These doctors may be uncertain how such patients should be assessed or what investigations might be required.
View the NHS Care Pathway for patients exposed to fumes onboard commercial aircraftĬrew or passengers who experience symptoms during or following exposure to a fume incident, or symptoms which they think may have been caused by exposure to contaminants in aircraft cabin air, may seek advice from their GP, hospital A & E Dept, occupational health service or Aeromedical Examiner. NHS Care Pathway – patients exposed to fumes onboard commercial aircraftĭ Wood, P Durgan, N Dowdall, D Coggon, R Hunter, T Stevenson, M Hoghton The working group has also developed an information sheet for patients. The Care Pathway has been developed by an independent working group including experts in toxicology, epidemiology, aviation medicine and primary care, in order to provide advice to health professionals in managing such patients. The pattern of symptoms reported is quite variable and health professionals have asked for guidance on how best to manage such patients. Never work with them in a poorly ventilated room.Doctors and other health professionals may see patients who report symptoms following a ‘fume’ event – an unusual odour, mist or smoke – on an aircraft. Working with fuming chemicals should be done outside or in a fumehood. Sulfur trioxide hydrolyzes strongly in open air, giving off copious amounts of sulfuric acid. Titanium(IV) chloride readily fumes in moist air at any temperature, giving off hydrogen chloride and titanium dioxide mist. Tin(IV) chloride hydrolyzes in moist air, releasing hydrogen chloride and tin(II) oxide. Thionyl chloride hydrolyzes and fumes similar to sulfuryl chloride. Sulfuryl chloride hydrolyzes when exposed to atmosphere, giving off hydrogen chloride and sulfur dioxide. Sulfur dichloride hydrolyzes when exposed to moist atmosphere, giving off hydrogen chloride and sulfur dioxide. Phosphoryl chloride hydrolyzes rapidly when exposed to atmosphere, giving off hydrogen chloride fumes. Phosphoryl bromide hydrolyzes rapidly when exposed to atmosphere, giving off hydrogen bromide fumes. Phosphorus triiodide hydrolyzes when exposed to moist atmosphere, giving off hydrogen iodide and iodine fumes. Phosphorus trichloride hydrolyzes rapidly when exposed to atmosphere, giving off hydrogen chloride fumes. Phosphorus tribromide hydrolyzes rapidly when exposed to atmosphere, giving off hydrogen bromide fumes. Phosphorus pentachloride hydrolyzes rapidly when exposed to atmosphere, giving off hydrogen chloride fumes. Phosphorus pentabromide hydrolyzes rapidly when exposed to atmosphere, giving off hydrogen bromide fumes. Disulfur dichloride hydrolyzes when exposed to moist atmosphere, giving off hydrogen chloride and sulfur dioxide. Chromyl chloride hydrolyzes releasing hydrogen chloride and hexavalent chromium. Acetyl chloride hydrolyzes in contact to atmospheric moisture, giving off hydrogen chloride and acetic acid. White phosphorus, while not a liquid, will readily oxidize in open air and give off phosphorus pentoxide fumes and may even catch fire. Iodine itself will slowly sublime, effect which grows stronger with temperature, visible fuming appearing at high temperatures. Iodine does not fume strongly at room temperature, though if let a small sample on a white surface, a yellow stain will rapidly form on the surface around the iodine. Bromine is known to fume at standard conditions, which makes storage difficult. Hydrazine fumes significantly in open air, forming hydrates and carbonates. Ethylenediamine readily fumes in moist air, forming a hydrated form, and sometimes even carbonate. Aqua regia readily fumes, giving off nitrogen dioxide and nitrosyl chloride. Oleum produces fumes similar to those of hot sulfuric acid, however, it fumes profusely even when cold. The fumes do not have a strong smell but pose a potent choking hazard. The fumes are a mixture of sulfuric acid droplets and sulfur oxides. Sulfuric acid does not fume at room temperature, but is known to fume when hot. The fumes have a characteristic smell of nitric acid. Nitric acid fumes at high concentrations. .jpg "fuming fumy fumes")
The fumes have a characteristic smell of hydrogen chloride.
Hydrochloric acid fumes when in high concentrations the fumes consist of the acid itself and are formed when hydrogen chloride gas that escapes the solution combines itself with water vapor found in air.Fluorosulfuric acid fumes in moist air, releasing a mist of sulfuric acid and hydrofluoric acid.
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