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Emergency Care in Chemical Accidents

Published online by Cambridge University Press:  17 February 2017

S. Okonek
Affiliation:
Zentrum für Entgiftung und Giftinformation, II. Medizinische Klinik undPoliklinik der Universität Mainz, Mainz, West Germany
H.J. Reinecke
Affiliation:
Betriebsärztliche Dienststelle, Flughafen Frankfurt am Main, Mainz, West Germany
I. Löwenthal
Affiliation:
Zentrum für Entgiftung und Giftinformation, II. Medizinische Klinik undPoliklinik der Universität Mainz, Mainz, West Germany

Extract

Airplanes and airports are in potential danger during transport of highly toxic chemicals, and accidents can occur if the wrapping material is damaged. The chemicals are listed and classified by the International Civil Aviation Authority ICAO) (7). They are subdivided into nine classes, each marked by a special symbol. The classification is derived from the most important properties of the chemicals in relation to the air transport (Table 1). Special positions are listed in class 6. This does not mean, however, that the chemicals of all other classes are non-toxic. On the contrary, highly toxic substances also exist in each other class. For example, class 2 “compressed gas” includes dangerous toxic substances such as hydrochloric acid, fluorine, carbon monoxide or sulphur dioxide. Class 3 (“flammable liquids”) includes benzene, methanol, acrylonitrile and ethyl methyl ketone, for example. In class 6 (“poisons”), special poisons are listed such as tetraethyl lead, dimethyl mercury, organophosphates and aniline. Class 8 (“corrosives”) consists of poisons like bromide, dimethyl sulphate, phorphorous trichloride and hydrofloric acid.

Type
Section Three—Definitive Medical Care
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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References

1 Appel, KE, Bolt, HM. Effect of antidotes in acute acrylonitrile poisoning. Früuhjahrstagung d. Deutschen Pharmakologischen Gesellschaft, Mainz, 1981.Google Scholar
2 Burmeister, H, Neuhaus, GA. Die Behandlung der subakuten schweren Leuchtgasvergiftung beim Menschen. Arch Toxicol 1970; 26:27.Google Scholar
3 Daunderer, M. Antidot-Therapie: Toluidinblau bei Methämoglobinamie. Fortschr. Med. 1980; 98:462.Google Scholar
4 Fruhmann, G. Behandlung des toxischen Lungenödems. Prax Pneumol 1976; 30:37.Google Scholar
5 Hartung, W. Glukokortikoide bei toxischen Lungenschädigungen. Therapiewoche 1975; 25:5821.Google Scholar
6 Henschler, D. Wichtige Gifte und Vergiftungen. In, Allgemeine und spezielle Pharmakologie und Toxikologie. Forth, W, Henschler, D, Rummel, W (eds). Mannheim-Wien-Zürich: Wissenschaftsverlag, Bibliographisches Institut 1980.Google Scholar
7 International Civil Aviation Authority (ICAO), P.O. Box 550, Succursale, Place de L'Aviation Internationale Montreal, Quebec, Canada D3A2R4, 1980.Google Scholar
8 Jantzen, G, Okomek, S, Schulz, V. Smog und Smogalarm. Ärztebl Rhein-Pfalz 1980; 10:924.Google Scholar
9 Krienke, EG, Sander, D, Mühlendahl von, KE. Spezifische Antidote — was ist für den Notfall bereitzuhalten: Dtsch Apoth Ztg 1977; 117:1703.Google Scholar
10 Okonek, S, Baum, PP. Akute Vergiftungen. In, Scholmerich, P, Schuster, HP, Schonborn, H, PP, Baum (eds). Interne Intensivmedizin. Stuttgart: Thieme, 1980.Google Scholar
11 Okonek, S, Vergiftungen — Entgiftung — Giftinformation. New York: Springer, 1981.CrossRefGoogle Scholar
12 Thiess, AM, Ferara, FG. Toxikologische Schäden durch Reizgase. Fortschr Med 1970; 88:147.Google Scholar
13 Ulmer, WT. Inhalative Noxen. Verh Dtsch Ges. f. Lungen-u. Atmungsforsch. Bd. VI. Berlin: Springer, 1974.Google Scholar
14 Velvart, J, Nisoli, A. Antidota bei Vergiftungen — Wirkung und Dosierung. Schweiz. Ärzteztg 1980; 61(12):740.Google Scholar
15 Weger, N. Die Therapie der Blausäure-vergiftung. In, Okonek, S, Fülgraff, G, Frey, R (eds). Humantoxikologie. Akute Vergiftungen — Giftinformation. Stuttgart: Fischer, 1979.Google Scholar