had respiratory depression (37%, and many received naloxone (49%. The majority of the patients discharged from the outpatient clinic were poisoned by ethanol (55%, fewer were comatose (10%, and they rarely had respiratory depression (4%. Among the hospitalized, pharmaceutical poisonings were most common (58%, 23% were comatose, and 7% had respiratory depression. Male patients comprised 69% of the pre-hospital discharges, but only 46% of the hospitalized patients. Except for one patient, who died of a new heroin overdose two days following discharge from an ambulance, there were no deaths during the first week after the poisonings in the 90% of the pre-hospital discharged patients with known identity. Conclusion More than half of the poisoned patients treated in pre-hospital treatment settings were discharged without transfer to higher levels. These poisonings were more often

  20. Surveillance of poisoning and drug overdose through hospital discharge coding, poison control center reporting, and the Drug Abuse Warning Network.

    Science.gov (United States)

    Blanc, P D; Jones, M R; Olson, K R

    1993-01-01

    There is no gold standard for determining poisoning incidence. We wished to compare four measures of poisoning incidence: International Classification of Diseases 9th Revision (ICD-9) principal (N-code) and supplemental external cause of injury (E-code) designations, poison control center (PCC) reporting, and detection by the Drug Abuse Warning Network (DAWN). We studied a case series at two urban hospitals. We assigned ICD-9 N-code and E-code classifications, determining whether these matched with medical records. We ascertained PCC and DAWN system reporting. A total of 724 subjects met entry criteria; 533 were studied (74%). We matched poisoning N-codes for 278 patients (52%), E-code by cause in 306 patients (57%), and E-code by intent in 171 patients (32%). A total of 383 patients (72%) received any poisoning N-code or any E-code. We found that PCC and DAWN reporting occurred for 123 of all patients (23%) and 399 of 487 eligible patients (82%), respectively. In multiple logistic regression, factors of age, hospital admission, suicidal intent, principal poisoning or overdose type, and mixed drug overdose were statistically significant predictors of case match or report varying by surveillance measure. Our findings indicate that common surveillance measures of poisoning and drug overdose may systematically undercount morbidity.

  1. Benzodiazepine poisoning in elderly

    Directory of Open Access Journals (Sweden)

    Perković-Vukčević Nataša

    2016-01-01

    Full Text Available Background/Aim. Benzodiazepines are among the most frequently ingested drugs in self-poisonings. Elderly may be at greater risk compared with younger individuals due to impaired metabolism and increased sensitivity to benzodiazepines. The aim of this study was to assess toxicity of benzodiazepines in elderly attempted suicide. Methods. A retrospective study of consecutive presentations to hospital after self-poisoning with benzodiazepines was done. Collected data consisted of patient's characteristics (age, gender, benzodiazepine ingested with its blood concentrations at admission, clinical findings including vital signs and Glasgow coma score, routine blood chemistry, complications of poisoning, details of management, length of hospital stay and outcome. According the age, patients are classified as young (15-40-year old, middle aged (41-65-year old and elderly (older than 65. Results. During a 2-year observational period 387 patients were admitted because of pure benzodiazepine poisoning. The most frequently ingested drug was bromazepam, the second was diazepam. The incidence of coma was significantly higher, and the length of hospital stay significantly longer in elderly. Respiratory failure and aspiration pneumonia occurred more frequently in old age. Also, flumazenil was more frequently required in the group of elderly patients. Conclusion. Massive benzodiazepines overdose in elderly may be associated with a significant morbidity, including deep coma with aspiration pneumonia, respiratory failure, and even death. Flumazenil is indicated more often to reduce CNS depression and prevent complications of prolonged unconsciousness, but supportive treatment and proper airway management of comatose patients is the mainstay of the treatment of acute benzodiazepine poisoning.

  2. Effectiveness of High Dose Pralidoxime for Treatment of Organophosphate Poisoning

    Directory of Open Access Journals (Sweden)

    Pham Due

    2014-09-01

    Full Text Available Background: For effective treatment of organophosphate (OP poisoning, development of a standardized protocol with flexible dose regimen for atropine and pralidoxime is an essential step. In this study, we aimed to assess the protocol devised in our setting; Bach Mai Hospital Poison Treatment Center, for treatment of OP poisoning that included a higher dose regimen of pralidoxime (2PAM. Methods: A protocol for treatment of OP poisoning was developed during 1995 to 1996, which included an atropinization scoring scale and a modification of 2PAM dose regimen. In this study, OP poisoned patients who were treated during 1997 to 2002 with the new protocol (study group or cases were compared with historical control group which included OP poisoned patients treated between 1993 and 1994 prior to establishment of the new protocol. Results: One-hundred and eight cases and 54 controls were included. The cases and controls were not significantly different according to age, gender and plasma cholinesterase activity on admission from each other. There was no significant difference of mean duration of 2PAM therapy between the two groups. The controls received mean total 2PAM dose of 7.2±4.1 g, while the patients in the study group received 20.0±12.7 g which was 2.77 times higher than the dose for control group (P

  3. Pralidoxime in carbaryl poisoning: an animal model.

    Science.gov (United States)

    Mercurio-Zappala, Maria; Hack, Jason B; Salvador, Annabella; Hoffman, Robert S

    2007-02-01

    Poisoning from organophosphates and carbamates is a significant cause of morbidity and mortality worldwide. Concerns have been expressed over the safety and efficacy of the use of oximes such as pralidoxime (2-PAM) in patients with carbamate poisoning in general, and more so with carbaryl poisoning specifically. The goal of the present study was to evaluate the role of 2-PAM in a mouse model of lethal carbaryl poisoning. Female ICR Swiss Albino mice weighing 25-30 g were acclimated to the laboratory and housed in standard conditions. One hundred and ten mice received an LD50 dose of carbaryl subcutaneously. Ten minutes later, they were randomized by block randomization to one of eight treatment groups: normal saline control, atropine alone, 100 mg/kg 2-PAM with and without atropine, 50 mg/kg 2-PAM with and without atropine, and 25 mg/kg 2-PAM with and without atropine. All medications were given intraperitoneally and the atropine dose was constant at 4 mg/kg. The single objective endpoint was defined as survival to 24 hours. Fatalities were compared using a Chi squared or Fisher's exact test. Following an LD50 of carbaryl, 60% of the animals died. Atropine alone statistically improved survival (15% lethality). High dose 2-PAM with and without atropine was numerically worse, but not statistically different from control. While the middle dose of 2-PAM was no different than control, the addition of atropine improved survival (10% fatality). Low-dose 2-PAM statistically improved survival (25% lethality). Atropine further reduced lethality to 10%. When appropriately dosed, 2-PAM alone protects against carbaryl poisoning in mice. Failure to demonstrate this benefit in other models may be the result of oxime overdose.

  4. The Carbon Monoxide Tape Recorder

    Science.gov (United States)

    Schoeberl, M. R.; Duncan, B. N.; Douglass, A. R.; Waters, J.; Livesey, N.; Read, W.; Filipiak, M.

    2006-01-01

    Using Aura MLS data we have identified the stratospheric tape recorder in carbon monoxide (CO). Unlike the water vapor tape recorder, which is controlled by upper troposphere processes, the CO tape recorder is linked to seasonal biomass burning. Since CO has a lifetime of only a few months, the CO tape recorder barely extends above 20 km. The tape head for CO appears to be close to 360K near the same location as the water vapor tape head [Read et al, 20041. Both tape heads are below the equatorial cold point tropopause but above the base of the tropical tropopause layer. The tape recorder signal becomes more distinct from 360K to 380K suggesting that convective detrainment of plays a decreasingly important role with altitude. The Global Modeling Initiative chemical transport model forced by the climatology of biomass burning reproduces the CO tape recorder.

  5. 醒脑静联合高压氧对急性一氧化碳中毒患者治疗效果及对肝、肾功能影响的分析%The therapeutic effects of Xingnaojing injection combined with hyperbaric oxygen in treatment of acute carbon monoxide poisoning patients and the influence of liver and kidney function

    Institute of Scientific and Technical Information of China (English)

    李聪; 许铁

    2015-01-01

    目的 探讨醒脑静联合高压氧治疗急性一氧化碳中毒(acute carbon monoxide poisioning,ACOP)临床疗效及对肝、肾功能的影响.方法 选取徐州医学院附属医院收治的ACOP患者68例,随机分为两组,各34例,对照组给予乌司他丁联合高压氧治疗;实验组给予醒脑静联合高压氧治疗,15 d为1个疗程,治疗2个疗程.治疗结束后分别对比两组苏醒时间、迟发性脑病发生率、临床疗效及肝、肾功能改变.结果 (1)治疗后两组患者均顺利苏醒,实验组苏醒时间较对照组明显缩短,差异有统计学意义(P<0.05);(2)两组迟发性脑病发生率比较,差异无统计学意义(P>0.05).(3)治疗后实验组临床总有效率(91.18%)较对照组(67.65%)明显提高,差异有统计学意义(P<0.05);(4)治疗后实验组较对照组肝、肾功能明显好转,差异有统计学意义(P<0.05).结论 醒脑静联合高压氧治疗能够明显改善ACOP症状及中毒患者肝、肾功能,对临床具有指导意义.

  6. Chlorine Monoxide in the Antarctic Spring Stratosphere.

    Science.gov (United States)

    Jaramillo-Ayerbe, Mauricio

    1988-06-01

    A series of observations of stratospheric chlorine monoxide (ClO) were carried out during the austral springs of 1986 and 1987 in McMurdo Station, Antarctica, as part of two experimental campaigns sent to investigate the seasonal decrease in ozone over the antarctic continent (the ozone "hole"). Measurements of the vertical distribution of ClO were obtained by high resolution ground-based emission spectroscopy at 278 GHz, using the Stony Brook mm-wave receiver. They show the presence of an anomalous layer of lower stratospheric ClO which is not observed at other latitudes. This anomalous layer is centered at ~20 km altitude and exhibits a pronounced diurnal variation, reaching a maximum at midday and disappearing at night. During the period of Sep. 20-24, 1987, the lower-stratospheric ClO had a maximum volume mixing ratio of 1.8_sp{+0cdot5}{ -0cdot9} ppbv. A normal ClO layer centered at ~36 km was also observed, with concentrations and diurnal behavior similar to those seen in tropical latitudes. These findings are evidence of anomalous chlorine chemistry taking place in the lower stratosphere during the antarctic spring, and indicate that increasing anthropogenic chlorine is a prime causative agent in the formation of the ozone hole.

  7. Salvianolic Acids Attenuate Rat Hippocampal Injury after Acute CO Poisoning by Improving Blood Flow Properties

    Directory of Open Access Journals (Sweden)

    Li Guan

    2015-01-01

    Full Text Available Carbon monoxide (CO poisoning causes the major injury and death due to poisoning worldwide. The most severe damage via CO poisoning is brain injury and mortality. Delayed encephalopathy after acute CO poisoning (DEACMP occurs in forty percent of the survivors of acute CO exposure. But the pathological cause for DEACMP is not well understood. And the corresponding therapy is not well developed. In order to investigate the effects of salvianolic acid (SA on brain injury caused by CO exposure from the view point of hemorheology, we employed a rat model and studied the dynamic of blood changes in the hemorheological and coagulative properties over acute CO exposure. Compared with the groups of CO and 20% mannitol + CO treatments, the severe hippocampal injury caused by acute CO exposure was prevented by SA treatment. These protective effects were associated with the retaining level of hematocrit (Hct, plasma viscosity, fibrinogen, whole blood viscosities and malondialdehyde (MDA levels in red blood cells (RBCs. These results indicated that SA treatment could significantly improve the deformation of erythrocytes and prevent the damage caused by CO poisoning. Meanwhile, hemorheological indexes are good indicators for monitoring the pathological dynamic after acute CO poisoning.

  8. Cestrum parqui (green cestrum) poisoning in cattle.

    Science.gov (United States)

    McLennan, M W; Kelly, W R

    1984-09-01

    Naturally occurring cases of poisoning of cattle by Cestrum parqui were characterised by ataxia, depression, recumbency, convulsions and death. Three cattle were dosed experimentally by intrarumenal administration of fresh plant material. One calf died 48 h after receiving 30 g (wet weight) of plant/kg bodyweight. Doses of 11 and 17 g/kg caused only mild intoxication, with dullness and anorexia lasting 2 days. In natural and experimental cases the main lesion was hepatic periacinar necrosis. Elevated levels of plasma aspartate transaminase and prolonged prothrombin times were demonstrated in experimental cases. Haemorrhage beneath the serosa and into the intestinal lumen occurred in field cases, but not in the experimental. It is concluded that C. parqui poisoning in cattle is a primary hepatotoxicity.

  9. Ciguatera poisoning in Vanuatu.

    Science.gov (United States)

    Goodman, Anna; Williams, Thomas N; Maitland, Kathryn

    2003-02-01

    Ciguatera poisoning is endemic in many tropical and subtropical countries. We conducted a retrospective study of admissions to two hospitals on the islands of Vanuatu in the southwestern Pacific region. We estimated the annual hospital admission rate for fish poisoning to be 65 (95% confidence interval [CI] = 55-75)/100,000 population on the island of Santo and 29 (95% CI = 19-43)/100,000 population on the island of Ambae. Hospital admission was more common in males 20-29 years old. Death was a rare complication. In the face of increases in both tourism and in the global trade in tropical and exotic fish, physicians in both endemic and non-endemic areas should be familiar with the epidemiology and clinical features of this important condition.

  10. Arsenic poisoning in livestock.

    Science.gov (United States)

    el Bahri, L; Ben Romdane, S

    1991-06-01

    Arsenic is an important heavy metal intoxicant to livestock. Arsenical pesticides present significant hazards to animal health. The toxicity of arsenic varies with several factors--its chemical form, oxidation states, solubility. The phenylarsonic compounds are the least toxic and are used as feed additives in swine and poultry rations. However, roxarsone has a higher absolute toxicity than arsanilic acid. The mechanism of action is related to its reaction with sulfhydryl groups values to enzyme function and to its ability to uncouple oxydative phosphorylation. Most animals excrete arsenic quite readily. Toxicoses caused by inorganic and aliphatic organic arsenicals result in a different clinical syndrome than that from the phenylarsonic compounds. Arsenic poisoning may be confused with other types of intoxication. The specific antidote for inorganic arsenical poisoning is dimercaprol (BAL).

  11. Carbon monoxide inhalation increases microparticles causing vascular and CNS dysfunction

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Jiajun; Yang, Ming [Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Kosterin, Paul [Department of Neuroscience, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Salzberg, Brian M. [Department of Physiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Milovanova, Tatyana N.; Bhopale, Veena M. [Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States); Thom, Stephen R., E-mail: sthom@smail.umaryland.edu [Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104 (United States)

    2013-12-01

    We hypothesized that circulating microparticles (MPs) play a role in pro-inflammatory effects associated with carbon monoxide (CO) inhalation. Mice exposed for 1 h to 100 ppm CO or more exhibit increases in circulating MPs derived from a variety of vascular cells as well as neutrophil activation. Tissue injury was quantified as 2000 kDa dextran leakage from vessels and as neutrophil sequestration in the brain and skeletal muscle; and central nervous system nerve dysfunction was documented as broadening of the neurohypophysial action potential (AP). Indices of injury occurred following exposures to 1000 ppm for 1 h or to 1000 ppm for 40 min followed by 3000 ppm for 20 min. MPs were implicated in causing injuries because infusing the surfactant MP lytic agent, polyethylene glycol telomere B (PEGtB) abrogated elevations in MPs, vascular leak, neutrophil sequestration and AP prolongation. These manifestations of tissue injury also did not occur in mice lacking myeloperoxidase. Vascular leakage and AP prolongation were produced in naïve mice infused with MPs that had been obtained from CO poisoned mice, but this did not occur with MPs obtained from control mice. We conclude that CO poisoning triggers elevations of MPs that activate neutrophils which subsequently cause tissue injuries. - Highlights: • Circulating microparticles (MPs) increase in mice exposed to 100 ppm CO or more. • MPs are lysed by infusing the surfactant polyethylene glycol telomere B. • CO-induced MPs cause neutrophil activation, vascular leak and CNS dysfunction. • Similar tissue injuries do not arise with MPs obtained from air-exposed, control mice.

  12. Homicidal arsenic poisoning.

    Science.gov (United States)

    Duncan, Andrew; Taylor, Andrew; Leese, Elizabeth; Allen, Sam; Morton, Jackie; McAdam, Julie

    2015-07-01

    The case of a 50-year-old man who died mysteriously after being admitted to hospital is reported. He had raised the possibility of being poisoned prior to his death. A Coroner's post-mortem did not reveal the cause of death but this was subsequently established by post-mortem trace element analysis of liver, urine, blood and hair all of which revealed very high arsenic concentrations.

  13. Methaemoglobinemia in nitrobenzene poisoning.

    Directory of Open Access Journals (Sweden)

    Chongtham D

    1997-07-01

    Full Text Available A young girl with nitrobenzene induced methaemoglobinaemia was saved by the timely use of mechanical ventilator, administration of oral methylene blue and parenteral ascorbic acid. Though parenteral methylene blue is the antidote of choice, due to its non-availability, the laboratory preparation of methylene blue have been utilized orally. The rare occurrence of such cases, and the efficacy of oral methylene blue and other supportive measures in evading death due to Nitrobenzene poisoning have been highlighted.

  14. Lead Poison Detection

    Science.gov (United States)

    1976-01-01

    With NASA contracts, Whittaker Corporations Space Science division has developed an electro-optical instrument to mass screen for lead poisoning. Device is portable and detects protoporphyrin in whole blood. Free corpuscular porphyrins occur as an early effect of lead ingestion. Also detects lead in urine used to confirm blood tests. Test is inexpensive and can be applied by relatively unskilled personnel. Similar Whittaker fluorometry device called "drug screen" can measure morphine and quinine in urine much faster and cheaper than other methods.

  15. nsect poisons in museums

    Institute of Scientific and Technical Information of China (English)

    Eirik Granqvist

    2015-01-01

    Since natural history museums existed, there have been problems concerning how to protect the collections from damages caused by insects. In 1740s', French Chemist Becoeur started to use arsenic-soap to protect his taxidermy specimens against insects. But in the years of 1770s', it was discovered the terrible strong arsenic poison which was dangerous to human beings. Finally taxidermy specimens leave the use of ar- senic and borax to history and use Eulan in their place.

  16. Chronic arsenic poisoning.

    Science.gov (United States)

    Hall, Alan H

    2002-03-10

    Symptomatic arsenic poisoning is not often seen in occupational exposure settings. Attempted homicide and deliberate long-term poisoning have resulted in chronic toxicity. Skin pigmentation changes, palmar and plantar hyperkeratoses, gastrointestinal symptoms, anemia, and liver disease are common. Noncirrhotic portal hypertension with bleeding esophageal varices, splenomegaly, and hypersplenism may occur. A metallic taste, gastrointestinal disturbances, and Mee's lines may be seen. Bone marrow depression is common. 'Blackfoot disease' has been associated with arsenic-contaminated drinking water in Taiwan; Raynaud's phenomenon and acrocyanosis also may occur. Large numbers of persons in areas of India, Pakistan, and several other countries have been chronically poisoned from naturally occurring arsenic in ground water. Toxic delirium and encephalopathy can be present. CCA-treated wood (chromated copper arsenate) is not a health risk unless burned in fireplaces or woodstoves. Peripheral neuropathy may also occur. Workplace exposure or chronic ingestion of arsenic-contaminated water or arsenical medications is associated with development of skin, lung, and other cancers. Treatment may incklude the use of chelating agents such as dimercaprol (BAL), dimercaptosuccinic acid (DMSA), and dimercaptopanesulfonic acid (DMPS).

  17. Fragmentation Considered Poisonous

    CERN Document Server

    Herzberg, Amir

    2012-01-01

    We present practical poisoning and name-server block- ing attacks on standard DNS resolvers, by off-path, spoofing adversaries. Our attacks exploit large DNS responses that cause IP fragmentation; such long re- sponses are increasingly common, mainly due to the use of DNSSEC. In common scenarios, where DNSSEC is partially or incorrectly deployed, our poisoning attacks allow 'com- plete' domain hijacking. When DNSSEC is fully de- ployed, attacker can force use of fake name server; we show exploits of this allowing off-path traffic analy- sis and covert channel. When using NSEC3 opt-out, attacker can also create fake subdomains, circumvent- ing same origin restrictions. Our attacks circumvent resolver-side defenses, e.g., port randomisation, IP ran- domisation and query randomisation. The (new) name server (NS) blocking attacks force re- solver to use specific name server. This attack allows Degradation of Service, traffic-analysis and covert chan- nel, and also facilitates DNS poisoning. We validated the attac...

  18. Chelation Therapy for Mercury Poisoning

    OpenAIRE

    Rong Guan; Han Dai

    2009-01-01

    Chelation therapy has been the major treatment for heavy metal poisoning. Various chelating agents have been developed and tested for treatment of heavy metal intoxications, including mercury poisoning. It has been clearly shown that chelating agents could rescue the toxicity caused by heavy metal intoxication, but the potential preventive role of chelating agents against heavy metal poisoning has not been explored much. Recent paper by Siddiqi and colleagues has suggested a protective role o...

  19. Carbon Monoxide Silicate Reduction System Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Carbon Monoxide Silicate Reduction System (COSRS) is a novel technology for producing large quantities of oxygen on the Moon. Oxygen yields of 15 kilograms per...

  20. American Association of Poison Control Centers

    Science.gov (United States)

    ... National Poison Data System Our Work Alerts Keep Up-to-Date on the Latest Poison News The AAPCC works ... the latest poison safety and prevention news! Sign Up! Save the Date! Medication Safety 101 Twitter Chat Medication Safety 101: ...

  1. Integrated electricity and carbon monoxide production

    Energy Technology Data Exchange (ETDEWEB)

    Griffiths, J.

    1994-03-23

    In a process for the production of carbon monoxide and electric power in an IGCC with the removal of sulphur compounds, between the outlet of quenched gas from a partial oxidation unit and a fuel inlet to a combined cycle gas turbine there is a permeable membrane unit to separate a non-permeable stream, which is utilised as a source of carbon monoxide, and a permeate stream, which is used as fuel for the gas turbine of the combined cycle unit. (author)

  2. Exposure to Elevated Carbon Monoxide Levels at an Indoor Ice Arena--Wisconsin, 2014.

    Science.gov (United States)

    Creswell, Paul D; Meiman, Jon G; Nehls-Lowe, Henry; Vogt, Christy; Wozniak, Ryan J; Werner, Mark A; Anderson, Henry

    2015-11-20

    On December 13, 2014, the emergency management system in Lake Delton, Wisconsin, was notified when a male hockey player aged 20 years lost consciousness after participation in an indoor hockey tournament that included approximately 50 hockey players and 100 other attendees. Elevated levels of carbon monoxide (CO) (range = 45 ppm-165 ppm) were detected by the fire department inside the arena. The emergency management system encouraged all players and attendees to seek medical evaluation for possible CO poisoning. The Wisconsin Department of Health Services (WDHS) conducted an epidemiologic investigation to determine what caused the exposure and to recommend preventive strategies. Investigators abstracted medical records from area emergency departments (EDs) for patients who sought care for CO exposure during December 13-14, 2014, conducted a follow-up survey of ED patients approximately 2 months after the event, and conducted informant interviews. Ninety-two persons sought ED evaluation for possible CO exposure, all of whom were tested for CO poisoning. Seventy-four (80%) patients had blood carboxyhemoglobin (COHb) levels consistent with CO poisoning; 32 (43%) CO poisoning cases were among hockey players. On December 15, the CO emissions from the propane-fueled ice resurfacer were demonstrated to be 4.8% of total emissions when actively resurfacing and 2.3% when idling, both above the optimal range of 0.5%-1.0%. Incomplete fuel combustion by the ice resurfacer was the most likely source of elevated CO. CO poisonings in ice arenas can be prevented through regular maintenance of ice resurfacers, installation of CO detectors, and provision of adequate ventilation.

  3. [Cases of poisoning in Germany. Disease entity, documentation, and aspects of the event].

    Science.gov (United States)

    Hahn, A; Begemann, K; Stürer, A

    2014-06-01

    Cases of poisoning account for a distinct share of accidents in Germany, which is particularly high for accidents involving children. Cases of poisoning resulting from suicidal intent or abuse are not counted as accidents. Compared to other cases of disease and accidents, the numerical documentation of cases of poisoning is inadequate. Presently, there is no institution in Germany that could make available representative and meaningful data on the current state of poisoning. Owing to intensive scientific cooperation between the poison information centers (funded by the federal states) and the Poison and Product Documentation Center at the Federal Institute for Risk Assessment (BfR DocCenter) as well as to international cooperation, harmonized and standardized tools have been developed for the appropriate documentation and reporting of procedures to account for poisoning accidents. The first evaluation for 2005-2012 based on published and processed figures for the Federal Republic of Germany yielded the following results: Of approximately 230,000 telephone inquiries received in 2012, about 207,000 involved exposure of humans to different noxae. An annual increase of 3-5 % was recorded. For 2011, analyses of subsets processed by means of standardized methods yielded the following results: Medicines were involved in about 39 % of the cases recorded (of these, medicinal products for humans in 99 %); chemical/physicochemical agents in about 26 % (of these, cleaning and maintenance products in 46 %); products of daily use in about 14 % (of these, cosmetics in 40 %); and plants in about 10 %. More than 90 % of cases were acute poisoning and less than 5 %, chronic poisoning. Regarding the degree of severity of poisoning, an asymptomatic course was reported for 44 % of the cases; minor manifestations were experienced in 30 %, moderate ones in 6 %, and severe manifestations in 2 % of the cases recorded. Fatal cases were rare (poisoning accidents

  4. The power of poison: pesticide poisoning of Africa's wildlife.

    Science.gov (United States)

    Ogada, Darcy L

    2014-08-01

    Poisons have long been used to kill wildlife throughout the world. An evolution has occurred from the use of plant- and animal-based toxins to synthetic pesticides to kill wildlife, a method that is silent, cheap, easy, and effective. The use of pesticides to poison wildlife began in southern Africa, and predator populations were widely targeted and eliminated. A steep increase has recently been observed in the intensity of wildlife poisonings, with corresponding population declines. However, the majority of poisonings go unreported. Under national laws, it is illegal to hunt wildlife using poisons in 83% of African countries. Pesticide regulations are inadequate, and enforcement of existing legislation is poor. Few countries have forensic field protocols, and most lack storage and testing facilities. Methods used to poison wildlife include baiting carcasses, soaking grains in pesticide solution, mixing pesticides to form salt licks, and tainting waterholes. Carbofuran is the most widely abused pesticide in Africa. Common reasons for poisoning are control of damage-causing animals, harvesting fish and bushmeat, harvesting animals for traditional medicine, poaching for wildlife products, and killing wildlife sentinels (e.g., vultures because their aerial circling alerts authorities to poachers' activities). Populations of scavengers, particularly vultures, have been decimated by poisoning. Recommendations include banning pesticides, improving pesticide regulations and controlling distribution, better enforcement and stiffer penalties for offenders, increasing international support and awareness, and developing regional pesticide centers.

  5. Treatment of toxicodendron dermatitis (poison ivy and poison oak).

    Science.gov (United States)

    Guin, J D

    2001-04-01

    Toxicodendron dermatitis results from a reaction to an oil soluble oleoresin that is present in many parts of the poison ivy and poison oak plants. Prophylactic measures include avoidance, protective clothing, barrier creams and hyposensitization. Treatments include washing the area immediately with a solvent suitable for lipids and the use of anti-inflammatory agents, especially corticosteroids.

  6. OCCUPATIONAL CARBAMATE POISONING IN THAILAND.

    Science.gov (United States)

    Tongpoo, Achara; Sriapha, Charuwan; Wongvisawakorn, Sunun; Rittilert, Panee; Trakulsrichai, Satariya; Wananukul, Winai

    2015-07-01

    Carbamate insecticide is a leading cause of poisoning in Thailand. The objective of this study was to characterize the clinical manifestations and modes of occupational exposure in carbamate poisoning cases. We retrospectively studied all the cases of carbamate poisoning due to occupational exposure recorded in the Ramathibodi Poison Center Toxic Exposure Surveillance system during 2005 to 2010. Demographic data, clinical manifestations and severity were analyzed statistically. During the study period, 3,183 cases were identified, of which 170 (5.3%) were deemed to be due to occupational exposure. Ninety-six cases (56.5%) and 35 cases (20.6%) were poisoned by carbofuran and methomyl, respectively. Carbofuran is sold as a 3% grain and applied by sowing; methomyl is sold as a liquid and is applied by spraying. The majority of poisoned patients did not wear personal protective equipment (PPE) while applying the carbamates. The clinical manifestations of occupational carbofuran poisoning recorded were nausea and vomiting (82.3%), headaches (56.3%) and miosis (19.8%). The clinical manifestations of methomyl poisoning were nausea and vomiting (74.3%), headaches (57.1%) and palpitations (11.4%). Most patients in both groups had mild symptoms. Only one case in each group required endotracheal intubation and mechanical ventilation support. There were no deaths and the lengths of hospitalization ranged from 2 hours to 2 days. Occupational carbamate poisoning cases in our series were mostly mild and the patients recovered quickly. There were only rare cases of serious symptoms. Lack of knowledge and inadequate PPE were the major factors contributing to occupational poisoning. Educating agricultural workers about correct precautions and pesticide use could minimize this type of poisoning.

  7. The immunomodulatory role of carbon monoxide during transplantation

    Directory of Open Access Journals (Sweden)

    Amano Mariane

    2013-01-01

    Full Text Available Abstract The number of organ and tissue transplants has increased worldwide in recent decades. However, graft rejection, infections due to the use of immunosuppressive drugs and a shortage of graft donors remain major concerns. Carbon monoxide (CO had long been regarded solely as a poisonous gas. Ultimately, physiological studies unveiled the endogenous production of CO, particularly by the heme oxygenase (HO-1 enzyme, recognizing CO as a beneficial gas when used at therapeutic doses. The protective properties of CO led researchers to develop uses for it, resulting in devices and molecules that can deliver CO in vitro and in vivo. The resulting interest in clinical investigations was immediate. Studies regarding the CO/HO-1 modulation of immune responses and their effects on various immune disorders gave rise to transplantation research, where CO was shown to be essential in the protection against organ rejection in animal models. This review provides a perspective of how CO modulates the immune system to improve transplantation and suggests its use as a therapy in the field.

  8. Carbon monoxide: silent killer and expert imitator (Part I

    Directory of Open Access Journals (Sweden)

    Valeria Petrolini

    2008-02-01

    Full Text Available Carbon monoxide is still the most common unintentional poisoning in the Western Countries, and it may often produce potentially serious or lethal acute and delayed clinical manifestations. The considerable variety of symptoms of presentation is the principal reason of the non infrequent diagnostic errors at admission. In emergency medicine it is essential to consider this diagnosis every time a patient is found in state of unconsciousness in an environment with possible exposure to CO, as well as in patients presenting with non-specific syndromes. The prompt identification of the intoxication is essential in order to plan a correct therapy at the proper time, and for prevention of risks of a late neurologic syndrome. Nowadays the diagnosis may be performed through determination of COHb in a fast and non-invasive way, both outside and inside hospitals, thanks to a new generation of specific pulsoxymetrers. After confirmation the patient has to be classified with a grading score for severity depending on clinical presentation, that may be useful also for the choice between normobaric or hyperbaric oxygen treatments. Eventually, it is essential to plan the follow up for the patient during the months following the acute event.

  9. Carbon monoxide: silent killer and expert imitator (Part II

    Directory of Open Access Journals (Sweden)

    Valeria Petrolini

    2008-04-01

    Full Text Available Carbon monoxide is still the most common unintentional poisoning in the Western Countries, and it may often produce potentially serious or lethal acute and delayed clinical manifestations. The considerable variety of symptoms of presentation is the main reason of the non infrequent diagnostic errors at admission. In emergency medicine it is essential to consider this diagnosis every time a patient is found in state of unconsciousness in an environment with possible exposure to CO, as well as in patients presenting with non-specific syndromes. The prompt identification of the intoxication is essential in order to plan a correct therapy at the proper time, and for preventing of risks of a late neurologic syndrome. After confirmation of the diagnosis through determination of COHb, that may nowadays be performed in a fast and non-invasive way both outside and inside hospitals thanks to a new generation of specific pulsoxyimeters, the patient has to be classified with a grading score for the severity depending on clinical presentation, that may be useful also for choice between normobaric or hyperbaric oxygen treatments. Eventually, it is essential to plan the follow-up for the patient during the months following the acute event.

  10. Extracorporeal Treatment for Lithium Poisoning

    DEFF Research Database (Denmark)

    Decker, Brian S; Goldfarb, David S; Dargan, Paul I

    2015-01-01

    The Extracorporeal Treatments in Poisoning Workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments in poisoning. Here, the EXTRIP workgroup presents its recommendations for lithium poisoning. After a systematic literature search, clinical and toxico......The Extracorporeal Treatments in Poisoning Workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments in poisoning. Here, the EXTRIP workgroup presents its recommendations for lithium poisoning. After a systematic literature search, clinical...... extraction of patient-level data. The workgroup concluded that lithium is dialyzable (Level of evidence=A) and made the following recommendations: Extracorporeal treatment is recommended in severe lithium poisoning (1D). Extracorporeal treatment is recommended if kidney function is impaired and the [Li...... treatment (1D), but continuous RRT is an acceptable alternative (1D). The workgroup supported the use of extracorporeal treatment in severe lithium poisoning. Clinical decisions on when to use extracorporeal treatment should take into account the [Li(+)], kidney function, pattern of lithium toxicity...

  11. Neurology of acute organophosphate poisoning

    Directory of Open Access Journals (Sweden)

    Singh Gagandeep

    2009-01-01

    Full Text Available Acute organophosphate (OP poisoning is one of the most common poisonings in emergency medicine and toxicological practice in some of the less-developed nations in South Asia. Traditionally, OP poisoning comes under the domain of emergency physicians, internists, intensivists, and toxicologists. However, some of the complications following OP poisoning are neurological and involve neurologists. The pathophysiological basis for the clinical manifestations of OP poisoning is inactivation of the enzyme, acetylcholinesterase at the peripheral nicotinic and muscarinic and central nervous system (CNS nerve terminals and junctions. Nicotinic manifestations occur in severe cases and late in the course; these comprise of fasciculations and neuromuscular paralysis. There is a good correlation between the electrophysiological abnormalities and the severity of the clinical manifestations. Neurophysiological abnormalities characteristic of nicotinic junctions (mainly neuromuscular junction dysfunction include: (1 single, supramaximal electrical-stimulus-induced repetitive response/s, (2 decrement-increment response to high frequency (30 Hz repetitive nerve stimulation (RNS, and (3 decremental response to high frequency (30 Hz RNS. Atropine ameliorates muscarinic manifestations. Therapeutic agents that can ameliorate nicotinic manifestations, mainly neuromuscular, are oximes. However, the evidence for this effect is inconclusive. This may be due to the fact that there are several factors that determine the therapeutic effect of oximes. These factors include: The OP compound responsible for poisoning, duration of poisoning, severity of poisoning, and route of exposure. There is also a need to study the effect of oximes on the neurophysiological abnormalities.

  12. Amnesic shellfish poisoning: A review

    NARCIS (Netherlands)

    Apeldoorn ME van; Egmond HP van; Speijers GJA; CSR; ARO; CSR

    1999-01-01

    This review reports information on the amnesic shellfish poisoning (ASP) syndrome and the ASP toxins causing this poisoning, of which domoic acid is the major component. Data includes chemical structures and detection methods of ASP toxins, sources of ASP toxins, marine organisms associated with ASP

  13. Amnesic shellfish poisoning: A review

    NARCIS (Netherlands)

    Apeldoorn ME van; Egmond HP van; Speijers GJA; CSR; ARO; CSR

    This review reports information on the amnesic shellfish poisoning (ASP) syndrome and the ASP toxins causing this poisoning, of which domoic acid is the major component. Data includes chemical structures and detection methods of ASP toxins, sources of ASP toxins, marine organisms associated with

  14. Cow dung powder poisoning

    OpenAIRE

    Khaja Mohideen Sherfudeen; Senthil Kumar Kaliannan; Pavan Kumar Dammalapati

    2015-01-01

    Cow dung, which has germicidal property, was used in ancient days to clean living premises in South India. Nowadays, people are using commercially available synthetic cow dung powder. It is locally known as “saani powder” in Tamil Nadu. It is freely available in homes and is sometimes accidentally consumed by children. It is available in two colors - yellow and green. Cow dung powder poisoning is common in districts of Tamil Nadu such as Coimbatore, Tirupur, and Erode. We report two cases of ...

  15. Suicide through doxylamine poisoning.

    Science.gov (United States)

    Bockholdt, B; Klug, E; Schneider, V

    2001-06-01

    Doxylamine is an antihistamine of the ethanolamine class. It is used primarily as a sleep-inducing agent. Only a few reports can be found in the literature about lethal intoxications with doxylamine, but many with combined intoxications. Doxylamine is, aside from diphenhydramine, the only chemically defined active ingredient in some sleeping medications which is available without a prescription in the Federal Republic of Germany. Two cases of doxylamine poisoning are presented, in which high doxylamine concentrations were found in the blood and organs.

  16. [Accidental oral mercurochrome poisoning].

    Science.gov (United States)

    Ayala Curiel J; Nieto Conde C; Santana Rodríguez C; Urbón Artero A; Gracia Remiro R

    2000-11-01

    Neonatal mercury poisoning, especially that due to merbromin ingestion, is uncommon. We describe the case of a 10 day old newborn infant who was given mercurochrome orally for 7 days due to misunderstanding of medical instructions. Initial symptoms included loss of appetite and low weight increase. Elevated blood mercury concentrations were found. Chelating therapy with dimercaprol was initiated and the patient's evolution was good. We discuss the potential toxicity of mercury and emphasise the importance of the transmission of information by physicians, especially to the immigrant population.

  17. Juniper tar poisoning.

    Science.gov (United States)

    Koruk, Suda Tekin; Ozyilkan, Esin; Kaya, Pinar; Colak, Dilsen; Donderici, Omer; Cesaretli, Yildirim

    2005-01-01

    Juniper tar (cade oil) is distilled from the branches and wood of Juniperus oxycedrus. It contains etheric oils, triterpene and phenols, and is used for many purposes in folk medicine. A case is reported of a previously healthy man who ingested a spoonful of home-made extract of Juniperus oxycedrus. The poisoning caused fever, severe hypotension, renal failure, hepatotoxicity, and severe cutaneous burns on the face. After supportive and symptomatic treatment, the patient improved and was discharged in a good condition on the eleventh day.

  18. CLINICAL STUDY OF ACUTE POISONING

    Directory of Open Access Journals (Sweden)

    Panduranga

    2014-09-01

    Full Text Available BACKGROUND AND OBJECTIVE: Acute poisoning is an important medical emergency. Studies of this nature will be useful tool in planning, early diagnosis and management of acute poisoning cases. The objective of the study are to study the clinical features, diagnosis and management, morbidity and mortality of various acute poisoning. METHODOLOGY: This study comprises of 350 patients of acute poisoning admitted to Chigateri General Hospital and Bapuji Hospital attached to J. J. M. Medical College, Davangere, between 1st March 2011 to 31st October 2011. REUSLTS: Out of 350 cases of acute poisoning studied, there were 268 males and 82 females. Males comprised 76.57%and females 23.42% of the total, in this series, Organophosphorous compounds were the commonest (30%, majority of the patients hailed from rural area 70%. Mortality is 10.57%.

  19. Extracorporeal treatment for barbiturate poisoning

    DEFF Research Database (Denmark)

    Mactier, Robert; Laliberté, Martin; Mardini, Joelle

    2014-01-01

    The EXTRIP (Extracorporeal Treatments in Poisoning) Workgroup conducted a systematic review of barbiturate poisoning using a standardized evidence-based process to provide recommendations on the use of extracorporeal treatment (ECTR) in patients with barbiturate poisoning. The authors reviewed all......-acting barbiturates are dialyzable and short-acting barbiturates are moderately dialyzable. Four key recommendations were made. (1) The use of ECTR should be restricted to cases of severe long-acting barbiturate poisoning. (2) The indications for ECTR in this setting are the presence of prolonged coma, respiratory...... treatment should be continued during ECTR. (4) Cessation of ECTR is indicated when clinical improvement is apparent. This report provides detailed descriptions of the rationale for all recommendations. In summary, patients with long-acting barbiturate poisoning should be treated with ECTR provided at least...

  20. Effect of Hyperbaric Oxygen Therapy on whole blood cyanide concentrations in carbon monoxide intoxicated patients from fire accidents

    Directory of Open Access Journals (Sweden)

    Hilsted Linda

    2010-06-01

    Full Text Available Abstract Background Hydrogen cyanide (HCN and carbon monoxide (CO may be important components of smoke from fire accidents. Accordingly, patients admitted to hospital from fire accidents may have been exposed to both HCN and CO. Cyanide (CN intoxication results in cytotoxic hypoxia leading to organ dysfunction and possibly death. While several reports support the use of hyperbaric oxygen therapy (HBO for the treatment of severe CO poisoning, limited data exist on the effect of HBO during CN poisoning. HBO increases the elimination rate of CO haemoglobin in proportion to the increased oxygen partial pressure and animal experiments have shown that in rats exposed to CN intoxication, HBO can increase the concentration of CN in whole blood. Objective The purpose of the present study was to determine whole blood CN concentrations in fire victims before and after HBO treatment. Materials and methods The patients included were those admitted to the hospital because of CO intoxication, either as fire victims with smoke inhalation injuries or from other exposures to CO. In thirty-seven of these patients we measured CN concentrations in blood samples, using a Conway/microdiffusion technique, before and after HBO. The blood samples consisted of the remaining 2 mL from the arterial blood gas analysis. CN concentration in blood from fire victims was compared to 12 patients from non-fire accidents but otherwise also exposed to CO intoxication. Results The mean WB-CN concentration before patients received HBO did not differ significantly between the two groups of patients (p = 0.42. The difference between WB-CN before and after HBO did not differ significantly between the two groups of patients (p = 0.7. Lactate in plasma before and after did not differ significantly between the two groups of patients. Twelve of the 25 fire patients and one of the non-fire patients had been given a dose of hydroxycobalamin before HBO. Discussion and Conclusion CN

  1. Microwave Radiometer for Spectral Observations of Mesospheric Carbon Monoxide at 115 GHz Over Kharkiv, Ukraine

    Science.gov (United States)

    Piddyachiy, Valeriy; Shulga, Valerii; Myshenko, Valeriy; Korolev, Alexey; Antyufeyev, Oleksandr; Shulga, Dmytro; Forkman, Peter

    2016-11-01

    We present the results of the development of high sensitivity microwave radiometer designed for observation of the atmospheric carbon monoxide (CO) emission lines at 115 GHz. The receiver of this radiometer has the double-sideband noise temperature of 250 K at a temperature of 10°C. To date, this is the best noise performance for uncooled Schottky diode mixer receiver systems. The designed radiometer was tested during the 2014-2015 period at observations of the carbon monoxide emission lines over Kharkiv, Ukraine (50° N, 36.3° E). These tests have shown the reliability of the receiver system, which allows us in the future to use designed radiometer for continuous monitoring of carbon monoxide. The first observations of the atmospheric carbon monoxide spectral lines over Kharkiv have confirmed seasonal changes in the CO abundance and gave us reasons to assume the spread of the influence of the polar vortex on the state of the atmosphere up to the latitude of 50° N where our measurement system is located.

  2. Microwave Radiometer for Spectral Observations of Mesospheric Carbon Monoxide at 115 GHz Over Kharkiv, Ukraine

    Science.gov (United States)

    Piddyachiy, Valeriy; Shulga, Valerii; Myshenko, Valeriy; Korolev, Alexey; Antyufeyev, Oleksandr; Shulga, Dmytro; Forkman, Peter

    2017-03-01

    We present the results of the development of high sensitivity microwave radiometer designed for observation of the atmospheric carbon monoxide (CO) emission lines at 115 GHz. The receiver of this radiometer has the double-sideband noise temperature of 250 K at a temperature of 10°C. To date, this is the best noise performance for uncooled Schottky diode mixer receiver systems. The designed radiometer was tested during the 2014-2015 period at observations of the carbon monoxide emission lines over Kharkiv, Ukraine (50° N, 36.3° E). These tests have shown the reliability of the receiver system, which allows us in the future to use designed radiometer for continuous monitoring of carbon monoxide. The first observations of the atmospheric carbon monoxide spectral lines over Kharkiv have confirmed seasonal changes in the CO abundance and gave us reasons to assume the spread of the influence of the polar vortex on the state of the atmosphere up to the latitude of 50° N where our measurement system is located.

  3. Organochlorine poisoning of herons

    Science.gov (United States)

    Ohlendorf, H.M.; Swineford, D.M.; Locke, L.N.

    1979-01-01

    Over a period of years interested individuals have submitted many dead or moribund herons of various species to our laboratory to learn whether the birds had been affected by diseases or organochlorine poisoning. Residue concentrations in carcasses of birds and mammals are considered the best measure of sublethal exposure, whereas residues in brains are best to use for diagnosing death by most organochlorine chemicals.... The purpose of the present paper is to document the occurrence and concentration of organochlorine residues in the brains of herons from various areas in the United States. By comparing these residue concentrations with laboratory-determined diagnostic lethal levels, we conclude that some herons were killed by organochlorine poisoning; others were at least seriously endangered by the residues they carried. Complete results of carcass analyses for these and other herons, as well as further details? on residues in brains, will be reported elsewhere. Overall, we analyzed carcasses or brains of more than 70 herons found dead or moribund and 36 others taken in planned collections. Residue levels in carcasses of many herons were not high enough to warrant analysis of brains. In the present paper we compare carcass and brain residues of dieldrin in 23 herons of which both carcass and brain were analyzed.

  4. Cleistanthus collinus poisoning

    Directory of Open Access Journals (Sweden)

    Anugrah Chrispal

    2012-01-01

    Full Text Available Cleistanthus collinus, a toxic shrub, is used for deliberate self-harm in rural South India. MEDLINE (PUBMED and Google were searched for published papers using the search/ MeSH terms "Cleistanthus collinus," "Euphorbiaceae," "Diphyllin," "Cleistanthin A," Cleistanthin B" and "Oduvanthalai." Non-indexed journals and abstracts were searched by tracing citations in published papers. The toxic principles in the leaf include arylnaphthalene lignan lactones - Diphyllin and its glycoside derivatives Cleistanthin A and B. Toxin effect in animal models demonstrate neuromuscular blockade with muscle weakness, distal renal tubular acidosis (dRTA and type 2 respiratory failure with conflicting evidence of cardiac involvement. Studies suggest a likely inhibition of thiol/thiol enzymes by the lignan-lactones, depletion of glutathione and ATPases in tissues. V-type H+ ATPase inhibition in the renal tubule has been demonstrated. Mortality occurs in up to 40% of C. collinus poisonings. Human toxicity results in renal tubular dysfunction, commonly dRTA, with resultant hypokalemia and normal anion gap metabolic acidosis. Aggressive management of these metabolic derangements is crucial. Acute respiratory distress syndrome (ARDS is seen in severe cases. Cardiac rhythm abnormalities have been demonstrated in a number of clinical studies, though the role of temporary cardiac pacemakers in reducing mortality is uncertain. Consumption of decoctions of C. collinus leaves, hypokalemia, renal failure, severe metabolic acidosis, ARDS and cardiac arrhythmias occur in severe poisonings and predict mortality. Further study is essential to delineate mechanisms of organ injury and interventions, including antidotes, which will reduce mortality.

  5. [Arsenic - Poison or medicine?].

    Science.gov (United States)

    Kulik-Kupka, Karolina; Koszowska, Aneta; Brończyk-Puzoń, Anna; Nowak, Justyna; Gwizdek, Katarzyna; Zubelewicz-Szkodzińska, Barbara

    2016-01-01

    Arsenic (As) is commonly known as a poison. Only a few people know that As has also been widely used in medicine. In the past years As and its compounds were used as a medicine for the treatment of such diseases as diabetes, psoriasis, syphilis, skin ulcers and joint diseases. Nowadays As is also used especially in the treatment of patients with acute promyelocytic leukemia. The International Agency for Research on Cancer (IARC) has recognized arsenic as an element with carcinogenic effect evidenced by epidemiological studies, but as previously mentioned it is also used in the treatment of neoplastic diseases. This underlines the specificity of the arsenic effects. Arsenic occurs widely in the natural environment, for example, it is present in soil and water, which contributes to its migration to food products. Long exposure to this element may lead to liver damages and also to changes in myocardium. Bearing in mind that such serious health problems can occur, monitoring of the As presence in the environmental media plays a very important role. In addition, the occupational risk of As exposure in the workplace should be identified and checked. Also the standards for As presence in food should be established. This paper presents a review of the 2015 publications based on the Medical database like PubMed and Polish Medical Bibliography. It includes the most important information about arsenic in both forms, poison and medicine.

  6. Venous diethylene glycol poisoning in patients with preexisting severe liver disease in China

    Institute of Scientific and Technical Information of China (English)

    Bing-Liang Lin; Zhi-Xin Zhao; Yu-Tian Chong; Jian-Guo Li; Xing Zuo; Yu Tao; Tan-Qi Lou; Zhi-Liang Gao

    2008-01-01

    AIM:To analyze the clinical presentation of venous diethylene glycol (DEG) poisoning in patients with preexisting severe liver disease and factors that correlate with DEG poisoning.METHODS:Retrospective chart review was performed to analyze the epidemiology,clinical presentation,hepatorenal functions,hemodynamics and pathological characteristics of 64 patients with severe liver disease who received intravenous armillarisin-A,the solvent of which was DEG.Comparative analyses of correlating factors and causes for poisoning were based on the presence or absence of poisoning.RESULTS:Of the 64 patients who received armillarisin-A,15 were found to have DEG poisoning.Twelve poisoned patients died.After a mean of 5 d,the poisoned patients displayed acute renal failure.Metabolic acidosis occurred in 13 cases.BUN,Cr,and CO2 values were significantly elevated and exacerbation of digestive tract symptoms and/or symptom was noted in 11 cases.Neurological system impairment was observed in 10 cases after 2 wk.Compared to the 49 non-poisoned patients,the poisoned patients exhibited significantly lower RBC and Hb values and higher WBC count.Renal biopsy from the poisoned patients revealed acute tubular necrosis and interstitial nephritis.Significant differences in preexisting severe hepatitis,ascites,renal disease,and diuretic therapy were found between groups.Prior to diethylene glycol injections,the mean values for neutral granular cells,BUN,Cr,calcium and phosphorous ions differed significantly between groups.CONCLUSION:Venous diethylene glycol poisoning is characterized by oliguric acute renal failure,metabolic acidosis,digestive symptoms,nervous system impairment,and a high probability of anemia and WBC proliferation.Mortality is high.Correlative factors include preexisting severe liver disease,renal disease,and infection.

  7. Occupational poison ivy and oak dermatitis.

    Science.gov (United States)

    Epstein, W L

    1994-07-01

    Among the growing and diverse groups of outdoor and environmental workers, poison ivy and poison oak continue to be the major cause of occupational contact dermatitis. This article reviews the practical and theoretic means to prevent poison ivy and poison oak dermatitis in workers occupationally exposed to these weeds.

  8. A "pennurth of arsenic for rat poison": the Arsenic Act, 1851 and the prevention of secret poisoning.

    OpenAIRE

    Bartrip, P

    1992-01-01

    In this country any chemist or druggist can furnish the means of self-destruction or murder for a few pence, and in too many instances have done so with the utmost indifference. The sale of a poison is regarded as a mere act of commercial intercourse; tant pis for the unfortunate victim of error or passion; he has the benefit of a coroner's inquest; the vendor of the poison receives a reprimand, and things resume their natural course--that is, arsenic and oxalic acid are retailed without comp...

  9. A "pennurth of arsenic for rat poison": the Arsenic Act, 1851 and the prevention of secret poisoning.

    Science.gov (United States)

    Bartrip, P

    1992-01-01

    In this country any chemist or druggist can furnish the means of self-destruction or murder for a few pence, and in too many instances have done so with the utmost indifference. The sale of a poison is regarded as a mere act of commercial intercourse; tant pis for the unfortunate victim of error or passion; he has the benefit of a coroner's inquest; the vendor of the poison receives a reprimand, and things resume their natural course--that is, arsenic and oxalic acid are retailed without compunction, and men are hurried from time to time into eternity.

  10. Extracorporeal treatment for digoxin poisoning

    DEFF Research Database (Denmark)

    Mowry, James B; Burdmann, Emmanuel A; Anseeuw, Kurt

    2016-01-01

    BACKGROUND: The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup was formed to provide recommendations on the use of extracorporeal treatments (ECTR) in poisoning. Here, we present our results for digoxin. METHODS: After a systematic literature search, clinical and toxicokinetic data were...... recommended against the use of ECTR in cases of severe digoxin poisoning when Fab was available (1D) and also suggested against the use of ECTR when Fab was unavailable (2D). CONCLUSION: ECTR, in any form, is not indicated for either suspected or proven digoxin toxicity, regardless of the clinical context...

  11. Alcohol Withdrawal Mimicking Organophosphate Poisoning

    Directory of Open Access Journals (Sweden)

    Nezihat Rana Disel

    2014-02-01

    Full Text Available Organophosphates, which can cause occupational poisoning due to inappropriate personal protective measures, are widely used insecticides in agricultural regions of southern Turkey. Therefore, the classical clinical findings of this cholinergic poisoning are myosis, excessive secretions, bradicardia and fasciculations are easy to be recognized by local medical stuff. Diseases and conditions related to alcoholism such as mental and social impairments, coma, toxicity, withdrawal, and delirium are frequent causes of emergency visits of chronic alcoholic patients. Here we present a case diagnosed and treated as organophosphate poisoning although it was an alcohol withdrawal in the beginning and became delirium tremens, due to similar symptoms.

  12. 40 CFR 60.103 - Standard for carbon monoxide.

    Science.gov (United States)

    2010-07-01

    ... Refineries § 60.103 Standard for carbon monoxide. Each owner or operator of any fluid catalytic cracking unit... regenerator any gases that contain carbon monoxide (CO) in excess of 500 ppm by volume (dry basis)....

  13. [Carbon monoxide metabolism by photosynthetic bacteria]. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    1989-12-31

    Research continued on the metabolism of carbon monoxide by Rhodospirillum rubrum. This report discusses progress on the activity, induction, inhibition, and spectroscopic analysis of the enzyme Carbon Monoxide Dehydrogenase. (CBS)

  14. Carbon Monoxide Hazards from Small Gasoline Powered Engines

    Science.gov (United States)

    ... Topics Publications and Products Programs Contact NIOSH NIOSH CARBON MONOXIDE Recommend on Facebook Tweet Share Compartir On this Page Recommendations NIOSH Publications Worker Notification Program Carbon Monoxide Hazards from Small Gasoline Powered Engines Many ...

  15. [Ciguatera fish poisoning].

    Science.gov (United States)

    Oehler, Erwan; Bouchut, Jérémie

    2014-09-01

    Ciguatera, an ichtyosarcotoxism linked to the consumption of usually healthy coral fish is a common poisoning in the Pacific, Caribbean and Indian Ocean where it is endemic. However, increased tourism and commercial transportation of tropical fish for consumption make it an unexceptional intoxication in countries away from its endemic area. Environmental stresses such as climate changes also contribute to the expansion of its geographical area. The non-specific clinical symptomatology is characterized by the occurrence of gastrointestinal, cardiovascular, nervous and general signs few hours after eating a ciguatoxic fish. The diagnosis is clinical and relatively easy in endemic areas but much less for physicians who are rarely confronted with, which is a source of prolonged diagnostic delays and a significant increase in spending. Treatment of ciguatera is symptomatic but new treatments, still experimental, give a real hope for the future.

  16. Fatal aluminium phosphide poisoning

    Directory of Open Access Journals (Sweden)

    Meena Mahesh Chand

    2015-06-01

    Full Text Available Aluminium phosphide (AlP is a cheap solid fumigant and a highly toxic pesticide which is commonly used for grain preservation. AlP has currently aroused interest with a rising number of cases in the past four decades due to increased use for agricultural and non-agricultural purposes. Its easy availability in the markets has increased also its misuse for committing suicide. Phosphine inhibits cellular oxygen utilization and can induce lipid peroxidation. Poisoning with AlP has often occurred in attempts to commit suicide, and that more often in adults than in teenagers. This is a case of suicidal consumption of aluminium phosphide by a 32-year-old young medical anesthetist. Toxicological analyses detected aluminium phosphide. We believe that free access of celphos tablets in grain markets should be prohibited by law.

  17. Assessment of carbon monoxide values in smokers: a comparison of carbon monoxide in expired air and carboxyhaemoglobin in arterial blood

    DEFF Research Database (Denmark)

    Andersson, Mette F; Møller, Ann M

    2010-01-01

    Smoking increases perioperative complications. Carbon monoxide concentrations can estimate patients' smoking status and might be relevant in preoperative risk assessment. In smokers, we compared measurements of carbon monoxide in expired air (COexp) with measurements of carboxyhaemoglobin (COHb...

  18. Extracorporeal Treatment for Salicylate Poisoning

    DEFF Research Database (Denmark)

    Juurlink, David N; Gosselin, Sophie; Kielstein, Jan T

    2015-01-01

    STUDY OBJECTIVE: Salicylate poisoning is a challenging clinical entity associated with substantial morbidity and mortality. The indications for extracorporeal treatments such as hemodialysis are poorly defined. We present a systematic review of the literature along with evidence- and consensus......-based recommendations on the use of extracorporeal treatment in salicylate poisoning. METHODS: The Extracorporeal Treatments in Poisoning (EXTRIP) Workgroup is a multidisciplinary group with international representation whose aim is to provide evidence-based recommendations on the use of extracorporeal treatments...... in poisoning. We conducted a systematic literature review followed by data extraction and summarized findings, following a predetermined format. The entire work group voted by a 2-round modified Delphi method to reach consensus on voting statements, using a RAND/UCLA Appropriateness Method to quantify...

  19. Extracorporeal treatment for theophylline poisoning

    DEFF Research Database (Denmark)

    Ghannoum, Marc; Wiegand, Timothy J; Liu, Kathleen D

    2015-01-01

    BACKGROUND: The Extracorporeal Treatments in Poisoning workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments (ECTRs) in poisoning. Here, the workgroup presents its systematic review and recommendations for theophylline. METHODS: After a systematic...... theophylline poisoning (1C). Specific recommendations for ECTR include a theophylline concentration [theophylline] > 100 mg/L (555 μmol/L) in acute exposure (1C), the presence of seizures (1D), life-threatening dysrhythmias (1D) or shock (1D), a rising [theophylline] despite optimal therapy (1D), and clinical...... deterioration despite optimal care (1D). In chronic poisoning, ECTR is suggested if [theophylline] > 60 mg/L (333 μmol/L) (2D) or if the [theophylline] > 50 mg/L (278 μmol/L) and the patient is either less than 6 months of age or older than 60 years of age (2D). ECTR is also suggested if gastrointestinal...

  20. Extracorporeal treatment for acetaminophen poisoning

    DEFF Research Database (Denmark)

    Gosselin, S; Juurlink, D N; Kielstein, J T

    2014-01-01

    BACKGROUND: The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup was created to provide evidence-based recommendations on the use of extracorporeal treatments (ECTR) in poisoning and the results are presented here for acetaminophen (APAP). METHODS: After a systematic review...... cases of APAP poisoning. However, given that APAP is dialyzable, the workgroup agreed that ECTR is suggested in patients with excessively large overdoses who display features of mitochondrial dysfunction. This is reflected by early development of altered mental status and severe metabolic acidosis prior...... and an APAP concentration over 900 mg/L (5960 mmol/L) if NAC is administered (1D). Intermittent hemodialysis (HD) is the preferred ECTR modality in APAP poisoning (1D). CONCLUSION: APAP is amenable to extracorporeal removal. Due to the efficacy of NAC, ECTR is reserved for rare situations when the efficacy...

  1. Extracorporeal Treatment in Phenytoin Poisoning

    DEFF Research Database (Denmark)

    Anseeuw, Kurt; Mowry, James B; Burdmann, Emmanuel A

    2016-01-01

    The Extracorporeal Treatments in Poisoning (EXTRIP) Workgroup conducted a systematic literature review using a standardized process to develop evidence-based recommendations on the use of extracorporeal treatment (ECTR) in patients with phenytoin poisoning. The authors reviewed all articles......) despite its high protein binding and made the following recommendations. ECTR would be reasonable in select cases of severe phenytoin poisoning (neutral recommendation, 3D). ECTR is suggested if prolonged coma is present or expected (graded 2D) and it would be reasonable if prolonged incapacitating ataxia...... is present or expected (graded 3D). If ECTR is used, it should be discontinued when clinical improvement is apparent (graded 1D). The preferred ECTR modality in phenytoin poisoning is intermittent hemodialysis (graded 1D), but hemoperfusion is an acceptable alternative if hemodialysis is not available...

  2. Extracorporeal treatment for carbamazepine poisoning

    DEFF Research Database (Denmark)

    Ghannoum, Marc; Yates, Christopher; Galvao, Tais F

    2014-01-01

    CONTEXT: The Extracorporeal Treatments in Poisoning (EXTRIP) workgroup was created to provide evidence and consensus-based recommendations on the use of extracorporeal treatments (ECTRs) in poisoning. OBJECTIVES: To perform a systematic review and provide clinical recommendations for ECTR...... in carbamazepine poisoning. METHODS: After a systematic literature search, the subgroup extracted the data and summarized the findings following a pre-determined format. The entire workgroup voted via a two-round modified Delphi method to reach a consensus on voting statements, using a RAND/UCLA Appropriateness...... is suggested in severe carbamazepine poisoning (2D). ECTR is recommended if multiple seizures occur and are refractory to treatment (1D), or if life-threatening dysrhythmias occur (1D). ECTR is suggested if prolonged coma or respiratory depression requiring mechanical ventilation are present (2D...

  3. Antidotes for acute cyanide poisoning.

    Science.gov (United States)

    Borron, Stephen W; Baud, Frederic J

    2012-08-01

    Cyanide poisoning can present in multiple ways, given its widespread industrial use, presence in combustion products, multiple physical forms, and chemical structures. The primary target of toxicity is mitochondrial cytochrome oxidase. The onset and severity of poisoning depend on the route, dose, physicochemical structure and other variables. Common poisoning features include dyspnea, altered respiratory patterns, abnormal vital signs, altered mental status, seizures, and lactic acidosis. Our present knowledge supports cyanide poisoning treatment based on excellent supportive care with adjunctive antidotal therapy. Multiple antidotes exist and vary in regional availability. All currently marketed antidotes appear to be effective. Antidotal mechanisms include chelation, formation of stable, less toxic complexes, methemoglobin induction, and sulfane sulfur supplementation for detoxification by endogenous rhodanese. Each antidote has advantages and disadvantages. For example, hydroxocobalamin is safer than the methemoglobin inducers in patients with smoke inhalation. Research for new, safer and more effective cyanide antidotes continues.

  4. Grass and weed killer poisoning

    Science.gov (United States)

    ... medlineplus.gov/ency/article/002838.htm Grass and weed killer poisoning To use the sharing features on this page, please enable JavaScript. Many weed killers contain dangerous chemicals that are harmful if ...

  5. Organophosphate Poisoning and Intermediate Syndrome

    Directory of Open Access Journals (Sweden)

    Mustafa Yilmaz

    2016-03-01

    Full Text Available Toxic effects that occur after acute organophosphate poisoning (OP can manifest three phases, namely, acute cholinergic crisis, intermediate syndrome and delayed-type polyneuropathy. Clinical signs and symptoms of organophosphate poisoning depend on the accumulation of acetylcholine at the nerve junction. Organophosphate poisoning causes three main clinical findings; acute cholinergic crisis consisting of muscarinic, nicotinic and central nervous system symptoms, intermediate syndrome with recurrence of cholinergic symptoms or muscle weakness without fasciculation 24-96 hours after poisoning and delayed-type polyneuropathy that can usually occur several days or weeks after acute exposure to organic phosphorus compounds. In this article, intermediate syndrome, which is a late complication, has been reviewed. [Archives Medical Review Journal 2016; 25(1.000: 70-83

  6. Neurotoxic shellfish poisoning: A review

    NARCIS (Netherlands)

    Apeldoorn ME van; Egmond HP van; Speijers GJA; CSR; ARO

    2001-01-01

    This review contains information on the neurotoxic shellfish poisoning (NSP) syndrome and the provoking toxins called brevetoxins, produced by the dinoflagellate Gymnodinium breve. Data on chemical structures and detection methods for brevetoxins, sources for brevetoxins, marine organisms associated

  7. Alcohol Poisoning Deaths PSA (:60)

    Centers for Disease Control (CDC) Podcasts

    2015-01-06

    This 60 second Public Service Announcement is based on the January 2015 CDC Vital Signs report. In the United States, an average of six people die every day from alcohol poisoning. Learn what you can do to prevent binge drinking and alcohol poisoning.  Created: 1/6/2015 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 1/6/2015.

  8. Acute poisoning in children; changes over the years, data of pediatric clinic department of toxicology

    Institute of Scientific and Technical Information of China (English)

    Keka Alije; Ramosaj A; Toro H; Azemi M; Baloku A; Sylaj B; Lenjani B; Kyseni K

    2014-01-01

    Objective:To present the frequency, etiology, changes over the years of acute poisoning in children admitted toPediatricClinic ofPristina and to determine the extent and characteristics of the problem, according to which related preventive measures can be taken.Methods:Retrospectively we have analyzed the epidemiology of accidental and suicidal poisonings in children hospitalization inPediatricClinicDepartment ofToxicology during the year2012. Our data we compared with data from previous studies on acute poisoning in children in the PediatricClinic conducted during the years1976-1985 and2001.Results:During the year2012, inPediatricClinic ofPristina5723 children were hospitalized,136 of them or2.3% were treated due to acute poisoning inDepartment ofToxicology,82 of them was boys and54 was girls, rate boys girls was1.5:1.The majority of cases101 or74.2% were under five years with peak age three and35% or25.7% were over five years.The most of the cases was accidentally97% and only 2.9% was suicidal and all of them were over the age of ten.Drugs were the most common agent causing the poisoning71(52.2%) followed by house cleaning products38(27.9%), food10(5.8%), pesticides7(5.14%), rare agent that caused poisoning were: narcotic substances, plant, heavy metals, alcohol, carbon monoxide, carburant.Poisoning occurred mostly in spring and the peak was observed inMay,(1.17% of all patients).January was the month of lowest rate of poisoning. During the years1976-1985, inPediatricClinic ofPristina900 children were hospitalized due to acute poisoning,44.11% were from drugs,15.88% from pesticides,65(7.2%), while during2001 in the unit care intensive were hospitalized66 children due to acute poisoning, among them51.5% were poisoning from drugs,30.03 from pesticides,12.2% from cleaning products.Conclusion:In our study drugs and house cleaning products are the most frequent agents causing accidental poisoning in children less than5 years-old, this age of children is the most

  9. The Effects of Acute Hydrogen Sulfide Poisoning on Cytochrome P450 Isoforms Activity in Rats

    OpenAIRE

    Xianqin Wang; Mengchun Chen; Xinxin Chen; Jianshe Ma; Congcong Wen; Jianchun Pan; Lufeng Hu; Guanyang Lin

    2014-01-01

    Hydrogen sulfide (H2S) is the second leading cause of toxin related death (after carbon monoxide) in the workplace. H2S is absorbed by the upper respiratory tract mucosa, and it causes histotoxic hypoxemia and respiratory depression. Cocktail method was used to evaluate the influences of acute H2S poisoning on the activities of cytochrome P450 isoforms CYP2B6, CYP2D6, CYP3A4, CYP1A2, CYP2C19, and CYP2C9, which were reflected by the changes of pharmacokinetic parameters of six specific probe d...

  10. Intoxicación por Monóxido de Carbono Poisoning by carbon monoxide

    OpenAIRE

    2007-01-01

    Numerosos autores recomiendan la realización de análisis toxicológico, prácticamente en todos los casos forenses, especialmente, cuando tras el examen macroscópico no aparece suficientemente aclarada la causa de la muerte. La ausencia de lesiones patognomónicas en la mayoría de las intoxicaciones avalan la recomendación anterior; sin embargo, en algunos casos los hallazgos en la autopsia son indicativos del agente causal. Así vemos como la coloración rojo cereza de las livideces cadavéricas v...

  11. [Otoneurologic and cardiovascular abnormalities associated to carbon monoxide poisoning in occupational exposed workers].

    Science.gov (United States)

    Vargas-Martínez, Alma; Reyna-López, Víctor; Rodríguez-Ortega, Francisco

    2014-01-01

    INTRODUCCIÓN: aun cuando la Ley Federal del Trabajo incluye la intoxicación por monóxido de carbono, su registro es escaso en el ámbito laboral. El objetivo de esta investigación fue determinar la relación de trastornos otoneurológicos y cardiovasculares con la intoxicación por monóxido de carbono en el ambiente de trabajo, para la adecuada fundamentación de su diagnóstico como enfermedad de trabajo. MÉTODOS: estudio transversal y analítico de un grupo de asaderos que utilizaban leña y carbón para cocinar pollo, comparados con un grupo control (n = 54). La investigación se realizó de abril a noviembre de 2012, con trabajadores de uno u otro sexo, entre los 18 y 74 años de edad; no se excluyó a quienes fumaban, pero no se incluyó a quienes manifestaron antecedente de cardiopatía isquémica Se obtuvieron niveles de carboxihemoglobina en aire espirado, audiometría tonal y electrocardiograma de 12 derivaciones.

  12. [The role of ethanol in complex poisonings with carbon monoxide and hydrogen cyanide in fire victims].

    Science.gov (United States)

    Grabowska, Teresa; Nowicka, Joanna; Olszowy, Zofia

    2006-01-01

    A total of 230 cases of deaths in burning spaces dating from the years 1995-2003 were investigated in Forensic Medicine Department, Silesian University of Medicine, Katowice. HbCO and HCN found in 177 blood samples ranged from 4-95 % (mean, 31,5 %) and 0,5-40,3 microg/ml (mean, 9,98 microg/ml), respectively. Moreover, ethanol was found in 122 blood samples. Its concentration ranged from 0,89-5,0 per thousand (mean, 1,45 per thousand). A comparative analysis of HbCO and HCN levels in the groups with and without ethanol showed that the range and the mean concentration of both these xenobiotics were higher in the group with no alcohol. It was also shown that the increased ethanol caused a drop in HbCO and HCN levels. To evaluate HbCO and HCN levels, the regression and correlation analysis was used.

  13. Risk Factors and Outcome Analysis in Children with Carbon Monoxide Poisoning

    Directory of Open Access Journals (Sweden)

    Yu-Ching Chang

    2017-04-01

    Conclusion: For those with treatment in the intensive care unit because of prolonged loss of consciousness and rescue by a ventilator, special attention should be given and follow-up should be performed to determine whether DNS or PNS occurs, particularly epilepsy and cognitive deficits.

  14. 76 FR 53364 - Recreational Vessel Propeller Strike and Carbon Monoxide Poisoning Casualty Prevention

    Science.gov (United States)

    2011-08-26

    ...'' means swimming or floating on one's stomach or on one's back on or in the wake directly behind a motor... issue. The first rulemaking sought public input on the use of swimming ladders, warning notices, clear... or to use all of the following propeller injury avoidance measures: a swim ladder interlock, an aft...

  15. Immunologic studies of poisonous Anacardiaceae: I. Production of tolerance and desensitization to poison Ivy and oak urushiols using esterified urushiol derivatives in guinea pigs.

    Science.gov (United States)

    Watson, E S; Murphy, J C; Wirth, P W; Waller, C W; Elsohly, M A

    1981-03-01

    The development of contact sensitivity to poison ivy urushiol in Hartley guinea pigs was inhibited by i.v. injection of the diacetate esters of poison ivy and oak urushiols into guinea pigs 2 weeks prior to attempted sensitization with homologous antigen. Immune tolerance to urushiols of poison ivy and oak developed in 80% or more of the treated animals and persisted for the duration of the study, 8 weeks. The tolerance was immunologically specific for urushiols since the tolerant animals were sensitizable to the unrelated sensitizer 2, 4-dinitrochlorobenzene. Guinea pigs already sensitive to urushiol were also desensitized or hyposensitizied by i.v. injection of urushiol acetates in successively increasing doses. After receiving the equivalent of 16 mg of poison ivy and oak urushiols in the acetate form over a period of 12 weeks, 54% of a group of guinea pigs were desensitized to poison ivy. all of the remaining 46% of the guinea pigs still sensitive to poison ivy were substantially hyposensitized (no longer responded to 1.5 or 0.80 microgram test doses of PDC). A control group of guinea pigs was not hyposensitized by injection of vehicle, and remained highly sensitive throughout the 15 week study. The majority of treated animals (less than 80%) were also hyposensitized to poison sumac and cashew nut shell liquid allergens.

  16. Magnetic Resonance Imaging Findings in Chronic Carbon Monoxide Intoxication

    Energy Technology Data Exchange (ETDEWEB)

    Durak, A. C.; Coskun, A.; Yikilmaz, A.; Erdogan, F.; Mavili, E.; Guven, M. [Hospital of Erciyes Univ., Kayseri (Turkey). Dept. of Radiology

    2005-05-01

    Purpose: To define the cranial magnetic resonance imaging (MRI) features of the chronic stage of carbon monoxide (CO) poisoning in patients with and without neuropsychiatric sequelae. Material and Methods: Eight patients who had neither symptoms nor neurological sequelae and eight patients with neuropsychiatric sequelae were included in the study. Patients aged between 9 to 57 (mean 32.2 years). All patients had been comatose at initial admittance and awoke after normobaric 100% oxygen therapy within 1-7 days. In this study, the patients were being examined with routine cranial MRI between 1 and 10 years (mean 3.4 years) after exposure to CO. Results: The most common finding was bilateral symmetric hyperintensity of the white matter, which was more significant in the centrum semiovale, with relative sparing of the temporal lobes and anterior parts of the frontal lobes on T2-weighted and FLAIR images in all patients. Cerebral cortical atrophy was seen in 10 patients; mild atrophy of cerebellar hemispheres in 8; and vermian atrophy in 11. Corpus callosum was atrophic in one patient. Bilateral globus pallidus lesions were seen in three patients. The lesions were hypointense on T1-weighted images and hyperintense on T2-weighted and FLAIR images. Conclusion: Patients with severe CO intoxication may develop persistent cerebral changes independently of their neuropsychiatric findings in the chronic stage. They may present with characteristic MRI findings as described here, even if asymptomatic. The history of CO exposure is therefore helpful for recognizing and interpreting the MRI findings of chronic stage CO intoxication.

  17. Compliance with Washington State's requirement for residential carbon monoxide alarms

    Directory of Open Access Journals (Sweden)

    Neil B. Hampson

    2017-03-01

    Full Text Available Carbon monoxide (CO poisoning is responsible for significant morbidity and mortality in the US. In response, a majority of states have passed legislation in recent years requiring the installation of residential CO alarms. There is, however, no published information evaluating compliance with such laws. Employees of a Seattle medical center were surveyed in 2008 regarding home use of CO and smoke alarms. Washington State enacted legislation requiring residential CO alarms by all residences by January 1, 2013. The survey was repeated in mid-2016 to evaluate compliance. In 2016, a total of 354 employees completed the survey and their responses were compared to an equal number of 2008 survey respondents matched by home ownership and ZIP code. Residential CO alarm use rose from 37% to 78% (p < 0.0001. Among homeowners, 78% had alarms while 80% of renters had them. Homeowners with the highest compliance (96% had purchased their homes since January 1, 2013 while those with the lowest compliance (73% had purchased them earlier. A majority (79% of renters without alarms reported the reason was that their landlord did not provide one, a violation of the law. Only one-half to two-thirds of all equipped homes had the required number of either CO or smoke alarms. Use of residential CO alarms increased significantly in this study population three years after law required them. Areas for further improvement include education of landlords, tenants, and longtime homeowners about the law, as well as public education regarding the number of CO and smoke alarms needed.

  18. 77 FR 64997 - Advisory Committee on Childhood Lead Poisoning Prevention

    Science.gov (United States)

    2012-10-24

    ... HUMAN SERVICES Centers for Disease Control and Prevention Advisory Committee on Childhood Lead Poisoning... poisoning prevention efforts. The committee also reviews and reports regularly on childhood lead poisoning prevention practices and recommends improvements in national childhood lead poisoning prevention...

  19. Identification and treatment of poison ivy dermatitis.

    Science.gov (United States)

    Briant, D; Brouder, G

    1983-01-01

    Poison ivy dermatitis is an acute self-limiting problem of two or three weeks' duration that can cause significant discomfort. Poison ivy, poison oak and poison sumac cause more cases of allergic contact dermatitis than all the other contact allergens combined. Treatment of poison ivy dermatitis depends on the severity of the reaction. The nurse practitioner can manage the majority of poison ivy cases. However, if there is systemic involvement, a physician consultation is necessary. The patient can best be assisted by assessing the severity of the dermatitis, prescribing an appropriate supportive therapy and teaching preventive measures.

  20. Neurologic Complications of Methanol Poisoning: A Clinicoepidemiological Report from Poisoning Treatment Centers in Tehran, Iran

    Directory of Open Access Journals (Sweden)

    Hakimeh Eghbali

    2015-03-01

    Full Text Available Background: In this study we sought to investigate clinical findings (with a focus on neurologic effects and also to analyze outcomes of a series of patients with methanol poisoning admitted to two poisoning treatment centers in Tehran, Iran. Methods: In this prospective cross-sectional study, methanol-poisoned patients admitted to departments of forensic medicine and toxicology of Loghman Hakim and Baharloo hospitals in Tehran during October 2010 to October 2011 were included; and their data were recorded in predesigned checklists. Results: Twenty-eight methanol poisoned patients (82.1% men with mean age of 29.3±4.6 years were studied. Most patients (67.9% had metabolic acidosis at presentation. On admission, all patients had different degrees of decrease in consciousness, who the majority of them (57.1% were admitted with mildly reduced consciousness (grade I of Grady coma scale. Headache and vertigo were observed in 7.1% and 17.9% of patients, respectively. Most patients (53.6% had no ocular effects, while 46.6% of patients developed impaired vision. All patients received sodium bicarbonate. Ethanol as antidote and folic acid were given to 18 patients (64.2% and 16 patients (57.1%, respectively. Six patients (21.4% underwent hemodialysis. Over half of the patients (53.6% fully recovered and were discharged without complications. Four patients (14.3% developed total blindness. Four patients (14.3% left the hospital against medical advice by self-discharge (they had no significant complication at the time of discharge. Five patients (17.9% died; who compared to survived cases had significantly lower blood pH (P=0.028, higher coma grade (P

  1. Neurotoxic Shellfish Poisoning

    Directory of Open Access Journals (Sweden)

    Roberta Hammond

    2008-07-01

    Full Text Available Neurotoxic shellfish poisoning (NSP is caused by consumption of molluscan shellfish contaminated with brevetoxins primarily produced by the dinoflagellate, Karenia brevis. Blooms of K. brevis, called Florida red tide, occur frequently along the Gulf of Mexico. Many shellfish beds in the US (and other nations are routinely monitored for presence of K. brevis and other brevetoxin-producing organisms. As a result, few NSP cases are reported annually from the US. However, infrequent larger outbreaks do occur. Cases are usually associated with recreationally-harvested shellfish collected during or post red tide blooms. Brevetoxins are neurotoxins which activate voltage-sensitive sodium channels causing sodium influx and nerve membrane depolarization. No fatalities have been reported, but hospitalizations occur. NSP involves a cluster of gastrointestinal and neurological symptoms: nausea and vomiting, paresthesias of the mouth, lips and tongue as well as distal paresthesias, ataxia, slurred speech and dizziness. Neurological symptoms can progress to partial paralysis; respiratory distress has been recorded. Recent research has implicated new species of harmful algal bloom organisms which produce brevetoxins, identified additional marine species which accumulate brevetoxins, and has provided additional information on the toxicity and analysis of brevetoxins. A review of the known epidemiology and recommendations for improved NSP prevention are presented.

  2. Analysis of epidemiological characteristics of group poisoning emergency%突发群体中毒的流行病学特征分析

    Institute of Scientific and Technical Information of China (English)

    朱远群; 阮海林; 陈建平; 黄伟

    2015-01-01

    目的 探讨突发群体中毒事件流行病学特点,为群体中毒的救治供科学依据. 方法 采用前瞻性方法,对该院1997~2011年救治的群体中毒的类别、宗数、时间分布和患病人数、性别、年龄等进行流行病学分析. 结果 1997~2011年共救治群体中毒事件161 起,伤亡人数1 351 人次;中毒事件包括一氧化碳中毒81 宗( 50.31%)、细菌性食物中毒48 宗(29.81%)、废气中毒22宗(13.66%)、有机磷中毒4宗(2.48%)、鼠药中毒3宗(1.86%)、植物中毒3宗(1.86%);发生最多的是一氧化碳中毒,其次为食物中毒;伤亡人数最多的是细菌性食物中毒,其次为一氧化碳中毒. 男女比例为1.19 :1;10~49岁占72 .91%. 各年度中毒事件呈不规则分布. 一氧化碳中毒多发生在12~2月,食物中毒多发生在7~9月. 中毒事件主发生在每日的0 :00~4 :00、20 :00~24 :00时段. 结论 群体中毒事件较常见,以一氧化碳中毒和食物中毒多见,发病具有季节性,就诊时间以夜间为主. 建立健全院前急救系统,完善预案并加强演练,建立中毒中心和急诊重症监护室是高抢救成功率的关键.%Objective To investigate the epidemiological characteristics of group poisoning emergency,aimed at offering a scientific basis for the treatment of group poisoning.Methods A prospective analysis on the epidemiological characteristics of group poisoning patients in a hospital from 1997 to 2011,including types,number of group poisoning,date and duration distributions,number of poisoning patients, gender and age,was conducted.Results One hundred sixty-one cases of group poisoning emergency involving 1 351 casualties treated in the hospital from 1997 to 2011 included 81(50.31%) of carbon monoxide poisoning,45(29.81%) of bacterial food poisoning,22(13.66%) of exhaust gas poisoning,4(2.48%) of organic phosphorus pesticide poisoning,3(1.86%) of raticide poisoning and 3(1.86%) of plant poisoning.The top two poisoning emergencies were

  3. Unusual complication of aluminum phosphide poisoning: Development of hemolysis and methemoglobinemia and its successful treatment

    Directory of Open Access Journals (Sweden)

    Kambiz Soltaninejad

    2011-01-01

    Full Text Available Methemoglobinemia and hemolysis are rare findings following phosphine poisoning. In this paper, a case of aluminum phosphide (AlP poisoning complicated by methemoglobinemia and hemolysis with a successful treatment is reported. A 28-year-old male patient presented following intentional ingestion of an AlP tablet. In this case, hematuria, hemolysis and methemoglobinemia were significant events. A methemoglobin level of 46% was detected by CO-oximetry. The patient was treated with ascorbic acid and methylene blue and he also received supportive care. Two weeks after admission, the patient was discharged from the hospital. Hemolysis and methemoglobinemia may complicate the course of phosphine poisoning.

  4. The effects of acute hydrogen sulfide poisoning on cytochrome P450 isoforms activity in rats.

    Science.gov (United States)

    Wang, Xianqin; Chen, Mengchun; Chen, Xinxin; Ma, Jianshe; Wen, Congcong; Pan, Jianchun; Hu, Lufeng; Lin, Guanyang

    2014-01-01

    Hydrogen sulfide (H2S) is the second leading cause of toxin related death (after carbon monoxide) in the workplace. H2S is absorbed by the upper respiratory tract mucosa, and it causes histotoxic hypoxemia and respiratory depression. Cocktail method was used to evaluate the influences of acute H2S poisoning on the activities of cytochrome P450 isoforms CYP2B6, CYP2D6, CYP3A4, CYP1A2, CYP2C19, and CYP2C9, which were reflected by the changes of pharmacokinetic parameters of six specific probe drugs, bupropion, metoprolol, midazolam, phenacetin, omeprazole, and tolbutamide, respectively. The experimental rats were randomly divided into two groups, control group and acute H2S poisoning group (inhaling 300 ppm for 2 h). The mixture of six probes was given to rats by oral administration and the blood samples were obtained at a series of time points through the caudal vein. The concentrations of probe drugs in rat plasma were measured by LC-MS. The results for acute H2S poisoning and control groups were as follows: there was a statistically significant difference in the AUC and C max for bupropion, metoprolol, phenacetin, and tolbutamide, while there was no statistical pharmacokinetic difference for midazolam and omeprazole. Acute H2S poisoning could inhibit the activity of CYP2B6, CYP2D6, CYP1A2, and CYP2C9 in rats.

  5. The Effects of Acute Hydrogen Sulfide Poisoning on Cytochrome P450 Isoforms Activity in Rats

    Directory of Open Access Journals (Sweden)

    Xianqin Wang

    2014-01-01

    Full Text Available Hydrogen sulfide (H2S is the second leading cause of toxin related death (after carbon monoxide in the workplace. H2S is absorbed by the upper respiratory tract mucosa, and it causes histotoxic hypoxemia and respiratory depression. Cocktail method was used to evaluate the influences of acute H2S poisoning on the activities of cytochrome P450 isoforms CYP2B6, CYP2D6, CYP3A4, CYP1A2, CYP2C19, and CYP2C9, which were reflected by the changes of pharmacokinetic parameters of six specific probe drugs, bupropion, metoprolol, midazolam, phenacetin, omeprazole, and tolbutamide, respectively. The experimental rats were randomly divided into two groups, control group and acute H2S poisoning group (inhaling 300 ppm for 2 h. The mixture of six probes was given to rats by oral administration and the blood samples were obtained at a series of time points through the caudal vein. The concentrations of probe drugs in rat plasma were measured by LC-MS. The results for acute H2S poisoning and control groups were as follows: there was a statistically significant difference in the AUC and Cmax for bupropion, metoprolol, phenacetin, and tolbutamide, while there was no statistical pharmacokinetic difference for midazolam and omeprazole. Acute H2S poisoning could inhibit the activity of CYP2B6, CYP2D6, CYP1A2, and CYP2C9 in rats.

  6. An overview of trends in animal poisoning cases in the United States: 2002-2010.

    Science.gov (United States)

    McLean, Mary Kay; Hansen, Steven R

    2012-03-01

    Veterinary toxicology is a constantly evolving field. The authors use the ASPCA Animal Poison Control Center’s medical record database to examine recent trends in veterinary toxicology/animal poisoning incidents received from 2002 to 2010. The demographics of animals exposed to potentially harmful substances, the types of substances ingested, changes/emerging trends in substance exposures, and trends in therapies used to treat exposures are discussed.

  7. The Pittsburgh Poison Center profile of an American poison information center.

    Science.gov (United States)

    Krenzelok, Edward P

    2005-01-01

    The Pittsburgh Poison Center (PPC), a department of Children's Hospital of Pittsburgh, was established in 1971 to provide emergency poison information to the residents of western Pennsylvania, especially the children. The PPC provides comprehensive poison information center services to the lay public and to medical professionals, poison prevention education, professional education and specialized services to the business and industry sector and governmental agencies.

  8. Poison ivy on the leg (image)

    Science.gov (United States)

    This is a typical early appearance of a poison ivy rash, located on the leg. These early lesions ... line where the skin has brushed against the poison ivy plant. The rash is caused by skin contact ...

  9. Organophosphorus pesticide poisoning : cases and developments

    NARCIS (Netherlands)

    Aardema, H.; Ligtenberg, J. J. M.; Peters-Polman, O. M.; Tulleken, J. E.; Zijlstra, J. G.; Meertens, John H. J. M.

    2008-01-01

    Self-poisoning with organophosphate pesticides is a major health problem world-wide. Through the inhibition of acetylcholinesterase, organophosphorus poisoning is characterised by the clinical picture of acute cholinergic crisis. Other manifestations are the intermediate neurotoxic syndrome and dela

  10. Chronic Arsenic Poisoning Following Ayurvedic Medication

    National Research Council Canada - National Science Library

    Pinto, Benzeeta; Goyal, Palvi; Flora, S J. S; Gill, K D; Singh, Surjit

    2014-01-01

    .... Chronic arsenic poisoning following the use of ayurvedic medication, though reported, is rare.We describe three patients who presented with features of chronic arsenic poisoning following prolonged ayurvedic medication use...

  11. Interaction and reactivity of nitric oxide and carbon monoxide on ruthenium surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Quick, E.E.

    1980-03-01

    A multifaceted investigation of the reduction of nitric oxide by carbon monoxide using a ruthenium (102) single crystal catalyst in the pressure range 10/sup -3/ to 10 Torr and temperature range of 300 to 475/sup 0/C has been undertaken. Kinetic and isotopic results indicate that the reaction products CO/sub 2/ and N/sub 2/ were produced via two reaction mechanisms. Using a reducing gas mixture (low P/sub NO//P/sub CO/ ratio) a two site mechanism was operative involving NO dissociation. The carbon monoxide kinetic order varied from +1 to -3 and the nitric oxide order varied from +1 to 0. The catalyst under these conditions was determined to be metallic ruthenium with oxygen bonded within the first surface layer. The oxygen was unreactive and formed a (1 x 3)-0 LEED pattern. Under oxidizing conditions (high P/sub NO//P/sub CO/ ratio) the catalyst was ruthenium dioxide and the functional mechanism under these reaction conditions yielded a nitric oxide order of +2 to -4. Inclusion of a site poisoning mechanism under reducing conditions and an RuO/sub 2/ growth mechanism involving ruthenium cation transfer under oxidizing conditions into the kinetic rate laws led to an overall rate law which could be fit to the carbon monoxide and nitric oxide order plots. Using isotopically oxygen labelled reactants, it was observed that the three possible isotopes of carbon dioxide were produced. A ..gamma..-CO surface species is postulated as an intermediate in the exchange process. The reaction was observed to be initially surface structure insensitive and the reaction kinetics were derived using a Langmuir-Hinshelwood formalism.

  12. Photosynthetic carbon monoxide metabolism by sugarcane leaves

    Energy Technology Data Exchange (ETDEWEB)

    Kortschak, H.P.; Nickell, L.G.

    1973-01-01

    The photosynthetic carbon monoxide metabolism by sugarcane was studied to determine whether substantial quantities of CO are removed from the air by fields in Hawaii. Leaves metabolized low CO concentrations photosynthetically, with sucrose as an end product. Rates of uptake were of the order of 10/sup -4/ power mg/d sq m/hr. This was to low to be significant in removing CO from the atmosphere.

  13. 49 CFR 172.430 - POISON label.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false POISON label. 172.430 Section 172.430... SECURITY PLANS Labeling § 172.430 POISON label. (a) Except for size and color, the POISON label must be as follows: EC02MR91.029 (b) In addition to complying with § 172.407, the background on the POISON label...

  14. Poisonous birds: A timely review.

    Science.gov (United States)

    Ligabue-Braun, Rodrigo; Carlini, Célia Regina

    2015-06-01

    Until very recently, toxicity was not considered a trait observed in birds, but works published in the last two decades started to shed light on this subject. Poisonous birds are rare (or little studied), and comprise Pitohui and Ifrita birds from Papua New Guinea, the European quail, the Spoor-winged goose, the Hoopees, the North American Ruffed grouse, the Bronzewings, and the Red warbler. A hundred more species are considered unpalatable or malodorous to humans and other animals. The present review intends to present the current understanding of bird toxicity, possibly pointing to an ignored research field. Whenever possible, biochemical characteristics of these poisons and their effects on humans and other animals are discussed, along with historical aspects of poison discovery and evolutionary hypothesis regarding their function.

  15. Extracorporeal Treatment for Metformin Poisoning

    DEFF Research Database (Denmark)

    Calello, Diane P; Liu, Kathleen D; Wiegand, Timothy J

    2015-01-01

    BACKGROUND: Metformin toxicity, a challenging clinical entity, is associated with a mortality of 30%. The role of extracorporeal treatments such as hemodialysis is poorly defined at present. Here, the Extracorporeal Treatments In Poisoning workgroup, comprising international experts representing...... diverse professions, presents its systematic review and clinical recommendations for extracorporeal treatment in metformin poisoning. METHODS: A systematic literature search was performed, data extracted, findings summarized, and structured voting statements developed. A two-round modified Delphi method......) and made the following recommendations: extracorporeal treatment is recommended in severe metformin poisoning (1D). Indications for extracorporeal treatment include lactate concentration greater than 20 mmol/L (1D), pH less than or equal to 7.0 (1D), shock (1D), failure of standard supportive measures (1D...

  16. Is Your Child Safe from Lead Poisoning?

    Centers for Disease Control (CDC) Podcasts

    2008-10-02

    In this podcast, Dr. Mary Jean Brown, chief of CDC's Lead Poisoning and Prevention Program, discusses the importance of testing children for lead poisoning, who should be tested, and what parents can do to prevent lead poisoning.  Created: 10/2/2008 by National Center for Environmental Health (NCEH).   Date Released: 10/2/2008.

  17. National Poison Prevention Week Promotional Materials.

    Science.gov (United States)

    Poison Prevention Week Council, Washington, DC.

    This collection of materials for parents, early childhood workers, the elderly, and anyone in situations requiring safeguards against poisoning, spans the years 1993 and 1994 and is intended to promote National Poison Prevention Week. The materials included are: (1) the 31-page, illustrated report on National Poison Prevention Week for 1993,…

  18. 49 CFR 172.554 - POISON placard.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false POISON placard. 172.554 Section 172.554... SECURITY PLANS Placarding § 172.554 POISON placard. (a) Except for size and color, the POISON placard must be as follows: EC02MR91.057 (b) In addition to complying with § 172.519, the background on the...

  19. [Sodium azide--clinical course of the poisoning and treatment].

    Science.gov (United States)

    Łopaciński, Bogdan; Kołacinski, Zbigniew; Winnicka, Renata

    2007-01-01

    received supportive therapy, he was also treated according to the therapy prescription for cyanide poisoning. Circulatory disturbances observed in both cases have been described in literature as symptoms of sodium azide poisoning. However, available literature data are scarce and lack systematization, most of them coming from several decades ago. The lack of patient's consent for detailed examination of circulatory system and liver made it impossible to gather further knowledge on the subject. The efficacy of treatment with antidotes for cyanide poisoning has not been unequivocally determined for this kind of intoxication.

  20. Carbon monoxide from neighbouring restaurants: the need for an integrated multi-agency response.

    Science.gov (United States)

    Keshishian, C; Sandle, H; Meltzer, M; Young, Y; Ward, R; Balasegaram, S

    2012-12-01

    Carbon monoxide (CO) is a colourless, odourless toxic gas produced during incomplete combustion of carbon-based fuels. Most CO incidents reported to the UK Health Protection Agency (HPA) are due to faulty gas appliances, and legislation exists to ensure gas appliances are properly installed. We present three CO poisoning incidents of unusual origin reported to the HPA. In each, residents living above restaurants were poisoned after workers left charcoal smouldering overnight in specialist or traditional ovens whilst ventilation systems were turned off. This led to production of CO, which travelled through floorboards and built up to dangerous concentrations in the flats. Working with local authorities, these incidents were investigated and resolved, and work was conducted to prevent further occurrences. The novel nature of these CO incidents led to delays in recognition and subsequent remedial action. Although previously undescribed, it is likely that due to the number of residences built above restaurants and the rising popularity of traditional cooking methods, similar incidents may be occurring and could increase in frequency. Multi-agency response and reporting mechanisms could be strengthened. Awareness raising in professional groups and the public on the importance of correct ventilation of such appliances is vital.

  1. Donor pretreatment with carbon monoxide prevents ischemia/reperfusion injury following heart transplantation in rats

    Directory of Open Access Journals (Sweden)

    Noritomo Fujisaki

    2016-01-01

    Full Text Available Because inhaled carbon monoxide (CO provides potent anti-inflammatory and antioxidant effects against ischemia reperfusion injury, we hypothesized that treatment of organ donors with inhaled CO would decrease graft injury after heart transplantation. Hearts were heterotopically transplanted into syngeneic Lewis rats after 8 hours of cold preservation in University of Wisconsin solution. Donor rats were exposed to CO at a concentration of 250 parts per million for 24 hours via a gas-exposure chamber. Severity of myocardial injury was determined by total serum creatine phosphokinase and troponin I levels at three hours after reperfusion. In addition, Affymetrix gene array analysis of mRNA transcripts was performed on the heart graft tissue prior to implantation. Recipients of grafts from CO-exposed donors had lower levels of serum troponin I and creatine phosphokinase; less upregulation of mRNA for interleukin-6, intercellular adhesion molecule-1, and tumor necrosis factor-α; and fewer infiltrating cells. Although donor pretreatment with CO altered the expression of 49 genes expressly represented on the array, we could not obtain meaningful data to explain the mechanisms by which CO potentiated the protective effects.Pretreatment with CO gas before organ procurement effectively protected cardiac grafts from ischemia reperfusion-induced injury in a rat heterotopic cardiac transplant model. A clinical report review indicated that CO-poisoned organ donors may be comparable to non-poisoned donors.

  2. Mercury poisoning: a diagnostic challenge.

    Science.gov (United States)

    Tezer, Hasan; Kaya, Aysenur; Kalkan, Gokhan; Erkocoglu, Mustafa; Ozturk, Kubra; Buyuktasli, Muge

    2012-11-01

    Clinical features of mercury poisoning are nonspecific, and a detailed history is very valuable. The silvery, shiny appearance of mercury makes it very exciting and attractive for children. The overall half-life of elemental mercury in the body averages approximately 2 months. Chelation therapy with dimercaptosuccinic acid is the treatment of choice if the urine or blood level of mercury is high or the symptoms are profound. Here, we describe a 14-year-old boy with fever, respiratory distress, and body rash. Investigation leading to a diagnosis of mercury poisoning was made only after his mother presented with the similar symptoms a few days later.

  3. [Poisoning with selected mushrooms with neurotropic and hallucinogenic effect].

    Science.gov (United States)

    Marciniak, Beata; Ferenc, Tomasz; Kusowska, Joanna; Ciećwierz, Julita; Kowalczyk, Edward

    2010-01-01

    Picking mushrooms, especially in summer and autumn, is still very popular in Poland. Despite raising awareness of poisonous mushrooms in the Polish society, year after year hospitals treat many patients diagnosed with poisoning with the most common toxic species of mushroom found in our country. Furthermore, growing interest in hallucinogenic mushrooms among young people has become a serious medical problem of our time. Websites make it incredibly easy for people to obtain information on the morphology and appearance of mushrooms with psychoactive properties, which leads inexperienced pickers to misidentification, resulting frequently in a fatal outcome. The article explores the subject of poisoning with the most common mushrooms with neurotropic effects, these are: Amanita muscaria, Amanita pantherina, Inocybe rubescens, Clitocybe dealbata, Clitocybe rivulosa and Psilocybe semilanceata. Toxins found in these species show symptoms that affect the central nervous system, parasympathetic system as well as the gastro-intestinal system. The effects of poisoning in the mushroom species mentioned above are mild in general, liver and kidney damage occur rarely, but the symptoms depend on both the dosage of the consumed toxins and individual susceptibility. In most cases the treatment is of symptomatic nature. There is no specific treatment. Medical procedures mainly involve induced gastrolavage--stomach pumping (providing that the patient is conscious), prescription of active carbon as well as replacement of lost body fluids and electrolytes. If the muscarinic symptoms prevail it is generally advised to dose atropine. Patients showing the signs of hyperactivity receive tranquilizers or narcoleptics to eliminate psychotic symptoms.

  4. CLINICAL PROFILE AND OUTCOME OF ACUTE PEDIATRIC POISONING IN URBAN TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Basavaraj

    2015-01-01

    Full Text Available Childhood poisoning is a significant public health problem. Poisoning though an important cause of morbidity and mortality in children, has received little attention over the years. Objective: To determine the clinical profile and outcome of acute poisoning in children admitted to tertiary care hospital in South In dia. MATERIALS AND METHODS: We retrospectively reviewed the hospital records of all children aged 1 month to 18 years with definite history of poisoning during the 2 - years period from January 2013 to December 2014. We took the profile of all cases and note d their outcome. RESULTS: 50 patients presented with acute poisoning during the study period. Majority of children were in the age group between 12 to 18 years (30 cases, 60%. Median age of our patients was 10 years. The majority of our patients resided i n urban areas. Drugs (40%, Kerosene oil (24% and Insecticides (20% were the agents most frequently implicated. 52% cases were suicidal in nature and the above children belonged to age group of 12 to 18 years. Almost all cases in 1 - 6 years age group were accidental in nature. One case of kerosene oil consumption died whereas outcome in other cases was good. CONCLUSION: Poisoning in pediatric age group is a common problem. Incidence of poisoning with suicidal intension is increasing with accidental poisoni ng due to kerosene oil consumption is still common in younger age group

  5. Trisodium phosphate poisoning

    Science.gov (United States)

    ... Collapse Severe change in blood acid level Shock SKIN Burns Hives Holes in the skin or tissue under the skin Skin irritation ... Camera is placed down the throat to see burns in the airways and ... exposure, the person may receive: Skin debridement (surgical ...

  6. Sodium hydroxide poisoning

    Science.gov (United States)

    ... or too little acid in the blood) Shock SKIN Burns Hives Irritation Holes in the skin or tissue under the skin ... Camera is placed down the throat to see burns in the airways and ... skin exposure, the person may receive: Irrigation (washing of ...

  7. Carbolic acid poisoning

    Science.gov (United States)

    ... you to. If the person swallowed the carbolic acid, give them water or milk right away, if a provider tells ... well someone does depends on how much carbolic acid they swallowed and how quickly they receive treatment. The faster medical help is given, the better ...

  8. Usage of burnable poison on research reactors

    Energy Technology Data Exchange (ETDEWEB)

    Villarino, Eduardo Anibal [INVAP S.E., San Carlos de Bariloche (Argentina)

    2002-07-01

    The fuel assemblies with burnable poison are widely used on power reactors, but there are not commonly used on research reactors. This paper shows a neutronic analysis of the advantages and disadvantages of the burnable poison usage on research reactors. This paper analyses both burnable poison design used on research reactors: Boron on the lateral wall and Cadmium wires. Both designs include a parametric study on the design parameters like the amount and geometry of the burnable poison. This paper presents the design flexibility using burnable poisons, it does not find an optimal or final design, which it will strongly depend on the core characteristics and fuel management strategy. (author)

  9. [Poisonous animals registration in Poland].

    Science.gov (United States)

    Mitrus, Małgorzata; Szkolnicka, Beata; Satora, Leszek; Morawska, Jowanka

    2005-01-01

    The Act on Nature Conservation of 16.04.2004 (Official Journal, 2004, No 92, item 880) imposes on private individuals the duty to register some animals. The data collected by Kraków municipal authorities and delivered to the Poison Information Centre (Colleglum Medicum, Jagiellonian University) indicate that there are following species in private hands in the city and its surroundings: 11 individuals of Naja naja, 2--Hydrodynates gigas and 55-- Dendrobates spp. According to these information the employees of the PIC elaborated the advice on the treatment of specific animals' poisoning. In the period May 2003 - May 2004 (before the above Act came into force) there were 143 individuals from Brachypelma genus and 3 scorpions (Pandinus imperator) registered in Krakow. These species produce venoms which take local effect. According to art. 64 (1) of the above Act it is compulsory to register amphibians, reptiles, birds and mammals. However, it would be desirable to introduce the duty to register also dangerous species of invertebrates and fishes. It would provide the complete list of poisonous animals kept in private hands. Thus, it would be possible to estimate any possible threats and to elaborate adequate treatment in case of specific animals' poisoning.

  10. Ciguatera fish poisoning: a review

    NARCIS (Netherlands)

    Fouw JC de; Egmond HP van; Speijers GJA; CSR

    2001-01-01

    This review on ciguatera fish poisoning contains information on the ciguatera intoxication syndrome and the provoking ciguatoxins (CTXs) and gambiertoxin-4b (GTX-4B), of which CTX-1 is a major component at the end of food chain (the carnivore fish). Data on chemical structures and detection methods

  11. Paralytic shellfish poisoning; A review

    NARCIS (Netherlands)

    Mons MP; Egmond HP van; Speijers GJA; CSR

    1998-01-01

    Paralytic shellfish poisoning (PSP) is caused by ingestion of shellfish containing PSP toxins. The PSP toxins are a group of 18 closely related tetrahydropurines. The first PSP toxin chemically characterised was saxitoxin. The various PSP toxins significantly differ in toxicity, with saxitoxin being

  12. Paralytic shellfish poisoning; A review

    NARCIS (Netherlands)

    Mons MP; Egmond HP van; Speijers GJA; CSR

    1998-01-01

    Paralytic shellfish poisoning (PSP) wordt veroorzaakt door consumptie van schelpdieren die PSP toxinen bevatten. Er zijn 18 verschillende PSP toxinen, waarvan saxitoxine de meest bekende en de meest toxische is. PSP toxinen kunnen worden aangetoond met de muis bioassay, waarbij de dood van het d

  13. Paralytic shellfish poisoning; A review

    NARCIS (Netherlands)

    Mons MP; Egmond HP van; Speijers GJA; CSR

    1998-01-01

    Paralytic shellfish poisoning (PSP) is caused by ingestion of shellfish containing PSP toxins. The PSP toxins are a group of 18 closely related tetrahydropurines. The first PSP toxin chemically characterised was saxitoxin. The various PSP toxins significantly differ in toxicity, with saxitoxin being

  14. 10 "Poison Pills" for Pets

    Science.gov (United States)

    ... by Animal/Species Browse by Topic Browse by Discipline Resources Tools for K-12 Educators You are here: Home | Public Resources | Pet ... of all phone calls to the ASPCA Animal Poison Control Center (APCC) are about human medications. Your pet can easily ingest dropped pills ...

  15. Lead poisoning by contaminated flour.

    Science.gov (United States)

    Hershko, C; Eisenberg, A; Avni, A; Grauer, F; Acker, C; Hamdallah, M; Shahin, S; Moreb, J; Richter, E; Weissenberg, E

    1989-01-01

    Between October 1982 and June 1983, 43 patients were identified with symptomatic lead poisoning in three Arab villages of the Nablus district. Because of the clustering of clinical poisoning by household units, investigation was focussed on potential sources common to all members of the households. After excluding water, olive oil and a variety of foodstuff, lead in high concentrations was discovered in locally ground flour in all affected households. The source of poisoning was lead poured into the fissures between the metal housing and the driveshaft of the millstone. Significant lead contamination of freshly ground flour was demonstrated in 23% of the 146 community flour mills operating in West Bank villages. Since the completion of these studies, similar outbreaks of lead poisoning caused by contaminated flourmills have been identified in the Upper Galilee and in Spain. As the methods of milling in the Mediterranean area are similar, a coordinated international effort is needed in order to eliminate this health hazard from countries where similar community stone mills are still in use.

  16. Acute arsenic poisoning diagnosed late.

    Science.gov (United States)

    Shumy, Farzana; Anam, Ahmad Mursel; Kamruzzaman, A K M; Amin, Md Robed; Chowdhury, M A Jalil

    2016-04-01

    Acute arsenicosis, although having a 'historical' background, is not common in our times. This report describes a case of acute arsenic poisoning, missed initially due to its gastroenteritis-like presentation, but suspected and confirmed much later, when the patient sought medical help for delayed complications after about 2 months. © The Author(s) 2015.

  17. [Arsenic poisoning: a special gastroenteritis...].

    Science.gov (United States)

    Ganster, F; Kuteifan, K; Mootien, Y; Harry, P; Guiot, P

    2009-06-01

    Arsenic (As) intoxication is nowadays extremely rare. Two cases of acute and chronic As criminal poisoning leading to death of a couple of retired people, are reported. Clinical presentation was simulating a gastro-enteritidis with fast evolution to refractory shock. Toxicological analysis confirmed this diagnostic, with respectively blood As concentrations at 579 and 21 765 microg/l for our two patients.

  18. Amnesic shellfish poisoning: A review

    NARCIS (Netherlands)

    Apeldoorn ME van; Egmond HP van; Speijers GJA; CSR; ARO; CSR

    1999-01-01

    Deze literatuurstudie bevat informatie betreffende het 'amnesic shellfish poisoning' (ASP) syndroom en de veroorzakende ASP toxines, van welke "domoic acid" de belangrijkste component is. Chemische structuren en detectie-methodes van ASP toxines, de bronnen voor ASP toxines,

  19. Poison ivy - oak - sumac rash

    Science.gov (United States)

    ... to identify poison ivy, oak, and sumac. Teach children to identify them as soon as they are able to learn about these plants. Remove these plants if they grow near your home (but never burn them). Be aware of plant resins carried by ...

  20. Compact Instrument for Measurement of Atmospheric Carbon Monoxide Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Southwest Sciences proposed the development of a rugged, compact, and automated instrument for the high sensitivity measurement of tropospheric carbon monoxide...

  1. Animal poisoning in Europe. Part 3: Wildlife.

    Science.gov (United States)

    Guitart, Raimon; Sachana, Magda; Caloni, Francesca; Croubels, Siska; Vandenbroucke, Virginie; Berny, Philippe

    2010-03-01

    This review article is the third in a series on animal poisoning in Europe and represents a collation of published and non-published wildlife poisoning data from Belgium, France, Greece, Italy and Spain over the last 10 years. Birds, particularly waterfowl and raptors, were more commonly reported as victims of poisoning than wild mammals. In addition to specific but important toxicological disasters, deliberate primary or secondary poisonings are of concern to all countries. Metals (particularly lead arising from sporting/hunting activities) and pesticides (mainly anticholinesterases and anticoagulants) are frequent causes of poisoning, and often have fatal consequences. A more unified and consistent approach throughout European countries to improve the reporting and the analytical confirmation of wildlife poisoning would help to reduce the number of cases of malicious or negligent animal poisoning. 2009 Elsevier Ltd. All rights reserved.

  2. Amitraz: a mimicker of organophosphate poisoning.

    Science.gov (United States)

    Dhooria, Sahajal; Behera, Digambar; Agarwal, Ritesh

    2015-10-01

    Amitraz is used as an ectoparasiticide for dogs and cattle. Human poisoning due to amitraz may be misdiagnosed as organophosphate/carbamate (OPC) toxicity, since amitraz poisoning shares several clinical features (miosis, bradycardia and hypotension) encountered with OPC poisoning. A 19-year-old man with an alleged history of suicidal ingestion of a pesticide presented with drowsiness and was found to have constricted pupils, hypotension and bradycardia. He was diagnosed as a case of OPC poisoning and was treated with atropine and pralidoxime prior to presentation to our centre. Absence of a hypersecretory state, and the presence of hyperglycaemia and hypothermia along with a normal serum cholinesterase level suggested an alternate possibility. Retrieval of the poison container confirmed the diagnosis of amitraz poisoning. The patient made a rapid recovery with supportive management. Clinician awareness is key to successful management of this poisoning, which carries a good prognosis.

  3. Effect of N-Acetylcysteine in Protecting from Simultaneous Noise and Carbon Monoxide Induced Hair Cell Loss

    Directory of Open Access Journals (Sweden)

    Akram Pourbakht

    2011-06-01

    Full Text Available Background and Aim: N-acetylcysteine, a glutathione precursor and reactive oxygen species scavenger, is reported to be effective in reducing noise-induced hearing loss. Many workers in industry are exposed simultaneously to noise and chemical pollutants such as carbon monoxide. We investigated effectiveness of N-acetylcysteine in protecting the cochlea from simultaneous noise and carbon monoxide damages.Methods: Twelve rabbits were exposed simeltaneously to 100 dB sound pressure level of broad band noise and carbon monoxide 8 hours a day for 5 days. One hour before exposure, experimental group received 325 mg/kg of N-acetylcysteine while normal saline was administered for the control group. The protective effect of N-acetylcysteine was evaluated 3 weeks after exposure by histological assessment of the hair cells.Results: Simultaneous exposure to noise and carbon monoxide resulted in a considerable damage to the outer hair cells; however, the inner hair cells and the pillar cells remained intact. Use of N-acetylcysteine in the experimental group significantly reduced the extent of outer hair cell loss.Conclusion: N-acetylcysteine attenuates simultaneous noise and carbon monoxide induced hair cell damage in rabbits.

  4. Metal Poisoning: Threat and Management

    Directory of Open Access Journals (Sweden)

    SJS Flora

    2009-12-01

    Full Text Available Exposure to toxic metals remains a wide spread occupational and environmental problems in world. Due to their widespread use in human activities such as industry, agriculture and even as medicine numerous health risks may be associated with exposure to these substances. Lead, arsenic and cadmium generally interferes with a number of body functions such as the haematopoietic system, central nervous system (CNS, liver and kidneys. Over the past few decades there have been growing awareness and concern that the toxic biochemical and functional effects are occurring at lower level of metal exposure than those that produce overt clinical and pathological signs and symptoms. Despite many years of research we are still far from an effective treatment of chronic heavy metal poisoning. The main therapeutic option for chronic metal poisoning relies in chelation therapy. Chelating agents are capable of linking together metal ions to form complex structures which can be easily excreted from the body. They have been used clinically as antidotes for acute and chronic poisoning. 2, 3-dimercaprol (BAL has long been the mainstay of chelation therapy of lead or arsenic poisoning. Meso 2, 3, -dimercaptosuccinic acid (DMSA has been tried successfully in animals as well as in few cases of human lead or arsenic poisoning. However, one of the major disadvantages of chelation with DMSA has been its inability to remove heavy metal from the intracellular sites because of its lipophobic nature. Further, it does not provide protection in terms of clinical/ biochemical recovery. A new trend in chelation therapy has emerged to use combined treatment. This includes use of structurally different chelating agents or a combination of an antioxidant and a chelator to provide better clinical/biochemical recovery in addition to mobilization of heavy metal form intracellular sites. The present review article attempts to provide update information about the current strategies being

  5. POISONING PROFILE IN A TERTIARY MEDICAL HOSPITAL

    Directory of Open Access Journals (Sweden)

    John

    2016-05-01

    Full Text Available BACKGROUND Acute poisoning with various substances is a common medical emergency everywhere. WHO estimates poisoning as one of the common causes of increased mortality and morbidity. Acute ingestion of poisonous substance is associated with high mortality unless an effective intervention is done. METHODS In this study, in an attempt to understand the profile of poisoning cases admitted in Kanyakumari Government Medical College, we have enrolled all the poisoning cases admitted in the Intensive Medical Care Unit in the time period of January 2015 to December 2015. It is a retrospective study and the data was collected from the medical records department. RESULTS A total of 502 cases were admitted of which 79.48% were males and 20.52% were females. Among them, 93.40% were due to intentional poisoning and 6.60% were due to accidental poisoning. The observed mortality rate was 14.34%. The poisoning cases clustered in the age group of 20–39 years, accounting to 57.17% of the total cases. Intentional poisoning was observed more in males in the age group of 20–29 years (81.32%. Organophosphorus compounds (28.68% followed by oleander seed (21.91%, followed by rat killer (Zinc phosphide (17.53%, Aluminium phosphide (7.57%, Tablet poisoning (5.78%, Pyrethroid (1.6%, carbamate (1% were the commonly used poison agents. CONCLUSION Pesticides are the most commonly used poisoning agents in rural India. Lack of knowledge and easy availability of such compounds make them a common source of poison. Incidence of poisoning is more among males compared to females because of increased occupational stress faced by them.

  6. When ice cream was poisonous: adulteration, ptomaines, and bacteriology in the United States, 1850-1910.

    Science.gov (United States)

    Geist, Edward

    2012-01-01

    With the increasing popularity of ice cream in the nineteenth century, the incidence of foodborne illness attributed to this dessert exploded. Struggling to understand the causes of the mysterious and sometimes lethal ailment called "ice cream poisoning," Victorian doctors and scientists advanced theories including toxic vanilla, galvanism in ice cream freezers, and extreme indigestion. In the late 1880s Victor C. Vaughan's argument that ice cream poisoning could be attributed to the ptomaine "tyrotoxicon" received widespread acceptance. To date historians have neglected the role played by the ptomaine theory of food poisoning in shaping the evolution of both scientific thinking and public health in the late nineteenth century. The case of ice cream poisoning illustrates the emergence, impact, and decline of the ptomaine idea.

  7. Prognostic value of plasma C-reactive protein in the evaluation of paraquat poisoning patients

    Institute of Scientific and Technical Information of China (English)

    Zong NingΔ; Yu-Long BaiΔ; Hua Lu; Kang-Lin Mo

    2015-01-01

    Objective:To investigate the prognostic value of plasma C-reactive protein (CRP) level in patients with paraquat poisoning. Methods: This study included 162 patients with paraquat poisoning. The data of plasma paraquat,CRP level and arterial blood gas were analyzed. Cox regression analysis was applied to evaluate the risk factors of prognosis. Receiver operating characteristics curve analysis and area under curve were used to calculate the predictive power of significant variable. Differences in patient survival were determined using the Kaplan-Meier method and a log-rank test. Results:PlasmaCRP level was significantly increased in non-survival patients compared with survival patients (P Conclusions: These results suggest that plasmaCRP level is distinct increased in patients with paraquat poisoning, and the plasmaCRP level may be useful for the prediction of prognosis in paraquat poisoning.

  8. Analysis of Carbon Monoxide in Blood

    Science.gov (United States)

    Huddle, Benjamin P.; Stephens, Joseph C.

    2003-04-01

    Forensic tests used to perform the qualitative and quantitative analyses of carbon monoxide in blood are described. The qualitative test uses the diffusion of CO, which is released from blood by reaction with H2SO4, into a PdCl2 solution in a Conway cell and the resultant formation of a palladium mirror. The quantitative analysis is based on the absorption of visible light by carboxyhemoglobin at 541 nm and reduced hemoglobin at 555 nm. Both procedures are suitable for undergraduate chemistry experiments.

  9. Observations of iodine monoxide columns from satellite

    Directory of Open Access Journals (Sweden)

    A. Schönhardt

    2008-02-01

    Full Text Available Iodine species in the troposphere are linked to ozone depletion and new particle formation. In this study, a full year of iodine monoxide (IO columns retrieved from measurements of the SCIAMACHY satellite instrument is presented, coupled with a discussion of their uncertainties and the detection limits. The largest amounts of IO are found near springtime in the Antarctic. A seasonal variation of iodine monoxide in Antarctica is revealed with high values in springtime, slightly less IO in the summer period and again larger amounts in autumn. In winter, no elevated IO levels are found in the areas accessible to satellite measurements. This seasonal cycle is in good agreement with recent ground-based measurements in Antarctica. In the Arctic region, no elevated IO levels were found in the period analysed. This implies that different conditions with respect to iodine release exist in the two Polar Regions. To investigate possible release mechanisms, comparisons of IO columns with those of tropospheric BrO, and ice coverage are described and discussed. Some parallels and interesting differences between IO and BrO temporal and spatial distributions are identified. Overall, the large spatial coverage of satellite retrieved IO data and the availability of a long-term dataset provide new insight about the abundances and distributions of iodine compounds in the troposphere.

  10. Nitric oxide and carbon monoxide diffusing capacity of the lung

    NARCIS (Netherlands)

    Lee, I. van der

    2006-01-01

    The single breath diffusion capacity of the lung for carbon monoxide (DLCO) is measure for gas uptake by the lung, and consists of a membrane and a vascular component. Nitric oxide (NO) binds 400 times faster to hemoglobin than carbon monoxide, thus the uptake of NO by the blood is very large.

  11. Nitric oxide and carbon monoxide diffusing capacity of the lung

    NARCIS (Netherlands)

    Lee, I. van der

    2006-01-01

    The single breath diffusion capacity of the lung for carbon monoxide (DLCO) is measure for gas uptake by the lung, and consists of a membrane and a vascular component. Nitric oxide (NO) binds 400 times faster to hemoglobin than carbon monoxide, thus the uptake of NO by the blood is very large. There

  12. Fatal carbon monoxide intoxication after acetylene gas welding of pipes.

    Science.gov (United States)

    Antonsson, Ann-Beth; Christensson, Bengt; Berge, Johan; Sjögren, Bengt

    2013-06-01

    Acetylene gas welding of district heating pipes can result in exposure to high concentrations of carbon monoxide. A fatal case due to intoxication is described. Measurements of carbon monoxide revealed high levels when gas welding a pipe with closed ends. This fatality and these measurements highlight a new hazard, which must be promptly prevented.

  13. Real World of Industrial Chemistry: Organic Chemicals from Carbon Monoxide.

    Science.gov (United States)

    Kolb, Kenneth E.; Kolb, Doris

    1983-01-01

    Carbon Monoxide obtained from coal may serve as the source for a wide variety of organic compounds. Several of these compounds are discussed, including phosgene, benzaldehyde, methanol, formic acid and its derivatives, oxo aldehydes, acrylic acids, and others. Commercial reactions of carbon monoxide are highlighted in a table. (JN)

  14. Quantitative [18F]fluorodopa/PET and histology of fetal mesencephalic dopaminergic grafts to the striatum of MPTP-poisoned minipigs

    DEFF Research Database (Denmark)

    Dall, Annette Møller; Danielsen, Erik Hvid; Sørensen, Jens Christian

    2002-01-01

    The functional restoration of the dopamine innervation of striatum in MPTP-poisoned Göttingen minipigs was assessed for 6 months following grafting of fetal pig mesencephalic neurons. Pigs were assigned to a normal control group and a MPTP-poisoned group, members of which received no further trea...

  15. Hospital Performance Indicators and Their Associated Factors in Acute Child Poisoning at a Single Poison Center, Central Saudi Arabia.

    Science.gov (United States)

    Alanazi, Menyfah Q; Al-Jeriasy, Majed I; Al-Assiri, Mohammed H; Afesh, Lara Y; Alhammad, Fahad; Salam, Mahmoud

    2015-12-01

    Admission rate and length of stay (LOS) are two hospital performance indicators that affect the quality of care, patients' satisfaction, bed turnover, and health cost expenditures. The aim of the study was to identify factors associated with higher admission rates and extended average LOS among acutely poisoned children at a single poison center, central Saudi Arabia.This is a cross-sectional, poison and medical chart review between 2009 and 2011. Exposures were child characteristics, that is, gender, age, body mass index (BMI), health history, and Canadian 5-level triage scale. Poison incident characteristics were, that is, type, exposure route, amount, form, home remedy, and arrival time to center. Admission status and LOS were obtained from records. Chronic poisoning, plant allergies, and venomous bites were excluded. Bivariate and regression analyses were applied. Significance at P Poison substances were pharmaceutical drugs (63%) versus chemical products (37%). Main exposure route was oral (98%). Home remedy was observed in (21.9%), which were fluids, solutes, and/or gag-induced vomiting. Almost (52%) arrived to center >1 h. Triage levels: non-urgent cases (58%), less urgent (11%), urgent (18%), emergency (12%), resuscitative (1%). Admission rate was (20.6%) whereas av. LOS was 13 ± 22 h. After adjusting and controlling for confounders, older children (adj.OR = 1.19) and more critical triage levels (adj.OR = 1.35) were significantly associated with higher admission rates compared to younger children and less critical triage levels (adj.P = 0.006) and (adj.P = 0.042) respectively. Home remedy prior arrival was significantly associated with higher av. LOS (Beta = 9.48, t = 2.99), compared to those who directly visited the center, adj.P = 0.003.Hospital administrators are cautioned that acutely poisoned children who received home remedies prior arrival are more likely to endure an extended LOS. This non-conventional practice

  16. Alsike clover poisoning: A review

    OpenAIRE

    Nation, P. Nicholas

    1989-01-01

    Trifolium hybridum (alsike clover) has been implicated as the cause of two diseases of the horse. One of these is photosensitivity, of which alsike clover is only one of a number of presumed causal agents. The other is a fatal syndrome which is known as “alsike clover poisoning” and which is manifest by progressive loss of condition, signs of hepatic failure, and varying degrees of neurological impairment. The underlying lesion of alsike clover poisoning is fibrosis and proliferation of the b...

  17. Dermoscopy of black-spot poison ivy.

    Science.gov (United States)

    Rader, Ryan K; Mu, Ruipu; Shi, Honglan; Stoecker, William V; Hinton, Kristen A

    2012-10-15

    Black-spot poison ivy is an uncommon presentation of poison ivy (Toxicodendron) allergic contact dermatitis. A 78-year-old sought evaluation of a black spot present on her right hand amid pruritic vesicles. The presentation of a black spot on the skin in a clinical context suggesting poison ivy is indicative of black-spot poison ivy. Dermoscopy revealed a jagged, centrally homogeneous, dark brown lesion with a red rim. A skin sample was obtained and compared against a poison ivy standard using ultra-fast liquid chromatography-tandem mass spectrometry (UFLC-MS/MS). This finding confirmed the presence of multiple urushiol congeners in the skin sample. Black-spot poison ivy may be added to the list of diagnoses that show a specific dermoscopic pattern.

  18. Early Pulomonary Irradiation in Paraquat (Gramoxone) Poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Chang Geol; Kim, Gwi Eon; Suh, Chang Ok [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1995-12-15

    Purpose : To evaluate whether the early pulmonary irradiation can prevent or decrease the pulmonary damage and contribute to improve ultimate survival in paraquat lung. Materials and Methods : From Jun. 1987 to Aug. 1993, thirty patients with paraquat poisoning were evaluated. Fourteen of these patients were received pulmonary irradiation(RT). All of the patients ere managed with aggressive supportive treatment such as gastric lavage, forced diuresis, antioxidant agents and antifibrosis agents. Ingested amounts of paraquat were estimated into three groups(A: minimal < about 5cc, B: mouthful 5-50 cc, C: Large > 50cc). Pulmonary irradiation was started within 24 hours after admission(from day 1 to day 11 after ingestion of paraquat). Both whole lungs were irradiated with AP/PA parallel opposing fields using C0-60 teletherapy machine. A total of 10Gy(2Gy/fr. X 5 days)was delivered without correction of lung density. Results : In group A, all patients were alive regardless of pulmonary irradiation and in group C, all of the patients were died due o multi-organ failure, especially pulmonary fibrosis regardless of pulmonary irradiation. However, in group B, six of 7 patients(86%) with no RT were died due to respiratory failure, but 4 of 8 patients with RT were alive and 4 of 5 patients who received pulmonary irradiation within 4 days after ingestion of paraquat were all alive though radiological pulmonary fibrosis. All 3 patients who were received pulmonary irradiation after 4 days after ingestion were died due to pulmonary fibrosis in spite of recovery from renal and hepatic toxicity. Conclusion : It is difficult to find out the effect of pulmonary irradiation on the course of the paraquat lung because the precise plasma and urine paraquat concentration were not available between control and irradiation groups. But early pulmonary irradiation within 4 days after paraquat poisoning with aggressive supportive treatment appears to decrease pulmonary toxicity and contribute

  19. Unilateral Antidotes to DNS Cache Poisoning

    OpenAIRE

    Herzberg, Amir; Shulman, Haya

    2012-01-01

    We investigate defenses against DNS cache poisoning focusing on mechanisms that can be readily deployed unilaterally by the resolving organisation, preferably in a single gateway or a proxy. DNS poisoning is (still) a major threat to Internet security; determined spoofing attackers are often able to circumvent currently deployed antidotes such as port randomisation. The adoption of DNSSEC, which would foil DNS poisoning, remains a long-term challenge. We discuss limitations of the prominent r...

  20. Hypotension in Severe Dimethoate Self-Poisoning

    OpenAIRE

    Davies, James; Roberts, Darren; Eyer, Peter; Buckley, Nick; Eddleston, Michael

    2008-01-01

    Introduction Acute self-poisoning with the organophosphorus (OP) pesticide dimethoate has a human case fatality three-fold higher than poisoning with chlorpyrifos despite similar animal toxicity. The typical clinical presentation of severe dimethoate poisoning is quite distinct from that of chlorpyrifos and other OP pesticides: many patients present with hypotension that progresses to shock and death within 12–48 h post-ingestion. The pathophysiology of this syndrome is not clear. Case report...

  1. Poison ivy dermatitis. Nuances in treatment.

    Science.gov (United States)

    Williford, P M; Sheretz, E F

    1994-02-01

    Acute allergic contact dermatitis due to poison ivy or poison oak is a common presenting complaint in the practices of many primary care physicians. While the clinical features are well described, reported treatment regimens vary in both topical and systemic therapies. We review herein the variability of presenting morphologic features of the disease and common treatment regimens, with attention given to complications of therapy. We also comment on the correct botanical designation, incidence, and immune mechanisms of the disease state and review measures to avoid allergic contact dermatitis due to poison ivy and poison oak.

  2. POISONOUS PLANTS IN GARDENS AND GRAZING LANDS

    OpenAIRE

    A. AGANGA; M. NSINAMWA; K. OTENG; B. MAULE

    2013-01-01

    This paper is a review of poisonous plants, their toxic agents and the symptoms of poisoning. Poisonous plants are plants, which as a whole or part thereof under all or certain conditions and in amount likely to be taken or into contact with an organism will exert harmful effects or causes death either immediately or by reason of cumulative action of toxic property due to presence of known or unknown chemical action. There are different types of diseases caused by some poisonous plants. Poiso...

  3. ACUTE POISONING WITH BENZODIAZEPINES AND OTHER HYPNOTICS: ETIOLOGIC CAUSE, SEX/AGE DISTRIBUTION AND CLINICAL OUTCOME

    Directory of Open Access Journals (Sweden)

    Petko Marinov

    2016-11-01

    Full Text Available Purpose: Poisoning with drugs occupies a leading position among the causes of acute intoxications. Etiological distribution of medicated poisoning in different countries, even if they are adjacent, is different. In the most studies it was reported that the highest incidence of poisoning is with benzodiazepines or other psychoactive drugs. A retrospective analysis of acute poisoning with benzodiazepines and other hypnotic drugs in the Varna region for 25 years period – from 1991 to 2015 was carried out. Material and Methods: The number of patients who received hospital treatment after poisoning with benzodiazepines is 1741, and those with other hypnotics is 293, representing respectively 26.37% and 4.44% of all drug intoxications. Results: The share of poisoning with benzodiazepines and hypnotics compared to all acute intoxications is 11.66%. They are more common in women – 1566 (77%. Men are 468 (23%, the ratio of men to women was 3.34:1. The largest number of intoxications is in the age group up to 24 years - 1123 (55.2%, and only 4.1% of patients over 60 years. Intentional suicide attempts are 1896 (93.2%. Death is registered in 8 (0.4% patients.

  4. Reduction of carbon monoxide. Past research summary

    Energy Technology Data Exchange (ETDEWEB)

    Schrock, R.R.

    1981-10-01

    Research programs for the year on the preparation, characterization, and reactions of binuclear tantalum complexes are described. All evidence to date suggest the following of these dimeric molecules: (1) the dimer does not break into monomers under mild conditions; (2) intermolecular hydride exchange is not negligible, but it is slow; (3) intermolecular non-ionic halide exchange is fast; (4) the ends of the dimers can rotate partially with respect to one another. The binuclear tantalum hydride complexes were found to react with carbon monoxide to give a molecule which is the only example of reduction of CO by a transition metal hydride to give a complex containing a CHO ligand. Isonitrides also reacted in a similar manner with dimeric tantalum hydride. (ATT)

  5. Guidelines for evaluation and treatment of lead poisoning of wild raptors

    Science.gov (United States)

    Fallon, Jesse A.; Redig, Patrick; Miller, Tricia A.; Lanzone, Michael; Katzner, Todd

    2017-01-01

    Lead poisoning is a threat to birds, particularly scavenging birds of prey. With the availability of portable lead-testing kits, an increasing number of field researchers are testing wild-caught birds, in situ, for lead poisoning. We describe guidelines for evaluation of lead toxicity in wild raptors by outlining field testing of blood-lead concentrations, presenting criteria for removing a lead-poisoned bird from the wild for treatment, and suggesting strategies for effective treatment of lead intoxicated raptors. Field testing of birds is most commonly accomplished via portable electrochemical analysis of blood; visual observation of condition alone may provide insufficient evidence upon which to make a decision about lead poisoning. Our intended audience is not only the avian research community, but also rehabilitation facilities that may receive apparently uninjured birds. Best practices suggest that birds whose blood-lead levels are lead levels between 40 μg/dL and 60 μg/dL should be made based on the presence of clinical signs of poisoning and relevant biological characteristics (e.g., breeding status). Finally, birds with blood-lead levels >60 μg/dL are potentially lethally poisoned and best served if removed from the wild for appropriate treatment at a licensed rehabilitation facility and later released. We present guidelines for decision-making when treating lead poisoning of wild raptors. Future work based on experimental studies will clarify the role of lead poisoning for specific species and be important to refine these guidelines to improve effectiveness.

  6. Experimental factors that influence carbon monoxide tolerance of high-temperature proton-exchange membrane fuel cells

    Science.gov (United States)

    Kwon, Kyungjung; Yoo, Duck Young; Park, Jung Ock

    The poisoning effect of carbon monoxide (CO) on high-temperature proton-exchange membrane fuel cells (PEMFCs) is investigated with respect to CO concentration, operating temperature, fuel feed mode, and anode Pt loading. The loss in cell voltage when CO is added to pure hydrogen anode gas is a function of fuel utilization and anode Pt loading as well as obvious factors such as CO concentration, temperature and current density. The tolerance to CO can be varied significantly using a different experimental design of fuel utilization and anode Pt loading. A difference in cell performance with CO-containing hydrogen is observed when two cells with different flow channel geometries are used, although the two cells show similar cell performance with pure hydrogen. A different combination of fuel utilization, anode Pt loading and flow channel design can cause an order of magnitude difference in CO tolerance under identical experimental conditions of temperature and current density.

  7. Experimental factors that influence carbon monoxide tolerance of high-temperature proton-exchange membrane fuel cells

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, Kyungjung; Yoo, Duck Young; Park, Jung Ock [Energy and Environment Lab, Samsung Advanced Institute of Technology, Nongseo-dong, Giheung-gu, Yongin-si, Gyeonggi-do 446-712 (Korea)

    2008-10-15

    The poisoning effect of carbon monoxide (CO) on high-temperature proton-exchange membrane fuel cells (PEMFCs) is investigated with respect to CO concentration, operating temperature, fuel feed mode, and anode Pt loading. The loss in cell voltage when CO is added to pure hydrogen anode gas is a function of fuel utilization and anode Pt loading as well as obvious factors such as CO concentration, temperature and current density. The tolerance to CO can be varied significantly using a different experimental design of fuel utilization and anode Pt loading. A difference in cell performance with CO-containing hydrogen is observed when two cells with different flow channel geometries are used, although the two cells show similar cell performance with pure hydrogen. A different combination of fuel utilization, anode Pt loading and flow channel design can cause an order of magnitude difference in CO tolerance under identical experimental conditions of temperature and current density. (author)

  8. Efficacy of pralidoxime in organophosphorus poisoning: Revisiting the controversy in Indian setting

    Directory of Open Access Journals (Sweden)

    I Banerjee

    2014-01-01

    Full Text Available Context: Poisoning with organophosphorus (OP compounds constitutes a global public health problem. Standard treatment of OP poisoning involves use of atropine and pralidoxime. While efficacy of atropine is well-established, clinical experience with pralidoxime in management of OP poisoning is controversial. Aims: To explore the efficacy of add-on pralidoxime with atropine over atropine alone in the management of OP poisoning. Settings and Design: An open-label, parallel-group, randomized clinical trial was conducted in a tertiary care district hospital in West Bengal. Materials and Methods: Patients presenting with features of OP poisoning were randomly allocated to receive atropine or atropine-plus-pralidoxime. Efficacy was assessed by analyzing mortality, requirement for ventilator support and the duration of stay in hospital. Statistical analysis: Chi-square test was done to compare the efficacy parameters between the two groups. A two-tailed P-value <0.05 was considered as statistically significant. Results: During the study period, 150 patients were screened following which 120 patients were randomized to either of the treatment arms. Add-on pralidoxime therapy did not offer any appreciable benefit over atropine alone in terms of reducing mortality (18.33% (11/60 versus 13.33% (8/60 and ventilator requirement (5% (3/60 versus 8.33% (5/60. However, patients randomized in the add-on pralidoxime arm experienced longer duration of hospital stay (7.02 ± 1.12 days than those receiving atropine-alone therapy (5.68 ± 1.87 days (P < 0.001. Conclusion: The present study suggested that add-on pralidoxime with atropine therapy did not offer any appreciable benefit over atropine alone in management of OP poisoning. However, further trials are needed to explore different dosing regimens of pralidoxime in order to determine its efficacy in OP poisoning.

  9. Acute cyanide poisoning among jewelry and textile industry workers.

    Science.gov (United States)

    Coentrão, Luís; Moura, Daniel

    2011-01-01

    Limited work has focused on occupational exposures that may increase the risk of cyanide poisoning by ingestion. A retrospective chart review of all admissions for acute cyanide poisoning by ingestion for the years 1988 to 2008 was conducted in a tertiary university hospital serving the largest population in the country working in jewelry and textile facilities. Of the 9 patients admitted to the hospital during the study period, 8 (7 males, 1 female; age 36 ± 11 years, mean ± SD) attempted suicide by ingestion of potassium cyanide used in their profession as goldsmiths or textile industry workers. Five patients had severe neurologic impairment and severe metabolic acidosis (pH 7.02 ± 0.08, mean ± SD) with high anion gap (23 ± 4 mmol/L, mean ± SD). Of the 5 severely intoxicated patients, 3 received antidote therapy (sodium thiosulfate or hydroxocobalamin) and resumed full consciousness in less than 8 hours. All patients survived without major sequelae. Cyanide intoxication by ingestion in our patients was mainly suicidal and occurred in specific jobs where potassium cyanide is used. Metabolic acidosis with high anion is a good surrogated marker of severe cyanide poisoning. Sodium thiosulfate and hydroxocobalamin are both safe and effective antidotes.

  10. Poisoning in the United States: 2012 emergency medicine report of the National Poison Data System.

    Science.gov (United States)

    Dart, Richard C; Bronstein, Alvin C; Spyker, Daniel A; Cantilena, Louis R; Seifert, Steven A; Heard, Stuart E; Krenzelok, Edward P

    2015-04-01

    Deaths from drug overdose have become the leading cause of injury death in the United States, where the poison center system is available to provide real-time advice and collect data about a variety of poisonings. In 2012, emergency medical providers were confronted with new poisonings, such as bath salts (substituted cathinones) and Spice (synthetic cannabinoid drugs), as well as continued trends in established poisonings such as from prescription opioids. This article addresses current trends in opioid poisonings; new substances implicated in poisoning cases, including unit-dose laundry detergents, bath salts, Spice, and energy drinks; and the role of poison centers in public health emergencies such as the Fukushima radiation incident. Copyright © 2014 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  11. Risk and prognostic factors of inpatient mortality associated with unintentional insecticide and herbicide poisonings: a retrospective cohort study.

    Directory of Open Access Journals (Sweden)

    Wu-Chien Chien

    Full Text Available INTRODUCTION: Pesticide poisoning is an important public health problem worldwide. The study aimed to determine the risk of all-cause and cause-specific inpatient mortality and to identify prognostic factors for inpatient mortality associated with unintentional insecticide and herbicide pesticide poisonings. METHODS: We performed a retrospective cohort study of 3,986 inpatients recruited at hospitalization between 1999 and 2008 in Taiwan. We used the International Classification of Disease, 9th ed., Clinical Modification external causes of injury codes to classify poisoning agents into accidental poisoning by insecticides and herbicides. Comparisons in mortality rates were made between insecticide poisoning patients and herbicide poisoning patients by using the Cox proportional hazards models to estimate multivariable-adjusted hazard ratios (HRs and their 95% confidence intervals (CIs. RESULTS: There were 168 deaths during 21,583 person-days of follow-up evaluation (7.8 per 1,000 person-days. The major causes of mortality for insecticide poisonings were the toxic effect of organophosphate and coma, and the major causes of mortality for herbicide poisonings were the toxic effect of other pesticides and the toxic effect of organophosphate. The mortality for herbicide exposure was fourfold higher than that for insecticide exposure. The factors associated with inpatient mortality were herbicide poisonings (HR = 4.58, 95% CI 3.29 to 6.37 and receiving mechanical ventilation treatment (HR = 3.85, 95% CI 2.73 to 5.42. CONCLUSIONS: We demonstrated that herbicides stand out as the dominant agent for poisoning-related fatalities. The control of and limiting access to herbicide agents and developing appropriate therapeutic regimens, including emergency care, should be priorities.

  12. Poisonings in the Nordic countries in 2007

    DEFF Research Database (Denmark)

    Andrew, Erik; Tellerup, Markus; Termälä, Anna-Mariia

    2012-01-01

    To map mortality and morbidity of poisonings in Denmark, Finland, Iceland, Norway and Sweden in 2007 and undertake a comparison with a corresponding study in 2002.......To map mortality and morbidity of poisonings in Denmark, Finland, Iceland, Norway and Sweden in 2007 and undertake a comparison with a corresponding study in 2002....

  13. Fatal poisoning among patients with drug addiction

    DEFF Research Database (Denmark)

    Simonsen, K. W.; Christoffersen, D. J.; Banner, J.;

    2015-01-01

    Introduction: Fatal poisonings among drug addicts in Denmark in 2012 were examined. Cause of death, abuse pattern and geographic differences are discussed and data are compared with previous studies. Methods: All fatal poisonings examined at the three institutes of forensic medicine in Denmark in...

  14. Neuropsychiatric manifestations following acute organophosphate poisoning

    Directory of Open Access Journals (Sweden)

    Satyakam Mohapatra

    2016-01-01

    Full Text Available Acute muscarinic and nicotinic side effects of organophosphate (OP poisoning are well known and easily recognized, but neuropsychiatric changes are rarely reported. We are reporting a case of a 22-year-old male who developed psychotic features and motor neuropathy following acute OP poisoning.

  15. Diagnosis & Treatment of Poisoning by Pesticides.

    Science.gov (United States)

    Environmental Protection Agency, Washington, DC. Office of Pesticide Programs.

    This report succinctly discusses the steps necessary to diagnose and treat poisoning from pesticides, especially organophosphates, carbamates and chlorinated hydrocarbons. Immediate and continuing steps in the care of poisoning victims are outlined with supportive information on where to locate emergency assistance. (CS)

  16. Neuromuscular Effects of Acute Organophosphate Poisoning

    Directory of Open Access Journals (Sweden)

    Taylan Pekoz

    2014-08-01

    Conclusion: There is no evoked potential studies performed in organophosphate poisoning althoung electroneurography repetitive and P300 studies exist in literature. More further studies are needed to evaluate the cardiac and neuromuscular effects of organophosphate poisoning. [Cukurova Med J 2014; 39(4.000: 795-800

  17. Validation of a Poison Prevention Program.

    Science.gov (United States)

    Gill, Noel C.; Braden, Barbara T.

    Two way analyses of variance and cross-group descriptive comparisons assessed the effectiveness of the Siop Poison Prevention Program, which included an educational program and the use of warning labels, on improving verbal and visual discrimination of poisonous and nonpoisonous products for preschool children. The study sample consisted of 156…

  18. Poison Awareness: A Discussion Leader's Guide.

    Science.gov (United States)

    National Evaluation Systems, Inc., Amherst, MA.

    Because over 40,000 children are annually poisoned by household products, this guide for group leaders emphasizes hazards and preventive actions. Major objectives are defined: (1) to raise the audience's knowledge/awareness level concerning major hazards associated with potentially poisonous household products, (2) to point out primary hazard…

  19. Upper gastrointestinal hemorrhage caused by superwarfarin poisoning

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Superwarfarins are a class of rodenticides. Gastrointestinal hemorrhage is a fatal complication of superwarfarin poisoning, requiring immediate treatment. Here, we report a 55-year-old woman with tardive upper gastrointestinal hemorrhage caused by superwarfarin poisoning after endoscopic cold mucosal biopsy.

  20. Poison control center - Emergency number (image)

    Science.gov (United States)

    For a poison emergency call 1-800-222-1222 anywhere in the United States. This national hotline number will let you ... is a free and confidential service. All local poison control centers in the U.S. use this national ...

  1. The Poison Control Center--Its Role

    Science.gov (United States)

    Manoguerra, Anthony S.

    1976-01-01

    Poison Control Centers are being utilized by more schools of pharmacy each year as training sites for students. This paper discusses what such a center is, its services, changes anticipated in the poison center system in the next several years and how they may influence pharmacy education, specifically as it relates to clinical toxicology.…

  2. 76 FR 9585 - Poison Control Program

    Science.gov (United States)

    2011-02-18

    ... HUMAN SERVICES Health Resources and Services Administration Poison Control Program AGENCY: Health... SUNY d.b.a. the Upstate New York Poison Control Center. HRSA will also transfer funds and duties from Winthrop University to the New York City Health & Hospitals Corporation d.b.a. the New York City...

  3. [Hydrofluoric acid poisoning: case report].

    Science.gov (United States)

    Cortina, Tatiana Judith; Ferrero, Hilario Andrés

    2013-01-01

    Hydrofluoric acid is a highly dangerous substance with industrial and domestically appliances. Clinical manifestations of poisoning depend on exposure mechanism, acid concentration and exposed tissue penetrability. Gastrointestinal tract symptoms do not correlate with injury severity. Patients with history of hydrofluoric acid ingestion should undergo an endoscopy of the upper gastrointestinal tract. Intoxication requires immediate intervention because systemic toxicity can take place. We present a 5 year old girl who accidentally swallowed 5 ml of 20% hydrofluoric acid. We performed gastrointestinal tract endoscopy post ingestion, which revealed erythematous esophagus and stomach with erosive lesions. Two months later, same study was performed and revealed esophagus and stomach normal mucous membrane.

  4. [Fatal poisoning due to Indigofera].

    Science.gov (United States)

    Labib, S; Berdai, M-A; Bendadi, A; Achour, S; Harandou, M

    2012-01-01

    Indigo, also known in Morocco as Nila, is a dye widely used in the coloring of Moroccan handicrafts. It is obtained from fermentation reactions on the leaves and branches of true indigo, Indigofera tinctoria, which is a widespread plant in tropical Africa and Asia. We report a case of fatal poisoning in a 3-year-old child after administration of indigo for therapeutic purposes. Death resulted from multiple organ failure. The toxicity of this compound is little known in the literature and deserves to be explored through toxicokinetic and toxicodynamic studies, in order to better determine the toxic constituents of the dye.

  5. Accidental haloperidol poisoning in children

    Directory of Open Access Journals (Sweden)

    Mona P Gajre

    2012-01-01

    Full Text Available Haloperidol, a butyrophenone neuroleptic drug, is an antipsychotic used in the treatment of adult schizophrenia and mania. It is used in children with neurological disorders like chorea and developmental disorders such as hyperactivity. With the advent of newer selective neuroleptics use of haloperidol is now on decline. However, in adults it is still the preferred drug especially in resource challenged settings. Extrapyramidal reactions occur frequently with haloperidol predominantly as parkinsonian symptoms. There are few case reports of accidental haloperidol poisoning in children and this one of them.

  6. [New causes of animal poisoning in Switzerland].

    Science.gov (United States)

    Schediwy, M; Mevissen, M; Demuth, D; Kupper, J; Naegeli, H

    2015-03-01

    This retrospective study evaluated the frequency, etiology, therapy and prognosis of animal poisoning registered from 2003 to 2012. The relevant cases reported to the Swiss Toxicological Information Center (STIC) were compared with those from previously examined periods. Human medicines not approved for animals and pesticides represented the most common causes of poisoning in dogs. Novel cases occurred as a consequence of the exposure of dogs to ricinus fertilizers, grape residues from wineries, pepper lachrymatory spray and dry bouillon. Cats are still freequently poisoned by pyrethroid drugs that should be administered only to dogs. Agrochmical products are the main source of toxicities in farm animals. Most poisonings in horses and exotic animals took place due to toxic plants. In addition, two tigers died of a secondary poisoning after ingestion of meat from euthanized calves.

  7. Levothyroxine Poisoning - Symptoms and Clinical Outcome

    DEFF Research Database (Denmark)

    Nygaard, Birgitte; Saedder, Eva A.; Dalhoff, Kim

    2015-01-01

    Levothyroxine (LT), T4, poisoning is rarely associated with a severe outcome. However, cases with significant complications have been reported. The aim of this study was to identify factors associated with symptoms of poisoning including late-onset symptoms. All enquiries to the Danish Poison...... Information Centre (DPIC) concerning LT poisoning between March 2007 and September 2012 were reviewed and the following parameters were recorded: age, dose, time from ingestion, multiple drug intake and symptoms. To evaluate the frequency of late-onset symptoms, a subgroup of patients without initial symptoms...... patients, neither in children nor in adults (age 16-92 years) (p symptoms of poisoning at the time of enquiry; however, in 9 of 21 (43%) patients, we were able to contact, late-onset symptoms existed. In none of the cases...

  8. SUPERVASMOL POISONING: AN EMERGING ENT EMERGENCY

    Directory of Open Access Journals (Sweden)

    Mitta

    2016-05-01

    Full Text Available Poisoning is one of the commonest modes of suicide in India. Supervasmol poisoning is one of the commonest modes of suicidal attempt in our region. The common cause for consumption of hair dye is by suicidal intent or accidental oral ingestion. There is no specific antidote for Supervasmol poisoning. Management is only symptomatic and supportive with emergency tracheostomy in majority of cases. Hence, we conducted this study to emphasize the role of ENT surgeon in Supervasmol poisoning. STUDY DESIGN Prospective study. MATERIALS AND METHODS We present a total of 79 cases of Supervasmol poisoning who attended the Emergency Department of Narayana Medical College and General Hospital, Nellore. RESULTS All patients were between age group 15-35 yrs. Females are more than males. More patients were in second decade; 55 cases presented in acute phase, 51 patients underwent tracheostomy and four patients were brought dead. CONCLUSION Emergency tracheostomy is a life saving measure in severe stridor

  9. Lead poisoning in six captive avian species

    Science.gov (United States)

    Beyer, W.N.; Spann, J.W.; Sileo, L.; Franson, J.C.

    1988-01-01

    Red-winged blackbirds (Agelaius phoeniceus), brown-headed cowbirds (Molothrus ater), common grackles (Quiscalus quiscula), mallards (Anas platyrhynchos), northern bobwhites (Colinus virginianus), and eastern screech-owls (Otus asio) were poisoned with a concentration of lead (Pb) acetate in the diet which was increased by 60% each week until half of the birds in each treatment group died; surviving birds and all control birds except screech-owls were then killed by euthanasia. An additional group of mallards was poisoned with Pb shot. The gizzards of mallards poisoned either way usually were stained with bile; some of these birds also had proventricular impaction. Most poisoned birds of the other species were emaciated but lacked other gross lesions caused by Pb poisoning. In birds other than mallards, Pb poisoning could not be diagnosed without histological or hematological examinations or analysis of tissues. Poisoned birds of all six species could be reliably separated from control birds by an increase in the protoporphyrin concentrations in the blood and by a decrease in the activity of delta-aminoievulinic acid dehydratase (ALAD) in red blood cells. Hepatic iron (Fe) concentrations varied so much among individual birds that even though median hepatic Fe concentrations increased in poisoned birds, hepatic Fe concentrations were not useful in identifying poisoned birds. Renal intranuclear inclusion bodies occurred in 83% of all birds dying from Pb poisoning. Nephrosis, myocardial necrosis, and arterial fibrinoid necrosis were occasionally present. Median hepatic Pb concentrations varied from 20 ppm (wet wt) in male red-winged blackbirds to III ppm in female northern bobwhites. Median renal Pb concentrations varied from 22 ppm in red-winged blackbirds to 190 ppm in female northern bobwhites. Hepatic and renal Pb concentrations varied substantially among birds within each species. Median hepatic and renal Pb concentrations of birds that died were not statistically

  10. The epidemiology of childhood poisonings in Cyprus.

    Science.gov (United States)

    Koliou, Maria; Ioannou, Chrystalla; Andreou, Kyriaki; Petridou, Alexandra; Soteriades, Elpidoforos Soterakis

    2010-07-01

    Information on childhood poisonings in Cyprus is limited. Our objective was to examine the epidemiology of poisonings among children in Cyprus. All children up to 15 years of age admitted for poisoning to the Archbishop Makarios Hospital in Nicosia, Cyprus between 2005 and 2008 were included in our study. All hospital poisoning records were reviewed. A total of 257 children were admitted for poisoning. The mean age of children was 3.1 years, of which 83.7% were below the age of 5 years old, while 53% were boys. The poisoning hospitalizations accounted for about 3% of all admissions to the pediatric department during the study period (4 years). The annual cumulative incidence of childhood poisoning hospitalizations was 116 per 100,000 children. Medications accounted for 46.1% of all poisonings, the most frequent cause being paracetamol (9.8%), cardiovascular medications (5.3%), antitussive medications (4.5%), and other painkillers (4.1%). Another 37.6% of hospitalizations involved household products such as household cleaning products (11.8%), petroleum products (11.0%), and rodenticides (5.7%). Among children who ingested petroleum distillates, 55.6% developed clinical symptomatology. The vast majority of cases were accidental (93.8%). Suicidal cases involved children 8-14 years old, mainly girls, and the most frequent poisoning ingested was paracetamol (46.7%). Poisoning hospitalizations represent an important cause of morbidity among children in Cyprus. Preventive strategies should include the education of caregivers on the handling of medications and household products as well as legislation requiring child-resistant packaging for all medications and household products including petroleum distillates.

  11. US EPA Region 9 carbon monoxide designated areas

    Data.gov (United States)

    U.S. Environmental Protection Agency — Polygon Feature class of Nonattainment Areas for Carbon Monoxide. Nonattainment areas are geographic areas which have not met National Ambient Air Quality Standards...

  12. Chronic exposure to carbon monoxide: a possible problem in the Netherlands?; Chronische blootstelling aan koolmonoxide. Is er sprake van een probleem in Nederland?

    Energy Technology Data Exchange (ETDEWEB)

    Mooij, M.

    2008-07-01

    Fuel burning appliances in houses that are poorly maintained or have an open flue system carry a risk of exposure to carbon monoxide. However, currently available knowledge and insights have not been able to provide a representative view on the occurrence of chronic, repeated, exposure to carbon monoxide in Dutch buildings. The National Institute for Public Health and the Environment (RIVM) has concluded this in an exploratory study into the occurrence of chronic exposure to carbon monoxide in Dutch buildings. The VROM-Inspectorate was the commissioning body for this study. Exposure to carbon monoxide can result in a number of symptoms, such as headache, dizziness and concentration disorders. Cases of severe poisoning can even be fatal. From the data available, it appears that the number of accidents each year is extremely variable, ranging from tens up to a few hundred. Approximately 8-12 people die each year as a direct result of carbon monoxide exposure. The information on carbon monoxide poisoning is largely based on cases of acute exposure. Only limited information is available on chronic carbon monoxide exposure. Fuel burning appliances with open flues in Dutch houses can lead to risk situations. These appliances are mainly flueless gas-fired water heaters, fireplaces, gas heaters and gas cookers. But old central heating boilers that have not been properly maintained can also lead to carbon monoxide exposure. The maintenance of fuel burning appliances in the Netherlands has not been compulsory since the early nineteen-nineties and there is little or no monitoring of their safety. Conducting research, inspection and home visits are good methods of gaining better insight into the national situation of exposure to carbon monoxide in Dutch buildings. Replacing fuel burning appliances with open flues, conducting periodic maintenance checks and increasing safety management, are all possible options for avoiding risk situations. [Dutch] Slecht onderhouden en open

  13. The treatment of acetaminophen poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Prescott, L.F.; Critchley, J.A.

    1983-01-01

    Acetaminophen has become a very popular over-the-counter analgesic in some countries and as a result it is used increasingly as an agent for self-poisoning. Without treatment only a minority of patients develop severe liver damage and 1 to 2% die in hepatic failure. Until Mitchell and his colleagues discovered the biochemical mechanisms of toxicity in 1973 there was no effective treatment. They showed that the metabolic activation of acetaminophen resulted in the formation of a reactive arylating intermediate, and that hepatic reduced glutathione played an essential protective role by preferential conjugation and inactivation of the metabolite. Early treatment with sulphydryl compounds and glutathione precursors has been dramatically effective in preventing liver damage, renal failure, and death following acetaminophen overdosage. It seems likely that these agents act primarily by stimulating glutathione synthesis. Inhibition of the metabolic activation of acetaminophen is another potential therapeutic approach that has not yet been put to the test clinically. The clinical management of acetaminophen poisoning has been transformed and it is particularly gratifying to have effective treatment based on a well established biochemical mechanism of toxicity. It is likely that effective treatment will be developed for toxicity caused through similar mechanisms by other agents.

  14. Chronic lead poisoning in horses

    Energy Technology Data Exchange (ETDEWEB)

    Knight, H.D.; Burau, R.G.

    1973-05-01

    Chronic lead poisoning in horses was manifested as anorexia, loss of body weight, muscular weakness, anemia, laryngeal hemiplegia, and, terminally, inhalation pneumonia. Some deaths were sudden and unexplained. The lead content in liver specimens from 10 horses was greater than that considered indicative of lead intoxication; however, the lead content of blood was equivocal. The most conclusive laboratory finding was increased urine lead concentration after chelation therapy. The concentration of lead in a sample of vegetation considered to be representative of what a horse would eat if he was grazing in the area sampled was 325 ppM (oven-dry basis). It was determined that a 450-kg horse grazing grass of this lead content would consume 2.9 Gm of lead daily (6.4 mg/kg of body weight), an amount considered toxic for horses. Leaching lowered the calcium content of the forage but failed to reduce the lead concentration of the plants significantly, thus opening the possibility that winter rains might have influenced the onset of poisoning. Airborne fallout from a nearby lead smelter was proposed as the primary mode of pasture contamination.

  15. Arsenic – Poison or medicine?

    Directory of Open Access Journals (Sweden)

    Karolina Kulik-Kupka

    2016-04-01

    Full Text Available Arsenic (As is commonly known as a poison. Only a few people know that As has also been widely used in medicine. In the past years As and its compounds were used as a medicine for the treatment of such diseases as diabetes, psoriasis, syphilis, skin ulcers and joint diseases. Nowadays As is also used especially in the treatment of patients with acute promyelocytic leukemia. The International Agency for Research on Cancer (IARC has recognized arsenic as an element with carcinogenic effect evidenced by epidemiological studies, but as previously mentioned it is also used in the treatment of neoplastic diseases. This underlines the specificity of the arsenic effects. Arsenic occurs widely in the natural environment, for example, it is present in soil and water, which contributes to its migration to food products. Long exposure to this element may lead to liver damages and also to changes in myocardium. Bearing in mind that such serious health problems can occur, monitoring of the As presence in the environmental media plays a very important role. In addition, the occupational risk of As exposure in the workplace should be identified and checked. Also the standards for As presence in food should be established. This paper presents a review of the 2015 publications based on the Medical database like PubMed and Polish Medical Bibliography. It includes the most important information about arsenic in both forms, poison and medicine. Med Pr 2016;67(1:89–96

  16. Congenital abnormalities in methylmercury poisoning

    Energy Technology Data Exchange (ETDEWEB)

    Gilani, S.H.

    1975-04-01

    This study was undertaken to determine the teratogenic potential of methylmercury on chick embryogenesis. Methylmercuric chloride was dissolved in sodium bicarbonate (0.2%) and administered to the chick embryos at doses ranging from 0.0009 to 0.010 mg per egg. The injections were made at days 2 and 3 on incubation (Groups A and B). All the embryos including controls were examined on the 7th day of incubation. Methylmercury poisoning was observed to be both embryolethal and teratogenic. Within the two groups, embryolethality was higher in Group A. The following congenital abnormalities were observed: exencephaly, shortened and twisted limbs, microphthalmia, shortened and twisted neck, beak abnormalities, everted viscera, reduced body size and hemorrhage all over the body. Exencephaly and limb abnormalities were very common. No differences in the incidence and types of gross abnormalities within both the groups (A and B) were noted. The incidence of malformations among the controls was low. The results of present investigation show that methylmercury poisoning is both embryolethal and teratogenic to early chick embryogenesis. (auth)

  17. Survey of patients with acute poisoning seen in the Emergency Department of the University Hospital of Gent between 1983 and 1990.

    Science.gov (United States)

    Verstraete, A G; Buylaert, W A

    1995-12-01

    In a prospective study of 4234 patients with acute poisoning in the Emergency Department of the University Hospital of Gent in Belgium between 1983 and 1990, we observed a decline in the number of poisonings from 665 in 1983 to 424 in 1990. This was due to a decrease in the number of deliberate self-poisonings. Fifty-six per cent of patients were female and the most prevalent age group was 20 to 24 years. There was no seasonal variation. The substances most frequently taken were benzodiazepines (55% of the deliberate self-poisonings), ethanol in combination with other substances (35.8%), barbiturates and older hypnotics (18.6%), non-narcotic analgesics (13.3%) and tricyclic antidepressants (11.6%). Carbon monoxide accounted for 65.1% of all the accidental poisonings. With regard to treatment, a reduction in gastric lavage was observed. The patients were transferred to the intensive care unit (29.2%), the psychiatry ward (23.6%) or discharged home (27.8%). Only 0.3% of the patients died in the Emergency Department.

  18. 49 CFR 172.416 - POISON GAS label.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false POISON GAS label. 172.416 Section 172.416... SECURITY PLANS Labeling § 172.416 POISON GAS label. (a) Except for size and color, the POISON GAS label... POISON GAS label and the symbol must be white. The background of the upper diamond must be black and...

  19. 49 CFR 172.540 - POISON GAS placard.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 2 2010-10-01 2010-10-01 false POISON GAS placard. 172.540 Section 172.540... SECURITY PLANS Placarding § 172.540 POISON GAS placard. (a) Except for size and color, the POISON GAS... the POISON GAS placard and the symbol must be white. The background of the upper diamond must be...

  20. 75 FR 13215 - National Poison Prevention Week, 2010

    Science.gov (United States)

    2010-03-19

    ...#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 8484 of March 15, 2010 National Poison... National Poison Prevention Week we alert American families about the dangers of accidental poisonings and... million poison exposures reported each year, we must take every precaution to guard against...

  1. 16 CFR 1700.15 - Poison prevention packaging standards.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Poison prevention packaging standards. 1700.15 Section 1700.15 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION POISON PREVENTION PACKAGING ACT OF 1970 REGULATIONS POISON PREVENTION PACKAGING § 1700.15 Poison prevention...

  2. Carbon monoxide exposure in blast furnace workers.

    Science.gov (United States)

    Lewis, S; Mason, C; Srna, J

    1992-09-01

    This study investigated the occupational exposure to carbon monoxide (CO) of a group of blast furnace workers from an integrated steelworks, compared to a control group having no significant occupational CO exposure from other areas in the same works. The study was undertaken in 1984 at Port Kembla, New South Wales. Carboxyhaemoglobin (COHb) levels before and after an eight-hour work shift were measured in 98 male steelworkers: 52 from two CO-exposed iron blast furnaces and 46 controls from production areas in the same steelworks. The sample was stratified by smoking habits. Environmental air CO levels had been found to be consistently higher on one furnace than on the other. Absorption of CO from the working environment occurred in workers on the blast furnace with higher CO levels, regardless of smoking habits. On this blast furnace, some readings of COHb levels after a workshift in nonsmokers approached the proposed Australian occupational limit of 5 per cent COHb saturation. Overall, workers with the highest occupational exposure who smoked most heavily had the highest absorption of CO over a work shift. Biological monitoring gives an accurate measure of individual worker 'dose' of CO from all sources. Both environmental monitoring and biological monitoring need to be included as part of a program for controlling occupational CO exposure.

  3. Carbon Monoxide: An Essential Signalling Molecule

    Science.gov (United States)

    Mann, Brian E.

    Carbon monoxide (CO), like nitric oxide (NO), is an essential signalling molecule in humans. It is active in the cardiovascular system as a vasodilator. In addition, CO possesses anti-inflammatory, anti-apoptotic and anti-proliferative properties and protects tissues from hypoxia and reperfusion injury. Some of its applications in animal models include suppression of organ graft rejection and safeguarding the heart during reperfusion after cardiopulmonary bypass surgery. CO also suppresses arteriosclerotic lesions following angioplasty, reverses established pulmonary hypertension and mitigates the development of post-operative ileus in the murine small intestine and the development of cerebral malaria in mice as well as graft-induced intimal hyperplasia in pigs. There have been several clinical trials using air-CO mixtures for the treatment of lung-, heart-, kidney- and abdominal-related diseases. This review examines the research involving the development of classes of compounds (with particular emphasis on metal carbonyls) that release CO, which could be used in clinically relevant conditions. The review is drawn not only from published papers in the chemical literature but also from the extensive biological literature and patents on CO-releasing molecules (CO-RMs).

  4. First-Principles Investigations on Europium Monoxide

    KAUST Repository

    Wang, Hao

    2011-05-01

    Europium monoxide is both an insulator and a Heisenberg ferromagnet (Tc=69 K). In the present thesis, the author has investigated the electronic structure of different types of EuO by density functional theory. The on-site Coulomb interaction of the localized Eu 4f and 5d electrons, which is wrongly treated in the standard generalized gradient approximation method, is found to be crucial to obtain the correct insulating ground state as observed in experiments. Our results show that the ferromagnetism is stable under pressure, both hydrostatic and uniaxial. For both types of pressure an insulator-metal transition is demonstrated. Moreover, the experimentally observed insulator-metal transition in oxygen deficient and gadolinium-doped EuO is reproduced in our calculations for impurity concentrations of 6.25% and 25%. Furthermore, a 10- layer EuO thin film is theoretically predicted to be an insulator with a narrow band gap of around 0.08 eV, while the Si/EuO interface shows metallic properties with the Si and O 2p as well as Eu 5d bands crossing the Fermi level.

  5. Assessment of carbon monoxide values in smokers: a comparison of carbon monoxide in expired air and carboxyhaemoglobin in arterial blood

    DEFF Research Database (Denmark)

    Andersson, Mette F; Møller, Ann M

    2010-01-01

    Smoking increases perioperative complications. Carbon monoxide concentrations can estimate patients' smoking status and might be relevant in preoperative risk assessment. In smokers, we compared measurements of carbon monoxide in expired air (COexp) with measurements of carboxyhaemoglobin (COHb) ......) in arterial blood. The objectives were to determine the level of correlation and to determine whether the methods showed agreement and evaluate them as diagnostic tests in discriminating between heavy and light smokers....

  6. Prevalent Poisonings in Adolescents and Adults in Dubai: A Compendium from Rashid Hospital

    Directory of Open Access Journals (Sweden)

    Fahad Akhtar Hameed

    2014-09-01

    Full Text Available Background: Profile of acute poisonings varies from country to country depending on the ease of availability of substances and socio-economic condition of people; however, very little information from the United Arab Emirates (UAE have been published, so far. This study was designed to find out the most common causes of overdose and poisoning in patients admitted to the emergency department of Rashid Hospital (RH, Dubai, UAE. Methods: In this retrospective cross sectional study, medical records of poisoned patients admitted to RH from 1st January 2012 to 31st December 2012 were reviewed. Demographic data, types of substances used, intention, length of hospital stay and outcomes were recorded in pre-designed checklists. Results: Overall, 163 patients were studied that among them gender distribution was relatively equal (male: female = 1.04: 1. Mean age of patients was 30.3 ± 11.5 and most patients were in the age group of 20 to 29 years age old (41.7%. Rgarding the type of poisons, the majority of patients were poisoned with pharmaceuticals (55.8% followed by chemical substances (23.3%. In pharmaceutical poisonings, most cases were due to multi-drug ingestion (22.6%, followed by ingestion of paracetamol (14.1% and benzodiazepines (4.3%. Considering the gender distribution, women were significantly more involved with pharmaceutical poisoning (P = 0.046, while venomous envenomation occurred only in men indicating a significant difference (P = 0.004. In chemical poisoning, most cases were due to ingestion of corrosive agents (19%. Suicidal poisoning was significantly more common in women (P < 0.001, while abuse was significantly more common in men (P < 0.001. Length of hospital stay averaged on 8.1 days. Only 3 patients died during the admission (mortality rate: 1.8%. Conclusion: Study on, training for and prevention of poisoning should receive more attention in the UAE. Over-the-counter drugs especially paracetamol should be prescribed in a more

  7. Bio-Inspired Carbon Monoxide Sensors with Voltage-Activated Sensitivity

    KAUST Repository

    Savagatrup, Suchol

    2017-09-27

    Carbon monoxide (CO) outcompetes oxygen when binding to the iron center of hemeproteins, leading to a reduction in blood oxygen level and acute poisoning. Harvesting the strong specific interaction between CO and the iron porphyrin provides a highly selective and customizable sensor. We report the development of chemiresistive sensors with voltage-activated sensitivity for the detection of CO comprising iron porphyrin and functionalized single-walled carbon nanotubes (F-SWCNTs). Modulation of the gate voltage offers a predicted extra dimension for sensing. Specifically, the sensors show a significant increase in sensitivity toward CO when negative gate voltage is applied. The dosimetric sensors are selective to ppm levels of CO and functional in air. UV/Vis spectroscopy, differential pulse voltammetry, and density functional theory reveal that the in situ reduction of FeIII to FeII enhances the interaction between the F-SWCNTs and CO. Our results illustrate a new mode of sensors wherein redox active recognition units are voltage-activated to give enhanced and highly specific responses.

  8. Indoor Carbon Monoxide: A Case Study in England for Detection and Interventions to Reduce Population Exposure

    Directory of Open Access Journals (Sweden)

    L. J. McCann

    2013-01-01

    Full Text Available Background. Potential exposure to carbon monoxide (CO in private homes is largely unquantified. Aim. To estimate prevalence of potential exposure to CO in residential dwellings and describe associated interventions in an inner-city community. Methods. A housing association in London, Hackney Homes, began fitting CO alarms in the 22,831 local authority homes it is responsible for in January 2010. A gas engineer investigated each alarm activation and recorded the information on a standard form. We undertook a cross-sectional study of all 22,831 homes, using data from these forms. Descriptive analysis was performed, including incidence, monthly variation, cause of alarm activation, and actions taken. Results. Between November 2011 and April 2012, 106 incidents were reported. Of these, 34.6% identified an issue with a gas appliance, and 10.6% identified misuse of cooking methods as the cause of activation. Relevant interventions were put in place, including disconnection of the gas appliance and education around cooking methods. Discussion. Little is known about the burden of CO poisoning in residential dwellings. This study provides important information on the path to quantifying population exposure to CO as well as establishing a possible approach to access this key information and realistic interventions to reduce potential exposure.

  9. Consequences of brief exposure to high concentrations of carbon monoxide in conscious rats.

    Science.gov (United States)

    Gu, Zengfa; Januszkiewicz, Adolph J; Mayorga, Maria A; Coleman, Gary D; Morrissette, Craig R

    2005-12-01

    Exposure to high-concentration carbon monoxide (CO) is of concern in military operations. Experimentally, the physiologic manifestations of a brief exposure to elevated levels of CO have not been fully described. This study investigated the development of acute CO poisoning in conscious male Sprague-Dawley rats (220-380 g). Animals were randomly grouped (n = 6) and exposed to either air or 1 of 6 CO concentrations (1000, 3000, 6000, 10,000, 12,000, or 24,000 ppm) in a continuous air/CO dynamic exposure chamber for 5 min. Respiration was recorded prior to and during exposures. Mixed blood carboxyhemoglobin (COHb) and pH were measured before and immediately after exposure. Before exposure the mean baselines of respiratory minute volumes (RMVs) were 312.6 +/- 43.9, 275.2 +/- 40.8, and 302.3 +/- 39.1 ml/min for the 10,000, 12,000 and 24,000 ppm groups, respectively. In the last minute of exposure RMVs were 118.9 +/- 23.7, 62.1 +/- 10.4, and 22.0 +/- 15.1% (p 82%. Blood pH was unaltered and no death occurred in rats exposed to CO at concentrations 10,000 ppm for brief periods as short as 5 min may change RMV, resulting in acute respiratory failure, acidemia, and even death.

  10. Carbon monoxide tolerant platinum electrocatalysts on niobium doped titania and carbon nanotube composite supports

    Science.gov (United States)

    Rigdon, William A.; Huang, Xinyu

    2014-12-01

    In the anode of electrochemical cells operating at low temperature, the hydrogen oxidation reaction is susceptible to poisoning from carbon monoxide (CO) which strongly adsorbs on platinum (Pt) catalysts and increases activation overpotential. Adsorbed CO is removed by oxidative processes such as electrochemical stripping, though cleaning can also cause corrosion. One approach to improve the tolerance of Pt is through alloying with less-noble metals, but the durability of alloyed electrocatalysts is a critical concern. Without sacrificing stability, tolerance can be improved by careful design of the support composition using metal oxides. The bifunctional mechanism is promoted at junctions of the catalyst and metal oxides used in the support. Stable metal oxides can also form strong interactions with catalysts, as is the case for platinum on titania (TiOx). In this study, niobium (Nb) serves as an electron donor dopant in titania. The transition metal oxides are joined to functionalized multi-wall carbon nanotube (CNT) supports in order to synthesize composite supports. Pt is then deposited to form electrocatalysts which are characterized before fabrication into anodes for tests as an electrochemical hydrogen pump. Comparisons are made between the control from Pt-CNT to Pt-TiOx-CNT and Pt-Ti0.9Nb0.1Ox-CNT in order to demonstrate advantages.

  11. Time series analysis of Carbon Monoxide from MOPITT over the Asian Continent from 2000-2004

    Science.gov (United States)

    Bhattacharjee, P. S.; Roy, P.

    2005-12-01

    The human population continues to grow and large parts of the world industrialize rapidly, causing changes in the global atmospheric chemistry. Carbon monoxide (CO) is a poisonous gas in the troposphere when highly concentrated, and is produced by fossil fuel combustion, biomass burning and through natural emissions from plants. It is also an important trace gas in the atmosphere and plays a major role in the atmospheric chemistry. We present a study of CO from the measurement of MOPITT (Measurement of Pollution in the Troposphere-Level 3 gridded data) instrument on NASA Terra satellite over India and Eastern Asia for the period of 2000-2004. Day- and night-time total column CO measurements are considered over the selected regions in India, China, Thailand and Japan. The selected regions comprise of industrial cities in the Asian continent which form the source of high CO in the atmosphere. The time series data do not show an overall increasing or decreasing trend, but CO is affected by seasonal variations, wind, and precipitation patterns. East Asian regions have higher and wider seasonal fluctuations than the Indian region. CO total column values over the Bay of Bengal are also high and can be explained through wind patterns from the land towards the ocean. Although the sources of CO are mostly confined to the land, it is transported globally through the atmosphere, and has high concentrations over the ocean.

  12. Generalized chorea due to delayed encephalopathy after acute carbon monoxide intoxication

    Directory of Open Access Journals (Sweden)

    Yueh-Feng Sung

    2015-01-01

    Full Text Available Movement disorder due to delayed encephalopathy after carbon monoxide (CO intoxication is uncommon. Generalized chorea, presenting as an initial symptom of delayed encephalopathy, is extremely rare. We describe a 60-year-old woman, who had completely recovered from acute CO poisoning, developed mental and behavioral changes, urinary incontinence and generalized chorea 2 weeks thereafter. T2-weighted brain magnetic resonance imaging showed extensive hyperintensity of the bilateral periventricular and subcortical white matter and the globus pallidus. Brain single-photon emission computed tomography (SPECT with technetium-99 ethylene cysteine dimer showed inhomogeneous perfusion in the cerebral cortex, with decreased uptake in bilateral frontal regions. Delayed encephalopathy after acute CO intoxication was diagnosed, and the symptoms gradually improved after hyperbaric oxygen therapy (HBOT. This case report demonstrates that generalized chorea may be one of the initial presenting symptoms of delayed encephalopathy after acute CO intoxication. We hypothesize that the generalized chorea in our patient may have been caused by the subcortical white matter lesions, which most likely interrupted the basal ganglia-thalamocortical circuits and that HBOT may be the treatment of choice for such patients.

  13. Carbon Monoxide Accumulation in the Extravehicular Mobility Unit

    Science.gov (United States)

    Conkin, J.; Norcrosss, J. R.; Alexander, D. J.; Sanders, R. W.; Makowski, M. S.

    2016-01-01

    Introduction: Life support technology in large closed systems like submarines and space stations catalyzes carbon monoxide (CO) to carbon dioxide, which is easily removed. However, in a small system like the Extravehicular Mobility Unit (EMU), spacesuit, CO from exogenous (contaminated oxygen (O (sub 2) supply) and endogenous (human metabolism) sources will accumulate in the free suit volume. The free volume becomes a sink for CO that is rebreathed by the astronaut. The accumulation through time depends on many variables: the amount absorbed by the astronaut, the amount produced by the astronaut (between 0.28 and 0.34 ?moles per hour per kilogram)[1], the amount that enters the suit from contaminated O (sub 2), the amount removed through suit leak, the free volume of the suit, and the O (sub 2) partial pressure[2], just to list a few. Contamination of the EMU O (sub 2) supply with no greater than 1 part per million CO was the motivation for empirical measurements from CO pulse oximetry (SpCO) as well as mathematical modeling of the EMU as a rebreather for CO. Methods: We developed a first-order differential mixing equation as well as an iterative method to compute CO accumulation in the EMU. Pre-post measurements of SpCO (Rad-57, Masimo Corporation) from EMU ground training and on-orbit extravehicular activities (EVAs) were collected. Results: Initial modeling without consideration of the astronaut as a sink but only the source of CO showed that after 8 hours breathing 100 percent O (sub 2) with a 10 milliliter per minute (760 millimeters Hg at 21 degrees Centigrade standard) suit leak, an endogenous production rate of 0.23 moles per hour per kilogram for a 70 kilogram person with 42 liters (1.5 cubic feet) free suit volume resulted in a peak CO partial pressure (pCO) of 0.047 millimeters Hg at 4.3 pounds per square inch absolute (222 millimeters Hg). Preliminary results based on a 2008 model[3] with consideration of the astronaut as a sink and source of CO

  14. Electronic warfare receivers and receiving systems

    CERN Document Server

    Poisel, Richard A

    2014-01-01

    Receivers systems are considered the core of electronic warfare (EW) intercept systems. Without them, the fundamental purpose of such systems is null and void. This book considers the major elements that make up receiver systems and the receivers that go in them.This resource provides system design engineers with techniques for design and development of EW receivers for modern modulations (spread spectrum) in addition to receivers for older, common modulation formats. Each major module in these receivers is considered in detail. Design information is included as well as performance tradeoffs o

  15. Likelihood Estimation of the Systemic Poison-Induced Morbidity in an Adult North Eastern Romanian Population

    Directory of Open Access Journals (Sweden)

    Cătălina Lionte

    2016-12-01

    Full Text Available Purpose: Acute exposure to a systemic poison represents an important segment of medical emergencies. We aimed to estimate the likelihood of systemic poison-induced morbidity in a population admitted in a tertiary referral center from North East Romania, based on the determinant factors. Methodology: This was a prospective observational cohort study on adult poisoned patients. Demographic, clinical and laboratory characteristics were recorded in all patients. We analyzed three groups of patients, based on the associated morbidity during hospitalization. We identified significant differences between groups and predictors with significant effects on morbidity using multiple multinomial logistic regressions. ROC analysis proved that a combination of tests could improve diagnostic accuracy of poison-related morbidity. Main findings: Of the 180 patients included, aged 44.7 ± 17.2 years, 51.1% males, 49.4% had no poison-related morbidity, 28.9% developed a mild morbidity, and 21.7% had a severe morbidity, followed by death in 16 patients (8.9%. Multiple complications and deaths were recorded in patients aged 53.4 ± 17.6 years (p .001, with a lower Glasgow Coma Scale (GCS score upon admission and a significantly higher heart rate (101 ± 32 beats/min, p .011. Routine laboratory tests were significantly higher in patients with a recorded morbidity. Multiple logistic regression analysis demonstrated that a GCS < 8, a high white blood cells count (WBC, alanine aminotransferase (ALAT, myoglobin, glycemia and brain natriuretic peptide (BNP are strongly predictive for in-hospital severe morbidity. Originality: This is the first Romanian prospective study on adult poisoned patients, which identifies the factors responsible for in-hospital morbidity using logistic regression analyses, with resulting receiver operating characteristic (ROC curves. Conclusion: In acute intoxication with systemic poisons, we identified several clinical and laboratory variables

  16. Tropical fish poisoning in temperate climates: food poisoning from ciguatera toxin presenting in Avonmouth.

    Science.gov (United States)

    Kipping, Ruth; Eastcott, Howard; Sarangi, Joyshri

    2006-12-01

    Ciguatera toxin causes a range of gastrointestinal, cardiovascular and neurological symptoms that occur within 1-6 h of ingesting fish with the toxin and can last for days, months or years. It is a well-recognized problem in the tropics. Avon Health Protection Team investigated food poisoning on a ship at Avonmouth, which was thought by the crew to be related to a white snapper fish from the Caribbean. The symptoms were initially thought to be scombroid fish poisoning but were consistent with ciguatera fish poisoning. Cases of fish poisoning from fish imported from the Caribbean and Pacific or travellers returning from tropical countries may be ciguatera fish poisoning, but mistakenly diagnosed as scombroid fish poisoning.

  17. Intractable Seizures and Rehabilitation in Ciguatera Poisoning.

    Science.gov (United States)

    Derian, Armen; Khurana, Seema; Rothenberg, Joshua; Plumlee, Charles

    2016-08-31

    Ciguatera fish poisoning is the most frequently reported seafood toxin illness associated with the ingestion of contaminated tropical fish. Diagnosis relies on a history of recent tropical fish ingestion and subsequent development of gastrointestinal, cardiovascular, and neurological symptoms. Ciguatera poisoning usually has a self-limited time course, and its management involves symptomatic control and supportive care. This case report presents an uncommon case of ciguatera poisoning with prolonged intractable seizures refractory to standard antiseizure medications. The patient also had significant functional decline that responded to rigorous inpatient rehabilitation not previously described in literature.

  18. Fatal poisoning among patients with drug addiction

    DEFF Research Database (Denmark)

    Simonsen, Kirsten Wiese; Christoffersen, Dorte J; Banner, Jytte

    2015-01-01

    INTRODUCTION: Fatal poisonings among drug addicts in Denmark in 2012 were examined. Cause of death, abuse pattern and geographic differences are discussed and data are compared with previous studies. METHODS: All fatal poisonings examined at the three institutes of forensic medicine in Denmark...... on Funen and in South Jutland. Cocaine was most frequently detected in East Denmark, while amphetamine was more frequent in West Denmark. CONCLUSIONS: The number of fatal poisonings among drug addicts has stabilised around 200. The increase in methadone deaths continued and, as in 2007, methadone...

  19. Fatal poisoning among patients with drug addiction

    DEFF Research Database (Denmark)

    Simonsen, K. W.; Christoffersen, D. J.; Banner, J.

    2015-01-01

    Introduction: Fatal poisonings among drug addicts in Denmark in 2012 were examined. Cause of death, abuse pattern and geographic differences are discussed and data are compared with previous studies. Methods: All fatal poisonings examined at the three institutes of forensic medicine in Denmark...... on Funen and in South Jutland. Cocaine was most frequently detected in East Denmark, while amphetamine was more frequent in West Denmark. ConclusionS: The number of fatal poisonings among drug addicts has stabilised around 200. The increase in methadone deaths continued and, as in 2007, methadone...

  20. Chronic mercury poisoning: Report of two siblings.

    Science.gov (United States)

    Yilmaz, Cahide; Okur, Mesut; Geylani, Hadi; Caksen, Hüseyin; Tuncer, Oğuz; Ataş, Bülent

    2010-01-01

    Mercury exists as organic inorganic and elementary forms in nature and is one of the most toxic metals that are poisonous for human beings. Mercury is commonly used in many different sectors of industry such as in insects formulas, agriculture products, lamps, batteries, paper, dyes, electrical/electronic devices, jewelry, and in dentistry. In this study, two siblings (one a 7-year-old boy and the other a 13 years old girl) are reported who developed chronic mercury poisoning as a result of long-term contact with batteries. Our aim is to emphasize the importance of mercury poisoning that is extremely rarely seen in childhood.