Intravenous versus intramuscular cobinamide compared to intravenous saline (control) in the treatment of acute, survivable, hydrogen sulfide toxicity in swine (Sus Scrofa).

Abstract

Background: Hydrogen sulfide (H2S) is one of the leading causes of unintentional workplace gas inhalation deaths. Significant exposures (50-400 ppm) may produce difficulty in breathing, agitation, confusion, nausea and vomiting, elevated blood pressure and loss of consciousness. Several potential antidotes are available for hydrogen sulfide poisoning, but none have been completely successful. We previously reported that intravenous cobinamide successfully rescues severely NaHS-poisoned swine from apnea in the absence of assisted ventilation; however, intramuscular administration is preferred in a workplace or mass casualty scenario.

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Document Details

Document Type
Technical Report
Publication Date
Nov 09, 2017
Accession Number
AD1048159

Entities

People

  • Joseph K Maddry
  • Maria G. Castaneda
  • Normalynn Garrett
  • Susan M. Boudreau
  • Vikhyat S Bebarta

Organizations

  • 59th Medical Wing

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force
  • Antidotes
  • Blood
  • Blood Gases
  • British Columbia
  • Cardiovascular Physiological Phenomena
  • Emergencies
  • Emergency Medicine
  • First Responders
  • Gases
  • Hydrogen
  • Hydrogen Sulfides
  • Medical Personnel
  • Military Medicine
  • Poisoning
  • Sulfides
  • Toxicity

Fields of Study

  • Medicine

Readers

  • Electrochemical Engineering/ Fuel Cell Technologies
  • Systems Analysis and Design
  • Toxicology/Environmental Toxicology