title: Occupational phosgene poisoning: a case report and review.
abstract: Phosgene is a highly toxic gas to which some workers may be occupationally exposed. This case report demonstrates the possibility of refrigeration workers suffering phosgene poisoning after heating certain chlorinated fluorocarbons ('freons'). The need to suspect phosgene exposure and observe such patients is emphasized, especially in view of the delay in clinical deterioration observed in some patients who subsequently develop adult respiratory distress syndrome.
authors.affiliation: Department of Accident and Emergency, Royal Alexandra Hospital, Paisley, Strathclyde, UK.
authors.forename: J P
authors.initials: JP
authors.lastname: Wyatt
authors.forename: C A
authors.initials: CA
authors.lastname: Allister
mesh_terms: D000328:Adult; D001784:Blood Gas Analysis; D005617:Chlorofluorocarbons, Methane / Q000506:poisoning*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D016273:Occupational Exposure / Q000009:adverse effects*; D010705:Phosgene / Q000506:poisoning*; D011379:Prognosis; D012131:Respiratory Insufficiency / Q000139:chemically induced* / Q000175:diagnosis / Q000503:physiopathology
chemical_list: D005617:Chlorofluorocarbons, Methane; D010705:Phosgene; C009755:fluorocarbon 22