title: [Cardiac arrest and hypothermia caused by suicidal intoxication with butane: a case report].
abstract: In the emergency medicine field cases of intoxication by sniffing agents do not occur very often. Nevertheless, considering the easy availability of butane the option of abuse especially by adolescent persons cannot be ignored. Although many cases of accidental death caused by malignant arrhythmia are described ("Sudden sniffing death syndrome"), suicide attempts using butane are a rarity. In this case the emergency treatment has to allow for special pathophysiological changes explained by physicochemical characteristics of butane. The following case report describes the symptomatology and pre-hospital treatment of an intoxication by butane with a suicidal intention.
authors.forename: Gerrit
authors.initials: G
authors.lastname: Jansen
authors.forename: Fritz
authors.initials: F
authors.lastname: Mertzlufft
authors.forename: Carsten
authors.initials: C
authors.lastname: Kirchhoff
authors.forename: Friedhelm
authors.initials: F
authors.lastname: Bach
mesh_terms: D000758:Anesthesia; D001145:Arrhythmias, Cardiac / Q000139:chemically induced / Q000628:therapy; D001784:Blood Gas Analysis; D002073:Butanes / Q000506:poisoning*; D016887:Cardiopulmonary Resuscitation; D002395:Catecholamines / Q000627:therapeutic use; D004632:Emergency Medical Services; D015600:Glasgow Coma Scale; D006323:Heart Arrest / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D006439:Hemodynamics; D006801:Humans; D007035:Hypothermia / Q000139:chemically induced* / Q000503:physiopathology / Q000628:therapy; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D009125:Muscle Relaxants, Central / Q000627:therapeutic use; D012151:Resuscitation; D013406:Suicide, Attempted
chemical_list: D002073:Butanes; D002395:Catecholamines; D009125:Muscle Relaxants, Central; C046888:butane