title: Fatal hydrogen sulphide poisoning in unconfined spaces.
abstract: Fatal hydrogen sulphide poisoning usually occurs in confined spaces. We report two fatal accidents in unconfined spaces. The first accident caused the death of three workers who entered an unconfined room in a silo of sludge at the same time that a truck dumped several tons of sludge from water purification stations. The hydrogen sulphide that had accumulated inside the silo spilled out into the interior of the room due to a 'splashing effect' caused by the impact of the dumped sludge. The second accident occurred when the foreman of a wastewater treatment plant entered one of the substations to perform routine checks and suddenly lost consciousness. Although he was rapidly transferred to an intensive care unit, death occurred a few hours later. Hydrogen sulphide production was, in this case, due to an 'embolism effect' produced by the displacement of wastewater when the substation pumps were activated. We suggest ways in which accidents such as these caused by sudden release of hydrogen sulphide can be prevented.
authors.affiliation: Toxicology Unit, Hospital Clinic, University of Barcelona, Villarroel 170, 08036 Barcelona, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Nogué
authors.forename: R
authors.initials: R
authors.lastname: Pou
authors.forename: J
authors.initials: J
authors.lastname: Fernández
authors.forename: P
authors.initials: P
authors.lastname: Sanz-Gallén
mesh_terms: D000062:Accidents, Occupational / Q000401:mortality; D000328:Adult; D000393:Air Pollutants / Q000506:poisoning*; D017809:Fatal Outcome; D006801:Humans; D006862:Hydrogen Sulfide / Q000506:poisoning*; D008297:Male; D016273:Occupational Exposure / Q000009:adverse effects*; D012722:Sewage / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D000393:Air Pollutants; D012722:Sewage; D006862:Hydrogen Sulfide