Abstract

Automatic fire suppression systems (FSSs) use hydrofluorocarbons (HFCs) to chemically extinguish fires. At high temperatures, HFC can release hydrogen fluoride (HF), a toxic and potentially lethal gas. We report the deaths of three U.S. military personnel at Bagram Air Base from acute respiratory failure after the FSS in their vehicle received a direct hit from a rocket-propelled grenade. Despite presenting with little to no additional signs of trauma, these individuals all died within 24 hours from HF-induced respiratory failure. When two patients later presented with similar symptoms after damage to their vehicle’s FSS, they were aggressively treated with nebulized calcium and positive pressure ventilation. Both survived. The presence of HFC-containing FSSs in military vehicles may lead to future cases of HF inhalation injury, and further research must be done to help rapidly diagnose and effectively treat this injury.

• Related Studies :

  • Health effects of residential exposure to aluminum plant air pollution

    In this study, the authors evaluated the relative risk of residential exposure to air pollution from an aluminum plant. The authors used government-compiled data to compare hospital admissions in 1997 for selected respiratory diseases for 2 communities in Brazil. One community, Ouro Preto, was located near an aluminum plant, and

  • [Hydrofluoric acid injury analysis on the health of workers].

    Objective: To analyze the damage caused by hydrofluoric acid to the health of operating workers and to explore health monitoring indicators. Method: Occupational health examinations were carried out on 536 hydrofluoric acid operating workers from the etching process at a certain factory, and 256 persons in the control group. Results: Among the

  • Respiratory disorders in aluminium potroom workers

    Epidemiological studies of aluminum potroom workers have been in progress in Norway since 1986. The occurrence of work-related asthmatic symptoms and their determinants were studied. Work-related asthmatic symptoms and airflow limitation were closely associated with duration of potroom employment. A significant relationship between current fluoride exposure and work-related asthmatic symptoms

  • Nonmalignant mortality among workers in six Norwegian aluminum plants

    OBJECTIVES: This study investigated the associations between exposure to fluorides and polycyclic aromatic hydrocarbons (PAH) and mortality from nonmalignant diseases among workers in the Norwegian primary aluminum industry. METHODS: Mortality among 10,857 men, employed for more than 3 years in 1 of 6 aluminum plants, was investigated from 1962 to 1996,

  • Suppression of pulmonary antibacterial defenses mechanisms and lung damage in mice exposed to fluoride aerosol

    In endemic fluorosis areas in China associated with coal burning, indoor airborne fluoride pollution is severe. To determine the effects of fluoride aerosols on pulmonary antibacterial defense mechanisms and lung damage, mice were exposed to various concentrations of fluoride aerosol (2, 5, or 10 mg/m3) or filtered air (control) for

• Related FAN Content :

  • Fluoride Enhances Toxicity of Beryllium

    Occupational exposure to beryllium is well-documented to put workers' health at risk. The two principal targets of beryllium poisoning are the respiratory system and the skin. Of all beryllium compounds, beryllium fluoride complexes (including beryllium fluoride and beryllium oxyfluoride) appear to be the most toxic. As shown below, studies dating back

  • Respiratory Risks from Occupational Fluoride Exposure

    Starting in the 1930s, scientists have observed that workers exposed to airborne fluorides suffer from an elevated rate of respiratory disorders. For over 50 years, however, US government and industry scientists made repeated assurances that the allowable level of fluoride dusts and gases in industrial workplaces would not cause any