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.
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Aluminium potroom asthma: the Norwegian experience
Work-related asthma in aluminium potroom workers, is reviewed and discussed, mainly on the basis of own investigations. The occurrence of work-related asthma has been shown to be associated with the duration of potroom employment, although the prevalence of asthmatic symptoms is not significantly different from that of the general population.
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Spirometry changes due to prolonged exposure to high level of fluoride in drinking water
Introduction: fluorosis is dental and skeletal tissue changes due to increase fluoride exposure this can also result in systemic and biochemical changes. Pulmonary involvement is established as a result of toxic exposure to inhaled fluoride however animal studies have shown that chronic fluorosis causes by ingested fluoride can cause marked
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Occupational asthma in the aluminum smelters of Australia and New Zealand: 1991-2006
OBJECTIVE: To examine the incidence of occupational asthma in the seven aluminum smelters of Australia and New Zealand from 1991 to 2006. METHODS: Incidence and exposure data were collected by survey from the smelters prospectively during the study period. RESULTS: The incidence of occupational asthma across all smelters combined was highest in
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Respiratory symptoms and lung-function changes with exposure to five substances in aluminium smelters
OBJECTIVES: To determine whether exposure to five different occupational substances contributes to respiratory symptoms in aluminium smelter workers. METHODS: A cross-sectional survey of 1,615 male employees of two Australian aluminium smelters was conducted in 1995. Subjects underwent spirometry and were asked about respiratory symptoms and the relationship of those symptoms to
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Relation of exposure to airway irritants in infancy to prevalence of bronchial hyper-responsiveness in schoolchildren
To find out whether exposure to sulphur dioxide during infancy is related to the prevalence of bronchial hyper-responsiveness (BHR), we studied schoolchildren (aged 7-13 years) from two areas of Norway--a valley containing a sulphur-dioxide-emitting aluminium smelter and a similar but non-industrialised valley. Bronchial responsiveness was assessed in 529 of the
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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
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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
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