a1 Emergency Department, Frimley Park NHS Foundation Trust, Camberley, Surrey, United Kingdom
a2 Centre for Radiation, Chemical and Environmental Hazards, London, Health Protection Agency, United Kingdom
a3 Emergency Department, St Mary's Hospital, London, United Kingdom
a4 Health Protection Services, Colindale, London, Health Protection Agency, United Kingdom
This case report describes carbon monoxide toxicity from prolonged shisha (water-pipe) smoking. The evidence base for the source and pathway of toxicity is discussed. This practice has been increasing in the UK in recent years, and emergency physicians need to be aware of the high levels of CO, with the consequent risk of clinical poisoning from water-pipe smoking.
SFJ Clarke, C Stephens, M Farhan, P Ward, C Keshishian, V Murray, D Zenner. Multiple patients with carbon monoxide toxicity from water-pipe smoking. Prehosp Disaster Med. 2012;27(6):1-3.
(Received March 10 2011)
(Accepted March 13 2012)
(Revised April 17 2012)
(Online publication September 19 2012)