Show Summary Details
Page of

Common chemical poisonings 

Common chemical poisonings
Common chemical poisonings

D Nicholas Bateman

, Robert D Jefferson

, Simon HL Thomas

, John P Thompson

, and J Allister Vale

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 04 August 2020

Chemicals are widely used both in industry and in the home. Twenty-nine sections in this chapter discussthose most likely to be seen in UK and European clinical practice. Controversial issues addressed include appropriate use of cyanide antidotes and difficulties in determining the efficacy of hyperbaric oxygen. Some chemicals, such as chlorine, are transported by road and rail with potential hazard for accidental release. Other chemicals are released following combustion, and smoke may contain toxins, including oxides of nitrogen, cyanide, and carbon monoxide. Some industrial chemicals are extremely poisonous, one being phosgene, a potential chemical warfare agent.Most physicians will be aware of dangers from acids and alkalis, but hydrofluoric acidnot only results in localtissue necrosis, as the absorption of fluoride ion also causes severe hypocalcaemia with potential for cardiac arrhythmia and death. Toxic alcohols form another large grouping causing clinical management problems that are explained.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.