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Multiple Patients with Carbon Monoxide Toxicity from Water-Pipe Smoking

Published online by Cambridge University Press:  19 September 2012

Simon F.J. Clarke ,
Caroline Stephens ,
Maisse Farhan ,
Patricia Ward ,
Catherine Keshishian ,
Virginia Murray  and
Dominik Zenner
Simon F.J. Clarke*
Affiliation:
Emergency Department, Frimley Park NHS Foundation Trust, Camberley, Surrey, United Kingdom Centre for Radiation, Chemical and Environmental Hazards, London, Health Protection Agency, United Kingdom
Caroline Stephens
Affiliation:
Emergency Department, St Mary's Hospital, London, United Kingdom
Maisse Farhan
Affiliation:
Emergency Department, St Mary's Hospital, London, United Kingdom
Patricia Ward
Affiliation:
Emergency Department, St Mary's Hospital, London, United Kingdom
Catherine Keshishian
Affiliation:
Centre for Radiation, Chemical and Environmental Hazards, London, Health Protection Agency, United Kingdom
Virginia Murray
Affiliation:
Centre for Radiation, Chemical and Environmental Hazards, London, Health Protection Agency, United Kingdom
Dominik Zenner
Affiliation:
Health Protection Services, Colindale, London, Health Protection Agency, United Kingdom
*
Correspondence: Simon Clarke, DA, FRCS, FCEM Emergency Department, Frimley Park NHS Foundation Trust Portsmouth Road, Frimley, Camberley, Surrey, GU16 7UJ United Kingdom E-mail sfjclarke@doctors.org.uk
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Abstract

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.

ClarkeSFJ, StephensC, FarhanM, WardP, KeshishianC, MurrayV, ZennerD. Multiple Patients with Carbon Monoxide Toxicity from Water-Pipe Smoking. Prehosp Disaster Med. 2012;27(6):1-3.

Keywords

carbon monoxide poisoningcarboxyhemoglobinemergency medical servicessmokingwater-pipe smoking
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 6 , December 2012 , pp. 612 - 614
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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