ETHYLENE GLYCOL
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
ATHYLENGLYKOL (German) 1,2-DIHYDROXYETHANE DOWTHERM DOWTHERM SR 1 EG 1,2-ETHANDIOL 1,2-ETHANEDIOL ETHANE-1,2-DIOL ETHYLENE ALCOHOL ETHYLENE DIHYDRATE ETHYLENE GLYCOL FRIDEX GLYCOL GLYCOL ALCOHOL GLYCOLMONOMER 2-HYDROXYETHANOL LUTROL-9 MACROGOL 400 BPC MEG M.E.G. MONOETHYLENE GLYCOL NORKOOL RAMP TESCOL UCAR 17 ATHYLENGLYKOL
IDENTIFIERS
Editor's Note: This material is not listed in the Emergency Response Guidebook. Based on the material's physical and chemical properties, toxicity, or chemical group, a guide has been assigned. For additional technical information, contact one of the emergency response telephone numbers listed under Public Safety Measures.
SYNONYM REFERENCE
- (HSDB , 2002; RTECS , 2002; Verschueren, 2001)
USES/FORMS/SOURCES
Ethylene glycol lowers the freezing point of water. More than 25 percent of the ethylene glycol produced is used in antifreeze and coolant mixtures for motor vehicles (this use may decrease in the coming years because of environmental concerns related to ethylene glycol released or spilled from motor vehicles). It is also used widely for aircraft deicing, and used in condensers and heat exchangers (ACGIH, 1996; Budavari, 2000; Lewis, 1998). It is also used as a solvent, an industrial humectant, and in hydraulic brake fluids. Large amounts are used as a chemical intermediate, especially in the production of polyester fibers, films, and resins (ACGIH, 1996; Budavari, 2000; Lewis, 1998). It has also been used as a glycerin substitute in commercial products such as paints, lacquers, detergents, and cosmetics (ACGIH, 1996; Budavari, 2000; Lewis, 1998).
Ethylene glycol is a colorless, clear, sweet- or bittersweet-tasting, viscous liquid. It is considerably hygroscopic; it is able to absorb twice its weight of water at 100% relative humidity (ACGIH, 1996; Ashford, 2001; Budavari, 2000). Ethylene glycol is available in two grades of purity: industrial grade and low-conductivity grade (CHRIS, 2002).
Ethylene glycol is produced in several ways: through hydration of ethylene oxide; by the oxidation of ethylene (in the presence of acetic acid to form ethylene diacetate which is hydrolyzed to the glycol, with the acetic acid being recycled in the process); from carbon monoxide and hydrogen from coal gasification; and via the Oxirane process (ACGIH, 1996; Ashford, 2001; Lewis, 2001a). WATER CONTAMINATION An epidemic of children who developed somnolence, vomiting, ataxia, crystalluria, and hematuria was associated with a contaminated water supply containing 9% ethylene glycol (MMWR, 1987).
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- USES: Primarily used as an engine coolant (eg, antifreeze used in car radiators).
- PHARMACOLOGY: No medical use.
- TOXICOLOGY: Primary concern is the severe metabolic acidosis and nephrotoxicity from metabolites. Metabolized by alcohol dehydrogenase (ADH) to glycoaldehyde and then by aldehyde dehydrogenase to glycolic acid. Glycolic acid is metabolized by lactate dehydrogenase or glycolic acid oxidase to glyoxylic acid which can be metabolized to oxalic acid. Specifically, oxalic acid metabolite complexes with calcium to form calcium oxalate crystals in the renal tubules that can lead to acute renal failure. Other intermediate metabolites are believed to be nephrotoxic as well. May have CNS effects believed mediated through GABA receptors.
- EPIDEMIOLOGY: There are thousands of exposures and several deaths every year reported to poison centers. Inadvertent pediatric ingestions rarely develop severe toxicity.
MILD TO MODERATE TOXICITY: Initially, ethylene glycol ingestion may cause intoxication similar to ethanol with CNS depression, nystagmus, ataxia, and somnolence. Nausea and vomiting are also fairly common. If ethylene glycol metabolism is blocked early, there may be no other clinical manifestations. SEVERE TOXICITY: If ethylene glycol metabolism is not blocked early after a significant ingestion, patients develop increasing CNS depression (coma, hypotonia, hyporeflexia, eventually cerebral edema), anion gap metabolic acidosis (often severe, arterial pH less than 7 is common with severe ingestion), and renal failure. Seizures are common with severe toxicity, but usually not prolonged. Mild to moderate tachycardia is common, Kussmaul respirations develop with increasing acidosis, hypotension is rare. Hypocalcemia may result from precipitation of calcium oxalate crystals, which can (rarely) lead to cardiac dysrhythmias. In addition, there are reports of cranial nerve abnormalities developing 1 to 2 weeks post exposure in patients with severe intoxication, which may be secondary to calcium oxalate crystal formation in the brain.
- POTENTIAL HEALTH HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
TOXIC; inhalation, ingestion or skin contact with material may cause severe injury or death. Contact with molten substance may cause severe burns to skin and eyes. Avoid any skin contact. Effects of contact or inhalation may be delayed. Fire may produce irritating, corrosive and/or toxic gases. Runoff from fire control or dilution water may be corrosive and/or toxic and cause pollution.
ACUTE CLINICAL EFFECTS
PHARMACOLOGY: No medical use. TOXICOLOGY: Primary concern is the severe metabolic acidosis and nephrotoxicity from metabolites. Metabolized by alcohol dehydrogenase (ADH) to glycoaldehyde and then by aldehyde dehydrogenase to glycolic acid. Glycolic acid is metabolized by lactate dehydrogenase or glycolic acid oxidase to glyoxylic acid which can be metabolized to oxalic acid. Specifically, oxalic acid metabolite complexes with calcium to form calcium oxalate crystals in the renal tubules that can lead to acute renal failure. Other intermediate metabolites are believed to be nephrotoxic as well. May have CNS effects believed mediated through GABA receptors. EPIDEMIOLOGY: There are thousands of exposures and several deaths every year reported to poison centers. Inadvertent pediatric ingestions rarely develop severe toxicity. MILD TO MODERATE TOXICITY: Initially, ethylene glycol ingestion may cause intoxication similar to ethanol with CNS depression, nystagmus, ataxia, and somnolence. Nausea and vomiting are also fairly common. If ethylene glycol metabolism is blocked early, there may be no other clinical manifestations. SEVERE TOXICITY: If ethylene glycol metabolism is not blocked early after a significant ingestion, patients develop increasing CNS depression (coma, hypotonia, hyporeflexia, eventually cerebral edema), anion gap metabolic acidosis (often severe, arterial pH less than 7 is common with severe ingestion), and renal failure. Seizures are common with severe toxicity, but usually not prolonged. Mild to moderate tachycardia is common, Kussmaul respirations develop with increasing acidosis, hypotension is rare. Hypocalcemia may result from precipitation of calcium oxalate crystals, which can (rarely) lead to cardiac dysrhythmias. In addition, there are reports of cranial nerve abnormalities developing 1 to 2 weeks post exposure in patients with severe intoxication, which may be secondary to calcium oxalate crystal formation in the brain.
CARDIAC ARREST: Cardiorespiratory arrest is most commonly associated with severe metabolic and fluid electrolyte abnormalities (Friedman et al, 1962; Berman et al, 1957; Parry & Wallach, 1974). HYPOTENSION: Cases of hypotension preceding the development of cardiogenic shock in ethylene glycol ingestions have been reported (Donovan et al, 1997; Jobard et al, 1996). HYPERTENSIVE EPISODE: Hypertension (186/110 mmHg) has been reported following ingestion of antifreeze (Walder & Tyler, 1994) and in other ethylene glycol poisonings (Kralova et al, 2006; Eder et al, 1998). PULMONARY EDEMA: Cardiogenic pulmonary edema may occur with severe poisoning (Friedman et al, 1962; Berman et al, 1957; Parry & Wallach, 1974; Denning et al, 1988). CARDIOMEGALY: Cardiomegaly has been reported (Friedman et al, 1962; Berman et al, 1957; Parry & Wallach, 1974).
HYPOCALCEMIA: Hypocalcemia following ethylene glycol ingestion may occur (Corr & Szolics, 2012; Frommer & Ayus, 1982; Parry & Wallach, 1974) but is rarely life threatening.
GASTRITIS: ACUTE EXPOSURE: Nausea, vomiting, hematemesis, and abdominal pain are frequent early findings following ingestions (Moossavi et al, 2003; Parry & Wallach, 1974).
CRYSTALLURIA: The presence of calcium oxalate crystals highly suggests ethylene glycol poisoning. Signs and symptoms of renal insufficiency predominate at 2 to 3 days post-ingestion. Severe ethylene glycol toxicity can occur in the absence of crystalluria (Hantson et al, 2002; Boyer et al, 2001; Baum et al, 2000). ABNORMAL URINE: ACUTE EXPOSURE: Calcium oxaluria, hematuria, and proteinuria are frequently reported (Friedman et al, 1962; Berman et al, 1957; Parry & Wallach, 1974). Fluorescent urine is often seen when viewed with a Wood's lamp following antifreeze ingestion. However, fluorescent urine is not specific to ethylene glycol ingestion. Most normal urine specimens exhibit some degree of fluorescence (Casavant et al, 2001). RENAL FAILURE SYNDROME: ACUTE EXPOSURE: Flank pain, costovertebral angle tenderness with oliguria, proteinuria, and anuria are common (Friedman et al, 1962). Cases of acute (Kralova et al, 2006; Tadokoro et al, 1995) and permanent renal failure have been reported with ethylene glycol ingestions (Dezso et al, 2011).
TOXIC MYOPATHY: Myalgia, muscle tenderness, and elevated CPK levels have been described (Parry & Wallach, 1974; Scully et al, 1979; Verrilli et al, 1987).
COMA: Coma may occur if large amounts have been ingested or treatment is delayed or inadequate (Bey et al, 2002; Berman et al, 1957; Bobbitt et al, 1986; Jobard et al, 1996). Coma is most common within hours of the ingestion but can occur at any time. Onset of coma was reported 4 days post-ingestion in one case (Haupt et al, 1988). PERMANENT NEUROLOGIC INJURY: Central nervous system damage and associated circulatory disturbances have caused death in several cases (Rzepecki & Fabicka, 1992). CEREBRAL EDEMA: Cerebral edema has been reported (Bobbitt et al, 1986; Haupt et al, 1988; Maier, 1983). SEIZURE: Seizures with a sudden onset, and death may occur if large amounts have been ingested (Froberg et al, 2006; Dy-Liacco et al, 2003; Jobard et al, 1996). INEBRIATION: Slurred speech, ataxia, and somnolence are frequent early findings (Parry & Wallach, 1974). CNS effects are similar to ethanol intoxication.
ACUTE LUNG INJURY: Delayed onset of adult respiratory distress syndrome (ARDS) was described 6 days after ingestion of ethylene glycol (Haupt et al, 1988) and in other cases (Piagnerelli et al, 1999; Catchings et al, 1985).
CHRONIC CLINICAL EFFECTS
- Little is known about the effects of chronic exposure to ethylene glycol in humans. Levels of 1.4 to 27 ppm were well tolerated in human volunteers exposed for 20 to 22 hours/day for approximately 4 weeks; the main complaints were throat irritation, headache and low backache (ACGIH, 1991).
- In a Russian study involving two electronic component manufacturing workshops in which ethylene glycol exposures were 49 mg/m(3), functional disorders of the NERVOUS SYSTEM were observed in almost half of the exposed workers (Dubejkovaskaja, 1973). Neurologic effects have not been confirmed in other occupational studies, however.
- In 1950, of 38 women who spread a mixture of 40% ethylene glycol, 55% boric acid and 5% ammonia at 105 degrees Celsius onto paper and aluminum strips, 9 experienced frequent loss of consciousness, absolute lymphocytosis, and nystagmus (Troisi, 1950; Haley & Berndt, 1987).
- Repeated exposure to ethylene glycol by inhalation in rats, guinea pigs, rabbits, monkeys and dogs at 10 and 57 mg/m(3) produced no obvious changes, other than eye irritation in rabbits and corneal damage in rats after 8 days (Coon, 1970).
- Chronic feeding or oral administration in animals have generally resulted in KIDNEY DAMAGE, with or without deposits of calcium oxalate in the kidneys (Depass, 1986). Doses required to produce kidney damage were 2.5% to 5% in the diet of rats and mice fed for 13 weeks (Melnick, 1984).
- Kidney damage was also produced in monkeys given ethylene glycol in the drinking water, and calcium oxalate crystals were also found in the brain (Roberts & Seibold, 1969). No toxic effects were found in a 3 year study of monkeys fed ethylene glycol at 0.2% or 0.5% in the diet (Blood, 1962).
-FIRST AID
FIRST AID AND PREHOSPITAL TREATMENT
Activated charcoal is not routinely recommended for isolated ethylene glycol ingestions. The utility of activated charcoal is limited due to ethylene glycol's rapid absorption from the GI tract and its poor binding affinity for activated charcoal. Unless there is concern for coingestants, there is little benefit from activated charcoal administration in ethylene glycol ingestions. The decision to administer activated charcoal is left to the individual clinician.
-MEDICAL TREATMENT
LIFE SUPPORT
- Support respiratory and cardiovascular function.
SUMMARY
- FIRST AID - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
Move victim to fresh air. Call 911 or emergency medical service. Give artificial respiration if victim is not breathing. Do not use mouth-to-mouth method if victim ingested or inhaled the substance; give artificial respiration with the aid of a pocket mask equipped with a one-way valve or other proper respiratory medical device. Administer oxygen if breathing is difficult. Remove and isolate contaminated clothing and shoes. In case of contact with substance, immediately flush skin or eyes with running water for at least 20 minutes. For minor skin contact, avoid spreading material on unaffected skin. Keep victim warm and quiet. Effects of exposure (inhalation, ingestion or skin contact) to substance may be delayed. Ensure that medical personnel are aware of the material(s) involved and take precautions to protect themselves.
FIRST AID INHALATION EXPOSURE INHALATION: Move patient to fresh air. Monitor for respiratory distress. If cough or difficulty breathing develops, evaluate for respiratory tract irritation, bronchitis, or pneumonitis. Administer oxygen and assist ventilation as required. Treat bronchospasm with an inhaled beta2-adrenergic agonist. Consider systemic corticosteroids in patients with significant bronchospasm.
DERMAL EXPOSURE EYE EXPOSURE DECONTAMINATION: Remove contact lenses and irrigate exposed eyes with copious amounts of room temperature 0.9% saline or water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist after 15 minutes of irrigation, the patient should be seen in a healthcare facility.
ORAL EXPOSURE Activated charcoal is not routinely recommended for isolated ethylene glycol ingestions. The utility of activated charcoal is limited due to ethylene glycol's rapid absorption from the GI tract and its poor binding affinity for activated charcoal. Unless there is concern for coingestants, there is little benefit from activated charcoal administration in ethylene glycol ingestions. The decision to administer activated charcoal is left to the individual clinician. PREHOSPITAL ACTIVATED CHARCOAL ADMINISTRATION Consider prehospital administration of activated charcoal as an aqueous slurry in patients with a potentially toxic ingestion who are awake and able to protect their airway. Activated charcoal is most effective when administered within one hour of ingestion. Administration in the prehospital setting has the potential to significantly decrease the time from toxin ingestion to activated charcoal administration, although it has not been shown to affect outcome (Alaspaa et al, 2005; Thakore & Murphy, 2002; Spiller & Rogers, 2002). In patients who are at risk for the abrupt onset of seizures or mental status depression, activated charcoal should not be administered in the prehospital setting, due to the risk of aspiration in the event of spontaneous emesis. The addition of flavoring agents (cola drinks, chocolate milk, cherry syrup) to activated charcoal improves the palatability for children and may facilitate successful administration (Guenther Skokan et al, 2001; Dagnone et al, 2002).
ACTIVATED CHARCOAL: Administer charcoal as a slurry (240 mL water/30 g charcoal). Usual dose: 25 to 100 g in adults/adolescents, 25 to 50 g in children (1 to 12 years), and 1 g/kg in infants less than 1 year old. SEIZURES: Administer a benzodiazepine; DIAZEPAM (ADULT: 5 to 10 mg IV initially; repeat every 5 to 20 minutes as needed. CHILD: 0.1 to 0.5 mg/kg IV over 2 to 5 minutes; up to a maximum of 10 mg/dose. May repeat dose every 5 to 10 minutes as needed) or LORAZEPAM (ADULT: 2 to 4 mg IV initially; repeat every 5 to 10 minutes as needed, if seizures persist. CHILD: 0.05 to 0.1 mg/kg IV over 2 to 5 minutes, up to a maximum of 4 mg/dose; may repeat in 5 to 15 minutes as needed, if seizures continue). Consider phenobarbital or propofol if seizures recur after diazepam 30 mg (adults) or 10 mg (children greater than 5 years). Monitor for hypotension, dysrhythmias, respiratory depression, and need for endotracheal intubation. Evaluate for hypoglycemia, electrolyte disturbances, and hypoxia.
-RANGE OF TOXICITY
MINIMUM LETHAL EXPOSURE
- The minimum lethal dose is on the order of 100 mL in adults, although individuals reportedly have survived much higher doses (Hathaway et al, 1996; Budavari, 2000; Hunt, 1932).
- The lethal oral dose is also estimated to be 1.5 mL/kg or 1.56 g/kg (Lewis, 1998).
- Death has been reported after ingestion of as little as 30 or 60 mL, although ingestion of more than 3000 mL has been survived (Johnson et al, 1999; Brown et al, 1983; Field, 1985; Stokes & Aueron, 1980; Widman, 1946).
- Ingestion of one-fourth to one-half pint of antifreeze solution resulted in death from renal failure after 12 days (OSHA, 1990).
- Contamination of a dialysis water supply resulted in coma, acidosis, irreversible shock, and death in a 52-year-old woman with chronic renal failure (MMWR, 1987).
An epidemic of children who developed somnolence, vomiting, ataxia, crystalluria, and hematuria was associated with a contaminated water supply containing nine percent ethylene glycol (MMWR, 1987).
MAXIMUM TOLERATED EXPOSURE
INGESTION A consensus guideline recommends that children with more than an observed lick, sip or taste ingestion or an adult with known accidental ingestion of more than a "swallow" (10 to 30 mL) should be referred immediately to a healthcare facility. Children with an observed lick, sip or taste ingestion or a known accidental ingestion of less than 10 mL in an adult can be monitored at home (Caravati et al, 2005). Survival has occurred after ingestion of 240, 400, 1500, and 3000 mL (Johnson et al, 1999; Baud et al, 1988; Brown et al, 1983; Kahn & Brotchner, 1950; Seeff et al, 1970; Stokes & Aueron, 1980). Somnolence, vomiting, ataxia, crystalluria and hematuria in children were associated with a contaminated water supply that contained nine percent ethylene glycol (MMWR, 1987). Following the ingestion of 3000 mL of ethylene glycol (EG) antifreeze, a patient with an EG concentration of 1889 mg/dL was immediately started on hemodialysis and ethanol infusions before laboratory confirmation. When EG concentrations decreased to less than 20 mg/dL, both hemodialysis and ethanol infusions were stopped. The patient survived, in spite of complications of pulmonary edema and acute renal failure (Johnson et al, 1999).
INHALATION The lowest published toxic airborne concentration for a human has been reported as 10,000 mg/m(3) (Lewis, 2000; RTECS , 2002). Human subjects considered an ethylene glycol (as vapor and aerosol) concentration of 205.5 mg/m(3) intolerable because of the irritation of the eyes and throat that exposure caused (Hathaway et al, 1996). Throat irritation and headache were associated with human exposure to an aerosol concentration of 12 ppm for 20 to 22 hours/day for four weeks. Increased upper respiratory tract irritation occurred with 56 ppm exposure, and upper respiratory tract irritant effects made exposure to 80 ppm intolerable (Hathaway et al, 1996). Exposure to vapor or aerosol at 69 mg/m(3) produced no symptoms, while exposure at 137 mg/m(3) produced recognizable taste, eye, and throat irritations (Wills, 1974).
- Carcinogenicity Ratings for CAS107-21-1 :
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): A4 ; Listed as: Ethylene glycol EPA (U.S. Environmental Protection Agency, 2011): Not Assessed under the IRIS program. ; Listed as: Ethylene glycol IARC (International Agency for Research on Cancer (IARC), 2016; International Agency for Research on Cancer, 2015; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2010a; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2008; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2007; IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, 2006; IARC, 2004): Not Listed NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed ; Listed as: Ethylene glycol MAK (DFG, 2002): Not Listed NTP (U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project ): Not Listed
TOXICITY AND RISK ASSESSMENT VALUES
- EPA Risk Assessment Values for CAS107-21-1 (U.S. Environmental Protection Agency, 2011):
Oral: Slope Factor: RfD: 2 mg/kg-day
Inhalation: Drinking Water:
CALCULATIONS
1 ppm = 2.54 mg/m(3) (at 25 degrees C and 760 mmHg) (ACGIH, 1996a; Bingham et al, 2001) 1 mg/m(3) = 0.39 ppm (ACGIH, 1996a; Verschueren, 2000) 1 mg/L = 365.0 ppm (at 25 degrees C and 760 mmHg) (Bingham et al, 2001) 1 ppm = 2.58 mg/m(3) (Verschueren, 2000)
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS107-21-1 (American Conference of Governmental Industrial Hygienists, 2010):
Editor's Note: The listed values are recommendations or guidelines developed by ACGIH(R) to assist in the control of health hazards. They should only be used, interpreted and applied by individuals trained in industrial hygiene. Before applying these values, it is imperative to read the introduction to each section in the current TLVs(R) and BEI(R) Book and become familiar with the constraints and limitations to their use. Always consult the Documentation of the TLVs(R) and BEIs(R) before applying these recommendations and guidelines.
- AIHA WEEL Values for CAS107-21-1 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS107-21-1 (National Institute for Occupational Safety and Health, 2007):
- OSHA PEL Values for CAS107-21-1 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS107-21-1 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS107-21-1 (U.S. Environmental Protection Agency, 2010):
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS107-21-1 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS107-21-1 (U.S. Environmental Protection Agency, 2010b):
- EPA SARA Title III, Extremely Hazardous Substance List for CAS107-21-1 (U.S. Environmental Protection Agency, 2010):
- EPA SARA Title III, Community Right-to-Know for CAS107-21-1 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
Listed as: Ethylene glycol Effective Date for Reporting Under 40 CFR 372.30: 1/1/87 Lower Thresholds for Chemicals of Special Concern under 40 CFR 372.28:
- DOT List of Marine Pollutants for CAS107-21-1 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS107-21-1 (EPA, 2005):
SHIPPING REGULATIONS
- DOT -- Table of Hazardous Materials and Special Provisions (49 CFR 172.101, 2005):
- ICAO International Shipping Name (ICAO, 2002):
LABELS
- NFPA Hazard Ratings for CAS107-21-1 (NFPA, 2002):
-HANDLING AND STORAGE
STORAGE
Store ethylene glycol in tightly closed containers to avoid moisture. Resin-coated, stainless steel, or aluminum containers are preferable. Protect containers against physical damage (ITI, 1995; Sittig, 1991). Open (flame arrester) venting is preferred (CHRIS , 2002). Avoid heat or flame (Lewis, 2000; Pohanish & Greene, 1997).
- ROOM/CABINET RECOMMENDATIONS
Ethylene glycol is incompatible with strong acids, caustics, aliphatic amines, isocyanates, chlorosulfonic acid, and oleum (Pohanish & Greene, 1997; Sittig, 1991). Ethylene glycol reacts vigorously with oxidizers, and is combustible following preheating (Lewis, 2000; OHM/TADS , 2002; Pohanish & Greene, 1997).
-PERSONAL PROTECTION
SUMMARY
- RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing that is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing provides limited protection. fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible.
- Ethylene glycol is poisonous by ingestion, and chronic ingestion can result in fatal kidney injury. However, ingestion is unlikely in an industrial setting (Bingham et al, 2001; CHRIS , 2002; HSDB , 2002).
- Hazard from inhalation of vapor is also unlikely; however, inhalation may cause irritation of the upper respiratory tract if high concentration of ethylene glycol is handled hot (used at elevated temperatures) or if it is agitated violently thus generating a mist. Repeated inhalation exposure over a prolonged period of time may also present a health hazard. Appropriate protective equipment should be worn, particularly when working with aerosolized ethylene glycol (Bingham et al, 2001; CHRIS , 2002; HSDB , 2002).
- Ethylene glycol is practically harmless to the skin and produces no significant irritant reaction. A slight macerating action on the skin may result from very severe and prolonged exposure. It is not readily absorbed through the skin; however, based on animal studies, toxic amounts may be absorbed through the skin from very severe and prolonged exposure. Repeated dermal exposure over a prolonged period of time may also present a health hazard (Bingham et al, 2001; CHRIS , 2002; HSDB , 2002).
- Contact with skin and eyes is most likely to occur through industrial handling. Appropriate protective clothing should be worn and an emergency shower should be available near work areas (Bingham et al, 2001; CHRIS , 2002; HSDB , 2002).
- Workers who are deficient in vitamin B6 or in magnesium may be more sensitive to the toxic effects of ethylene glycol (ATSDR, 1997).
EYE/FACE PROTECTION
- Goggles should be worn when handling ethylene glycol. An eye bath should be available near work areas (CHRIS , 2002).
RESPIRATORY PROTECTION
- Refer to "Recommendations for respirator selection" in the NIOSH Pocket Guide to Chemical Hazards on TOMES Plus(R) for respirator information.
- Appropriate protective equipment should be worn, particularly when working with aerosolized ethylene glycol (Bingham et al, 2001; CHRIS , 2002; HSDB , 2002).
PROTECTIVE CLOTHING
- CHEMICAL PROTECTIVE CLOTHING. Search results for CAS 107-21-1.
-PHYSICAL HAZARDS
FIRE HAZARD
Editor's Note: This material is not listed in the Emergency Response Guidebook. Based on the material's physical and chemical properties, toxicity, or chemical group, a guide has been assigned. For additional technical information, contact one of the emergency response telephone numbers listed under Public Safety Measures. POTENTIAL FIRE OR EXPLOSION HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004) Combustible material: may burn but does not ignite readily. When heated, vapors may form explosive mixtures with air: indoors, outdoors and sewers explosion hazards. Those substances designated with a "P" may polymerize explosively when heated or involved in a fire. Contact with metals may evolve flammable hydrogen gas. Containers may explode when heated. Runoff may pollute waterways. Substance may be transported in a molten form.
Ethylene glycol reacts vigorously with oxidizers (Lewis, 2000; Pohanish & Greene, 1997). Ethylene glycol ignites on contact with the following: chromium trioxide, potassium permanganate, sodium peroxide (ACGIH, 1996a). "In a study of hypergolic ignition of ethylene glycol by oxidants, chromium trioxide, potassium permanganate, and sodium peroxide ignited on contact at ambient temperature" (Urben, 1999). Mixtures of aqueous sodium hypochlorite and ethylene glycol were observed to erupt violently after an induction period of four to eight minutes (Urben, 1999). It can react violently with chlorosulfonic acid, oleum, sulfuric acid, perchloric acid, and phosphorus sulfide (Lewis, 2000; Pohanish & Greene, 1997). Ethylene glycol and its ethers undergo violent decomposition on contact with 70% perchloric acid (Urben, 1999).
Ethylene glycol is combustible following preheating (OHM/TADS , 2002). Mixtures of ethylene glycol with the following substances ignite when heated to 100 degrees C: ammonium dichromate, silver chlorate, sodium chlorite, uranyl nitrate (Urben, 1999). Mixing equal weights of ethylene glycol and potassium dichromate is uneventful at ambient temperature; however, at 100 degrees C an exotherm of 170 degrees C occurs (Urben, 1999).
Aqueous solutions may ignite silvered copper wires which have an applied DC voltage (ACGIH, 1996a).
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS107-21-1 (NFPA, 2002):
- INITIATING OR CONTRIBUTING PROPERTIES
- FIRE CONTROL/EXTINGUISHING AGENTS
- SMALL FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
- LARGE FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
Dry chemical, CO2, alcohol-resistant foam or water spray. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material.
- TANK OR CAR/TRAILER LOAD FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. ALWAYS stay away from tanks engulfed in fire.
- NFPA Extinguishing Methods for CAS107-21-1 (NFPA, 2002):
- Use alcohol foam, dry chemical, or carbon dioxide to fight fire. Use water only to keep containers cool (AAR, 2000). Do not use water because it may cause frothing (CHRIS , 2002). Keep run-off out of sewers and water sources as it poses a threat to the environment (AAR, 2000).
When heated to decomposition, ethylene glycol emits acrid smoke and irritating fumes that are slightly hazardous (Lewis, 2000; OHM/TADS , 2002).
EXPLOSION HAZARD
- Ethylene glycol poses a moderate explosion hazard when exposed to heat or flame (Lewis, 2000).
- Ethylene glycol ignites on contact with the following: chromium trioxide, potassium permanganate, sodium peroxide (Lewis, 2000).
- Mixtures of ethylene glycol with the following substances ignite when heated to 100 degrees C: ammonium dichromate, silver chlorate, sodium chlorite, uranyl nitrate (Urben, 1999).
- It may ignite silvered copper wire with an applied DC voltage (ACGIH, 1996a).
DUST/VAPOR HAZARD
- When heated to decomposition, ethylene glycol emits acrid smoke and irritating fumes that are slightly hazardous (Lewis, 2000; OHM/TADS , 2002).
REACTIVITY HAZARD
- Ethylene glycol reacts vigorously with oxidizers (Lewis, 2000; Pohanish & Greene, 1997).
Ethylene glycol ignites on contact with the following: chromium trioxide, potassium permanganate, sodium peroxide (ACGIH, 1996a). "In a study of hypergolic ignition of ethylene glycol by oxidants, chromium trioxide, potassium permanganate, and sodium peroxide ignited on contact at ambient temperature" (Urben, 1999). Mixtures of aqueous sodium hypochlorite and ethylene glycol were observed to erupt violently after an induction period of four to eight minutes (Urben, 1999). It can react violently with chlorosulfonic acid, oleum, sulfuric acid, perchloric acid, and phosphorus sulfide (Lewis, 2000; Pohanish & Greene, 1997). Ethylene glycol and its ethers undergo violent decomposition in contact with 70% perchloric acid (Urben, 1999).
- Ethylene glycol is combustible following preheating (OHM/TADS , 2002).
Mixtures of ethylene glycol with the following substances ignite when heated to 100 degrees C: ammonium dichromate, silver chlorate, sodium chlorite, uranyl nitrate (Urben, 1999). Mixing equal weights of ethylene glycol and potassium dichromate is uneventful at ambient temperature; however, at 100 degrees C an exotherm of 170 degrees C occurs (Urben, 1999).
- Aqueous solutions may ignite silvered copper wires which have an applied DC voltage (ACGIH, 1996a).
- Mixing ethylene glycol with the following substances in a closed container caused the temperature and pressure to increase: chlorosufonic acid, oleum, sulfuric acid (NFPA, 2002a).
EVACUATION PROCEDURES
- Initial Isolation and Protective Action Distances (ERG, 2004)
Data presented from the Emergency Response Guidebook Table of Initial Isolation and Protective Action Distances are for use when a spill has occurred and there is no fire. If there is a fire, or if a fire is involved, evacuation information presented under FIRE - PUBLIC SAFETY EVACUATION DISTANCES should be used. Generally, a small spill is one that involves a single, small package such as a drum containing up to approximately 200 liters, a small cylinder, or a small leak from a large package. A large spill is one that involves a spill from a large package, or multiple spills from many small packages. Suggested distances to protect from vapors of toxic-by-inhalation and/or water-reactive materials during the first 30 minutes following the spill. - SPILL - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
Increase, in the downwind direction, as necessary, the isolation distance of at least 50 meters (150 feet) for liquids and at least 25 meters (75 feet) for solids in all directions.
- FIRE - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
If tank, rail car or tank truck is involved in a fire, ISOLATE for 800 meters (1/2 mile) in all directions; also, consider initial evacuation for 800 meters (1/2 mile) in all directions.
- PUBLIC SAFETY MEASURES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004)
CALL Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number: MEXICO: SETIQ: 01-800-00-214-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5559-1588; For calls originating elsewhere, call: 011-52-555-559-1588.
CENACOM: 01-800-00-413-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5550-1496, 5550-1552, 5550-1485, or 5550-4885; For calls originating elsewhere, call: 011-52-555-550-1496, or 011-52-555-550-1552; 011-52-555-550-1485, or 011-52-555-550-4885.
ARGENTINA: CIQUIME: 0-800-222-2933 in the Republic of Argentina; For calls originating elsewhere, call: +54-11-4613-1100.
BRAZIL: PRÓ-QUÍMICA: 0-800-118270 (Toll-free in Brazil); For calls originating elsewhere, call: +55-11-232-1144 (Collect calls are accepted).
COLUMBIA: CISPROQUIM: 01-800-091-6012 in Colombia; For calls originating in Bogotá, Colombia, call: 288-6012; For calls originating elsewhere, call: 011-57-1-288-6012.
CANADA: UNITED STATES:
For additional details see the section entitled "WHO TO CALL FOR ASSISTANCE" under the ERG Instructions. As an immediate precautionary measure, isolate spill or leak area in all directions for at least 50 meters (150 feet) for liquids and at least 25 meters (75 feet) for solids. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate enclosed areas.
- AIHA ERPG Values for CAS107-21-1 (AIHA, 2006):
- DOE TEEL Values for CAS107-21-1 (U.S. Department of Energy, Office of Emergency Management, 2010):
- AEGL Values for CAS107-21-1 (National Research Council, 2010; National Research Council, 2009; National Research Council, 2008; National Research Council, 2007; NRC, 2001; NRC, 2002; NRC, 2003; NRC, 2004; NRC, 2004; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; United States Environmental Protection Agency Office of Pollution Prevention and Toxics, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; 62 FR 58840, 1997; 65 FR 14186, 2000; 65 FR 39264, 2000; 65 FR 77866, 2000; 66 FR 21940, 2001; 67 FR 7164, 2002; 68 FR 42710, 2003; 69 FR 54144, 2004):
- NIOSH IDLH Values for CAS107-21-1 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
SPILL OR LEAK PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004) ELIMINATE all ignition sources (no smoking, flares, sparks or flames in immediate area). Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. Prevent entry into waterways, sewers, basements or confined areas. Absorb or cover with dry earth, sand or other non-combustible material and transfer to containers. DO NOT GET WATER INSIDE CONTAINERS.
RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 153 (ERG, 2004) Wear positive pressure self-contained breathing apparatus (SCBA). Wear chemical protective clothing that is specifically recommended by the manufacturer. It may provide little or no thermal protection. Structural firefighters' protective clothing provides limited protection. fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible.
Ethylene glycol can be recovered from polyester plant wastes (Sittig, 1991). "Distillation of used automobile and heavy duty engine coolant under reduced pressure has been assessed to be an acceptable technology for recycling ethylene glycol" (ATSDR, 1997). Waste management activities associated with material disposition are unique to individual situations. Proper waste characterization and decisions regarding waste management should be coordinated with the appropriate local, state, or federal authorities to ensure compliance with all applicable rules and regulations.
Two technologies, in situ vitrification (a thermal treatment technology) and encapsulated biooxidation (a method where polyvinylidene chloride encapsulated sodium percarbonate is inserted in subsurface soil by hydraulic fracturing to enhance aerobic biodegradation), have shown potential for the remediation of soil contaminated with ethylene glycol (ATSDR, 1997). Two methods for greater than 99 percent destruction of ethylene glycol in waste water are UV catalyzed oxidation and supercritical oxidation (ATSDR, 1997).
-ENVIRONMENTAL HAZARD MANAGEMENT
POLLUTION HAZARD
- The primary hazard of ethylene glycol is the threat posed to the environment. Spills can penetrate the soil and contaminate ground water and nearby streams (AAR, 2000).
ENVIRONMENTAL FATE AND KINETICS
If released into the atmosphere, ethylene glycol will mainly exist in the vapor phase followed by degradation through reaction with hydroxyl radicals (HSDB, 2004). The rate constant for the vapor-phase reaction of ethylene glycol with photochemically-produced hydroxyl radicals has been experimentally determined to be 7.7X10(-12) cm(3)/molecule-sec at 25 degrees C (HSDB, 2004). The half-life for reaction with hydroxyl radicals was calculated to be 2.1D (Verschueren, 2001).
Ethylene glycol in the atmosphere is predicted to have a half-life of about 1 day (Howard, 1990). Ethylene glycol in the vapor-phase is degraded with an estimated half-life of about 50 hours (HSDB, 2004). The photooxidation half-life of ethylene glycol in air ranges from 8.3 hours to 83 hours (3.5 days) based on the measured photooxidation rate constant with hydroxy radicals (Howard et al, 1991).
SURFACE WATER When released into water, ethylene glycol readily biodegrades; it is not expected to adsorb to sediment, nor is it expected to volatilize from water surfaces (Howard, 1990; HSDB, 2004). Photooxidation of ethylene glycol in aqueous systems is not significant; hydrolysis is not possible since ethylene glycol has no hydrolyzable groups. Glycols are resistant to hydrolysis (HSDB, 2004; Howard, 1990; Howard et al, 1991). The half-life of ethylene glycol in surface water is judged to range from 48 hours (2 days) to 288 hours (12 days), based on aqueous aerobic biodegradation (Howard et al, 1991). The photooxidation half-life of ethylene glycol in water ranges from 6400 hours (267 days) to 566,000 hours (64.6 years), based on the measured photooxidation rate constant with OH (Howard et al, 1991).
GROUND WATER Ethylene glycol may potentially leach to groundwater since it is completely soluble in water (Howard, 1990). The half-life of ethylene glycol in ground water is judged to range from 96 hours (4 days) to 576 hours (24 days), based on aqueous aerobic biodegradation (Howard et al, 1991).
TERRESTRIAL Ethylene glycol will have very high mobility in soil (HSDB, 2004). It is assumed that ethylene glycol released on land will leach to groundwater since it is completely soluble in water. It is also assumed that it will biodegrade rapidly in soil (Howard, 1990). Ethylene glycol in Anthony silt loam soil (where the dominant clays are montmorillonite and mica) will increase the intrinsic permeability of the soil by a factor of 1.2 (Dragun, 1988). Ethylene glycol in Canelo clay loam soil (where the dominant clay is kaolinite) will increase the intrinsic permeability of the soil by a factor of six (Dragun, 1988). Ethylene glycol in Chalmers sandy clay loam soil (where the dominant clays are montmorillonite and vermiculite) will increase the intrinsic permeability of the soil by a factor of two (Dragun, 1988). Ethylene glycol in Fanno clay soil (where the dominant clays are montmorillonite and mica) will increase the hydraulic conductivity of the soil by a factor of 39 and will increase the intrinsic permeability of the soil by a factor of 41 (Dragun, 1988). Ethylene glycol in Houston black clay soil will increase the hydraulic conductivity of the soil by a factor of three (Dragun, 1988). Ethylene glycol in lake bottom clay (where the dominant clays are illite and kaolinite) will increase the hydraulic conductivity of the soil by a factor of 47 and will increase the intrinsic permeability of the soil by a factor of five (Dragun, 1988). Ethylene glycol in Lufkin clay soil will increase the hydraulic conductivity of the soil by a factor of 100 (Dragun, 1988).
Ethylene glycol is not expected to volatilize from moist soil. Volatilization from dry soil surfaces is possible (HSDB, 2004). The half-life of ethylene glycol in soil is judged to range from 48 hours (two days) to 288 hours (12 days), based on aqueous aerobic biodegradation (Howard et al, 1991).
ABIOTIC DEGRADATION
- Ethylene glycol has very high mobility in soil and is expected to leach to groundwater due to its water solubility. Volatilization from dry soil surfaces may occur. It biodegrades in soil and water. It is not likely to photooxidize, adsorb to sediment, or volatilize from water. The vapor phase photooxidizes or degrades by reaction with hydroxyl radicals in the atmosphere (HSDB, 2004; Howard et al, 1991; Howard, 1990).
BIODEGRADATION
- After 9 months, 100% elimination of ethylene glycol at a soil concentration of 4900 mg/kg was accomplished by biodegradation. The soil was saturated with nitrogen, potassium, and oxygen (Verschueren, 2001).
- Aerobic biodegradation completes in less than 1 to 4 days. The 100% theoretical biological oxygen demand may not be realized for several weeks. Anaerobic biodegradation is complete in 7 days with ethylene glycol at 30 mg-degrees C per liter and added glycose (HSDB, 2004).
The aerobic half-life of ethylene glycol in unacclimated aqueous systems ranges from 48 hours (2 days) to 288 hours (12 days), based on grab sample, river die-away studies (Howard et al, 1991). The scientific judgment of the anaerobic half-life of ethylene glycol in unacclimated aqueous systems ranges from 192 hours (8 days) to 1152 hours (48 days), based on aqueous aerobic biodegradation (Howard et al, 1991).
- Degradation completed in 3 days at 20 degrees C and 5 - 14 days at 8 degrees C (river die-away test) (HSDB, 2004).
BIOACCUMULATION
Algae (Chlorella fusca): 190 (BCF) -- exposed to 50 mcg/L ethylene glycol (Verschueren, 2001) Fish (Leuciscus idus melanotus): 10 (BCF) -- exposed to 50 mcg/L ethylene glycol (Verschueren, 2001) After 3 days of exposure, the bioconcentration factor (BCF) in fish (Golden ide) was 10 (Howard, 1990; HSDB, 2004). After 61 days of exposure, the BCF in crayfish was measured at 0.21 to 0.61 (HSDB, 2004): Crayfish were exposed to ethylene glycol at 50 mcg/mL, 200 mcg/mL and 1000 mcg/mL for 61 days and then transferred to clean water for 67 days. Complete elimination of the accumulated ethylene glycol was reported within 5 days, 6 days, and 6 days, respectively.
After 1 day of exposure, the BCF in algae (Chlorella fusca) was reported to be 190 (HSDB, 2004).
ENVIRONMENTAL TOXICITY
LC50 - (WATER) FROG (Rana brevipoda), tadpoles: 17,000 mg/L for 48H (IPCS, 2000) LD50 - (WATER) GOLDFISH (Carassius auratus): >5000 mg/L for 24H -- modified ASTM D 1345 (HSDB, 2004) LC50 - (WATER) GOLDFISH: 5000 mg/L for 24H -- at 20 degrees C, static conditions (HSDB, 2004) LC50 - (WATER) RAINBOW TROUT: 18,500 mg/L for 96H (HSDB, 2004) LC50 - (WATER) RAINBOW TROUT: 41,000 mg/L for 96H -- at 20 degrees C (HSDB, 2004) LC50 - (WATER) GUPPY (Poecilia reticulata): 49,300 ppm for 7D (HSDB, 2004) LC50 - (WATER) CRAYFISH (Procambarus sp.): 91,430 mg/L for 96H (IPCS, 2000) LC50 - (WATER) BROWN SHRIMP (Crangon crangon): >100 mg/L for 48H -- aerated salt water (HSDB, 2004) LC50 - (WATER) BROWN SHRIMP (Crangon crangon): about 50,000 mg/L for 96H (IPCS, 2000) LC50 - (WATER) COMMON SHRIMP (Crangon vulgaris): 50,000 mg/L for 96H (IPCS, 2000) LC50 - (WATER) WATER FLEA (Daphnia magna): >10,000 - 74,400 mg/L for 48H -- immobilization at 10,000 mg/L (IPCS, 2000) Toxicity threshold - (WATER) PROTOZOA (Entosiphon sulcatum): >10,000 mg/L -- by cell multiplication inhibition test (HSDB, 2004) Toxicity threshold - (WATER) PROTOZOA (Uronema parduczi): >10,000 mg/L -- by cell multiplication inhibition test (HSDB, 2004) Toxicity threshold - (WATER) ALGAE (Microcystis aeruginosa): 2000 mg/L -- by cell multiplication inhibition test (HSDB, 2004) Toxicity threshold - (WATER) GREEN ALGAE (Scenedesmus quandricauda): >10,000 mg/L -- by cell multiplication inhibition test (HSDB, 2004) TC - (WATER) ALGAE (Chlorella pyrenoidosa): 180,000 mg/L (HSDB, 2004) EC50 - (WATER) GREEN ALGAE (Selenastrum capricornutum): 6500-7500 mg/L for 96H -- affected growth and cell counts (IPCS, 2000) EC50 - (WATER) GREEN ALGAE (Selenastrum capricornutum): 9500-13,000 mg/L for 96H -- affected growth and cell volume (IPCS, 2000) EC50 - (WATER) GREEN ALGAE (Selenastrum capricornutum): 24,000 mg/L for 168H -- affected growth and cell volume (IPCS, 2000)
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
DESCRIPTION/PHYSICAL STATE
- Ethylene glycol is a colorless, clear, sweet- or bittersweet-tasting, viscous liquid. It is considerably hygroscopic; it is able to absorb twice its weight of water at 100% relative humidity (ACGIH, 1996a; Ashford, 2001; Budavari, 2000). It is heavier than water and will sink (and mix) in water (CHRIS , 2002).
VAPOR PRESSURE
- 0.05 mmHg; 6.5 Pa (at 20 degrees C) (ACGIH, 1996a; Lewis, 2000; Verschueren, 2001)
- 0.06 mmHg (at 20 degrees C) (Bingham et al, 2001)
- 0.0878 mmHg (at 25 degrees C) (Howard, 1990)
- 0.092 mmHg (at 25 degrees C) (HSDB , 2002)
- 0.2 mmHg (at 30 degrees C) (Verschueren, 2001)
SPECIFIC GRAVITY
- NORMAL TEMPERATURE AND PRESSURE
(25 degrees C; 77 degrees F and 760 mmHg) 1.11 (at 25/4 degrees C) (Bingham et al, 2001) 1.113 (at 25/25 degrees C) (ACGIH, 1996a; Lewis, 2000)
- STANDARD TEMPERATURE AND PRESSURE
- OTHER TEMPERATURE AND/OR PRESSURE
1.1 (at 20/4 degrees C) (Verschueren, 2001) 1.1204 (at 10/4 degrees C) (Budavari, 2000) 1.1135 (at 20/4 degrees C) (Budavari, 2000; ILO, 1998) 1.1065 (at 30/4 degrees C) (Budavari, 2000) 1.1088 (at 20/4 degrees C) (HSDB , 2002) 1.115 (at 20/4 degrees C) (CHRIS , 2002)
- TEMPERATURE AND/OR PRESSURE NOT LISTED
DENSITY
- OTHER TEMPERATURE AND/OR PRESSURE
1.11 kg/L (at 20 degrees C) (Ashford, 2001; ITI, 1995) 1.1155 kg/L (at 20 degrees C) (Lewis, 2001) 1.1135 g/cm(3) (at 20 degrees C) (ATSDR, 1997) 1.1065 g/cm(3) (at 30 degrees C) (ATSDR, 1997)
FREEZING/MELTING POINT
-13 degrees C; 8.6 degrees F; 260 K (ACGIH, 1996a; Ashford, 2001; CHRIS , 2002) -13.4 degrees C (Bingham et al, 2001) -13.5 degrees C (Lewis, 2001)
-12.6 degrees C (ITI, 1995; OHM/TADS , 2002; Verschueren, 2001) -13 degrees C (HSDB, 2005; Budavari, 2000; Howard, 1990; ILO, 1998) -15.6 degrees C (Lewis, 2000)
BOILING POINT
- 20 degrees C (at 0.06 mmHg) (Budavari, 2000)
- 70 degrees C (at 3.0 mmHg) (Budavari, 2000)
- 100 degrees C (at 18 mmHg) (Budavari, 2000)
- 140 degrees C (at 97 mmHg) (Budavari, 2000)
- 196-200 degrees C (Ashford, 2001)
197 degrees C; 387 degrees F (Baselt, 2000; NFPA, 2002a) 197.2 degrees C (ITI, 1995) 197.3 degrees C (HSDB, 2005) 197.4 (at 760 mmHg) (Bingham et al, 2001) 197.5 degrees C (at 760 mmHg) (ACGIH, 1996a; Lewis, 2000) 197.6 degrees C; 387 degrees F; 470.8 K (at 760 mmHg) (Budavari, 2000; CHRIS , 2002; Howard, 1990; ILO, 1998; OHM/TADS , 2002) 198 degrees C (Verschueren, 2001)
FLASH POINT
- 111 degrees C; 232 degrees F (closed cup) (ILO, 1998; NFPA, 2002a; OHM/TADS , 2002)
- 111.11 degrees C; 232 degrees F (closed cup) (ACGIH, 1996a; CHRIS , 2002)
- 115 degrees C; 240 degrees F (open cup) (ACGIH, 1996a; Bingham et al, 2001; Budavari, 2000; CHRIS , 2002)
- 116 degrees C; 240.8 degrees F (open cup) (HSDB, 2005; ITI, 1995)
AUTOIGNITION TEMPERATURE
- 398 degrees C; 748 degrees F (ILO, 1998; NFPA, 2002a)
- 400 degrees C; 752 degrees F (Lewis, 2000)
- 402 degrees C (ITI, 1995)
- 412.8 degrees C; 775 degrees F (CHRIS , 2002; OHM/TADS , 2002; Lewis, 2001)
EXPLOSIVE LIMITS
3.2% (ACGIH, 1996a; CHRIS , 2002; ILO, 1998; Lewis, 2000; NFPA, 2002a)
SOLUBILITY
Ethylene glycol is miscible with water (ACGIH, 1996a; Budavari, 2000; Howard, 1990; ILO, 1998) with solubility of 1,000,000 ppm at 25 degrees C (OHM/TADS , 2002).
Ethylene glycol is slightly soluble in ether (1:200) (ACGIH, 1996a; Budavari, 2000). It is practically insoluble in benzene and its homologs, chlorinated hydrocarbons, petroleum ethers, oils, and ligroin (ACGIH, 1996a; Budavari, 2000; Lewis, 2000). Ethylene glycol is miscible with alcohols, lower aliphatic alcohols, aldehydes, glycerol, acetic acid, acetone and similar ketones, and pyridine and similar coal tar bases (ACGIH, 1996a; Budavari, 2000; Lewis, 2000).
OCTANOL/WATER PARTITION COEFFICIENT
- log Kow = -1.36 (HSDB, 2005; Howard, 1990)
- log Poct = -1.93 (Verschueren, 2001)
- log Poct = 1.34 (Verschueren, 2001)
- log Poct = 1.36 (measured) (Verschueren, 2001)
HENRY'S CONSTANT
- 6x10(-8) atm-m(3)/mol (at 25 degrees C) (HSDB, 2005; Howard, 1990)
- 2.34x10(-10) atm-m(3)/mol (ATSDR, 1997)
SPECTRAL CONSTANTS
821 (Atlas of Mass Spectral Data, John Wiley & Sons, New York) (HSDB, 2005) Intense Mass Spectral Peaks: 33 m/z, 43 m/z, 62 m/z (HSDB, 2005)
OTHER/PHYSICAL
<0.34 g/m(3) (at 20 degrees C) (Verschueren, 2001) 0.65 g/m(3) (at 30 degrees C) (Verschueren, 2001)
1.432 (at 25 degrees C) (Bingham et al, 2001) 1.43312 (at 15 degrees C) (Budavari, 2000) 1.43063 (at 25 degrees C) (Budavari, 2000; ITI, 1995)
- NUCLEAR MAGNETIC RESONANCE
17.3 cP (at 25 degrees C) (Budavari, 2000) 21 cP (at 20 degrees C) (Budavari, 2000) 26 cP (at 15 degrees C) (Budavari, 2000)
-REFERENCES
GENERAL BIBLIOGRAPHY- 40 CFR 372.28: Environmental Protection Agency - Toxic Chemical Release Reporting, Community Right-To-Know, Lower thresholds for chemicals of special concern. National Archives and Records Administration (NARA) and the Government Printing Office (GPO). Washington, DC. Final rules current as of Apr 3, 2006.
- 40 CFR 372.65: Environmental Protection Agency - Toxic Chemical Release Reporting, Community Right-To-Know, Chemicals and Chemical Categories to which this part applies. National Archives and Records Association (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Apr 3, 2006.
- 49 CFR 172.101 - App. B: Department of Transportation - Table of Hazardous Materials, Appendix B: List of Marine Pollutants. National Archives and Records Administration (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Aug 29, 2005.
- 49 CFR 172.101: Department of Transportation - Table of Hazardous Materials. National Archives and Records Administration (NARA) and the Government Printing Office (GPO), Washington, DC. Final rules current as of Aug 11, 2005.
- 62 FR 58840: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 1997.
- 65 FR 14186: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 65 FR 39264: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 65 FR 77866: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2000.
- 66 FR 21940: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2001.
- 67 FR 7164: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2002.
- 68 FR 42710: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2003.
- 69 FR 54144: Notice of the National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances - Proposed AEGL Values, Environmental Protection Agency, NAC/AEGL Committee. National Archives and Records Administration (NARA) and the Government Publishing Office (GPO), Washington, DC, 2004.
- AAR: Emergency Handling of Hazardous Materials in Surface Transportation, Bureau of Explosives, Association of American Railroads, Washington, DC, 2000.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices (Supplement), 6th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1996.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices (Supplement), 6th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1996a.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, Vol 1, 6th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1991.
- AIHA: 2006 Emergency Response Planning Guidelines and Workplace Environmental Exposure Level Guides Handbook, American Industrial Hygiene Association, Fairfax, VA, 2006.
- AMA Department of DrugsAMA Department of Drugs: AMA Evaluations Subscription, American Medical Association, Chicago, IL, 1992.
- ATSDR: Toxicological Profile for Ethylene Glycol and Propylene Glycol, Agency for Toxic Substances and Disease Registry, US Dept of Health and Human Services, Atlanta, GA, 1997.
- Aabakken L, Johansen KS, & Rydningen EB: Osmolal and anion gaps in patients admitted to an emergency medical department. Human Exp Toxicol 1994; 13:131-134.
- Abbondandolo A: Mutat Res 1980; 79:141-150.
- Ahmed A, Tschetter PA, Krasowski MD, et al: Massive ethylene glycol poisoning triggers osmotic demyelination syndrome. J Emerg Med 2014; 46(3):e69-e74.
- Alaspaa AO, Kuisma MJ, Hoppu K, et al: Out-of-hospital administration of activated charcoal by emergency medical services. Ann Emerg Med 2005; 45:207-12.
- American Conference of Governmental Industrial Hygienists : ACGIH 2010 Threshold Limit Values (TLVs(R)) for Chemical Substances and Physical Agents and Biological Exposure Indices (BEIs(R)), American Conference of Governmental Industrial Hygienists, Cincinnati, OH, 2010.
- Amstrup SC, Gardner C, & Myers KC: Ethylene glycol (antifreeze) poisoning in a free-ranging polar bear. Vet Hum Toxicol 1989; 31:317-319.
- Anderson B: Facial-auditory nerve oxalosis (Letter). Am J Med 1990; 88:87-88.
- Ansell-Edmont: SpecWare Chemical Application and Recommendation Guide. Ansell-Edmont. Coshocton, OH. 2001. Available from URL: http://www.ansellpro.com/specware. As accessed 10/31/2001.
- Aronow R, Bhambhani K, & Sarniak A: Pitfalls associated with ethylene glycol determinations (Abstract). Vet Human Toxicol 1989; 31:359.
- Artigas A, Bernard GR, Carlet J, et al: The American-European consensus conference on ARDS, part 2: ventilatory, pharmacologic, supportive therapy, study design strategies, and issues related to recovery and remodeling.. Am J Respir Crit Care Med 1998; 157:1332-1347.
- Ashford R: Ashford's Dictionary of Industrial Chemicals, 2nd ed, Wavelength Publications Ltd, London, England, 2001.
- Balikova M & Kohlicek J: Rapid determination of ethylene glycol at toxic levels in serum and urine. J Chromatogr 1988; 434:469-474.
- Barceloux DG, Bond GR, Krenzelok EP, et al: American Academy of Clinical Toxicology practice guidelines on the treatment of methanol poisoning. J Toxicol Clin Toxicol 2002; 40(4):415-446.
- Barceloux DG, Krenzelok EP, & Olson K: American academy of clinical toxicology practice guidelines on the treatment of ethylene glycol poisoning. Clin Toxicol 1999; 37:537-560.
- Barilyak IR & Kozachuk SY: Tsitol Genet 1985; 19:436-442.
- Barrueto F & Nelson LS: Ethylene glycol causing mesenteric ischemia?. Am J Emerg Med 2002; 20(3):263-263.
- Baselt RC & Cravey RH: Ethanol, in: Baselt RC & Cravey RH (Eds): Disposition of Toxic Drugs and Chemicals in Man, Chemical Toxicology Institute, Foster City, CA, 1995.
- Baselt RC: Disposition of Toxic Drugs and Chemicals in Man, 5th ed, Chemical Toxicology Institute, Foster City, CA, 2000.
- Bata Shoe Company: Industrial Footwear Catalog, Bata Shoe Company, Belcamp, MD, 1995.
- Battistella M: Fomepizole as an antidote for ethylene glycol poisoning. Ann Pharmacother 2002; 36:1085-1089.
- Baud FJ, Bismuth C, & Garnier R: 4-Methylpyrazole may be an alternative to ethanol therapy for ethylene glycol intoxication in man. Clin Toxicol 1986-87; 24:463-483.
- Baud FJ, Galliot M, & Astier A: Treatment of ethylene glycol poisoning with intravenous 4-methylpyrazole. N Engl J Med 1988; 319:97-100.
- Baud FJ, Lambert C, & Bismuth C: Safety of oral or intra-venous 4 methyl-pyrazole (4 MP) in suspected ethylene-glycol (EG) intoxications (Abstract), In EAPCCT XV Congress, Istanbul, Turkey, 1992, pp 16.
- Baum C, Langman C, & Oker E: Fomepizole treatment of ethylene glycol poisoning in an infant. Pediatrics 2000; 106:1489-1491.
- Beasley VR & Buck WB: Acute ethylene glycol toxicosis: a review. Vet Human Tox 1980; 22:255-263.
- Beasley VR, Dorman DC, & Fikes JD: A systems affected approach to veterinary toxicology, University of Illinois, Urbana, IL, 1989.
- Berger JR & Ayyar DR: Neurological complications of ethylene glycol intoxication - report of a case. Arch Neurol 1981; 38:724-726.
- Berman LB, Schreiner GE, & Feys J: The nephrotoxic lesions of ethylene glycol. Ann Intern Med 1957; 46:611-619.
- Best Manufacturing: ChemRest Chemical Resistance Guide. Best Manufacturing. Menlo, GA. 2002. Available from URL: http://www.chemrest.com. As accessed 10/8/2002.
- Best Manufacturing: Degradation and Permeation Data. Best Manufacturing. Menlo, GA. 2004. Available from URL: http://www.chemrest.com/DomesticPrep2/. As accessed 04/09/2004.
- Bey TA, Walter FG, Gibly RL, et al: Survival after ethylene glycol poisoning in a patient with an arterial pH of 6.58. Vet Human Toxicol 2002; 44:167-168.
- Bingham E, Cohrssen B, & Powell CH: Patty's Toxicology, Vol 7. 5th ed, John Wiley & Sons, New York, NY, 2001.
- Bjellerup P, Kallner A, & Kollind M: GLC determination of serum-ethylene glycol, interferences in ketotic patients. Clin Tox 1994; 32:85-87.
- Blakeley KR, Rinner SE, & Knochel JP: Survival of ethylene glycol poisoning with profound acidemia. New Engl J Med 1993; 328:515-516.
- Blood FR: Toxicol Appl Pharmacol 1962; 4:489-491.
- Bobbitt WH, Williams RM, & Freed CR: Severe ethylene glycol intoxication with multisystem failure. West J Med 1986; 144:225-228.
- Boermans HJ, Ruegg PL, & Leach M: Ethylene glycol toxicosis in a pygmy goat. JAVMA 1988; 193:694-696.
- Borron SW, Megarbane B, & Baud FJ: Fomepizole in treatment of uncomplicated ethylene glycol poisoning. Lancet 1999; 354:831.
- Boss Manufacturing Company: Work Gloves, Boss Manufacturing Company, Kewanee, IL, 1998.
- Bove KE: Ethylene glycol toxicity. Am J Clin Pathol 1966; 45:46-50.
- Boyer EW, Mejia M, & Woolf A: Severe ethylene glycol ingestion treated without hemodialysis. Pediatrics 2001; 107:172-174.
- Brent J, McMartin K, & Phillips S: Fomepizole for the treatment of ethylene glycol poisoning. Methylpyrazole for toxic alcohols study group. N Engl J Med 1999; 40:832-838.
- Brent J, McMartin K, & Phillips S: Fomepizole for the treatment of ethylene glycol poisoning. New Engl J Med 1999a; 340:832-838.
- Breslin WJ, Phillips JE, & Lomax LG: Hemolytic activity of ethylene glycol phenyl ether (EGPE) in rabbits. Fundam Appl Toxicol 1991; 17:466-481.
- Brophy GM, Bell R, Claassen J, et al: Guidelines for the evaluation and management of status epilepticus. Neurocrit Care 2012; 17(1):3-23.
- Brower RG, Matthay AM, & Morris A: Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Eng J Med 2000; 342:1301-1308.
- Brown CG, Trumbull D, & Klein-Schwartz W: Ethylene glycol poisoning. Ann Emerg Med 1983; 12:501-506.
- Budavari S: The Merck Index, 12th ed. on CD-ROM. Version 12:3a. Chapman & Hall/CRCnetBASE. Whitehouse Station, NJ. 2000a.
- Buell JF, Sterling R, Mandava S, et al: Ethylene glycol intoxication presenting as a metabolic acidosis associated with a motor vehicle crash: case report. J Trauma 1998; 45:811-813.
- Burgess JL, Kirk M, Borron SW, et al: Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med 1999; 34(2):205-212.
- CHRIS : CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires August/31/2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- CHRIS: CHRIS Hazardous Chemical Data. US Department of Transportation, US Coast Guard. Washington, DC (Internet Version). Edition expires 2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Cadnapaphornchai P, Taher S, & Bhathena D: Ethylene glycol poisoning: diagnosis based on high osmolal and anion gaps and crystalluria. Ann Emerg Med 1981; 10:94-97.
- Caparros-Lefebvre D, Policard J, Sengler C, et al: Bipallidal haemorrhage after ethylene glycol intoxication. Neuroradiology 2005; 47(2):105-107.
- Caravati EM & Herman B: Treatment of two adolescent girls with severe ethylene glycol poisoning without hemodialysis (abstract). Clin Toxicol 2001; 39:481.
- Caravati EM, Erdman AR, Christianson G, et al: Ethylene glycol exposure: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila) 2005; 43(5):327-345.
- Caravati EM, Heileson HL, & Jones M: Treatment of severe pediatric ethylene glycol intoxication without hemodialysis. J Toxicol Clin Toxicol 2004; 42:255-259.
- Carstens J, Csanady GA, Faller TH, et al: Human inhalation exposure to ethylene glycol. Arch Toxicol 2003; 77:425-432.
- Casavant MJ, Shah MN, & Battels R: Does fluorescent urine indicate antifreeze ingestion by children?. Pediatrics 2001; 107:113-114.
- Cataletto M: Respiratory Distress Syndrome, Acute(ARDS). In: Domino FJ, ed. The 5-Minute Clinical Consult 2012, 20th ed. Lippincott Williams & Wilkins, Philadelphia, PA, 2012.
- Catchings TT, Beamer WC, & Lundy L: Adult respiratory distress syndrome secondary to ethylene glycol ingestion. Ann Emerg Med 1985; 14:594-596.
- Chamberlain JM, Altieri MA, & Futterman C: A prospective, randomized study comparing intramuscular midazolam with intravenous diazepam for the treatment of seizures in children. Ped Emerg Care 1997; 13:92-94.
- ChemFab Corporation: Chemical Permeation Guide Challenge Protective Clothing Fabrics, ChemFab Corporation, Merrimack, NH, 1993.
- Chin RF , Neville BG , Peckham C , et al: Treatment of community-onset, childhood convulsive status epilepticus: a prospective, population-based study. Lancet Neurol 2008; 7(8):696-703.
- Choonara IA & Rane A: Therapeutic drug monitoring of anticonvulsants state of the art. Clin Pharmacokinet 1990; 18:318-328.
- Chow MT, Di Silvestro VA, & Yung CY: Treatment of acute methanol intoxication with hemodialysis using an ethanol-enriched, bicarbonate-based dialysate. Am J Kid Dis 1997; 30:568-570.
- Christiansson LK, Kaspersson KE, Kulling PEJ, et al: Treatment of severe ethylene glycol intoxication with continuous arterio-venous hemofiltration dialysis. Clin Toxicol 1995; 33:267-270.
- Clay KL & Murphy RC: On the metabolic acidosis of ethylene glycol intoxication. Toxicol Appl Pharmacol 1977; 39:39-49.
- Clayton GD & Clayton FE: Patty's Industrial Hygiene and Toxicology, Vol 2F, Toxicology, 4th ed, John Wiley & Sons, New York, NY, 1994.
- Coles EH: Veterinary Clinical Pathology, 4th ed, Saunders, Philadelphia, PA, 1986.
- Comasec Safety, Inc.: Chemical Resistance to Permeation Chart. Comasec Safety, Inc.. Enfield, CT. 2003. Available from URL: http://www.comasec.com/webcomasec/english/catalogue/mtabgb.html. As accessed 4/28/2003.
- Comasec Safety, Inc.: Product Literature, Comasec Safety, Inc., Enfield, CT, 2003a.
- Connally HE, Hamar DW, & Thrall MA: Inhibition of canine and feline alcohol dehydrogenase activity by fomepizole. Am J Vet Res 2000; 61:450-455.
- Coon RA: Toxicol Appl Pharmacol 1970; 16:646-655.
- Corr P & Szolics M: Neuroimaging findings in acute ethylene glycol poisoning. J Med Imaging Radiat Oncol 2012; 56(4):442-444.
- Curtin L, Kraner J, & Wine H: Complete recovery after massive ethylene glycol ingestion. Arch Intern Med 1992; 152:1311-1313.
- DFG: List of MAK and BAT Values 2002, Report No. 38, Deutsche Forschungsgemeinschaft, Commission for the Investigation of Health Hazards of Chemical Compounds in the Work Area, Wiley-VCH, Weinheim, Federal Republic of Germany, 2002.
- Dagnone D, Matsui D, & Rieder MJ: Assessment of the palatability of vehicles for activated charcoal in pediatric volunteers. Pediatr Emerg Care 2002; 18:19-21.
- Darchy B, Abruzzese L, & Pitiot O: Delayed admission for ethylene glycol poisoning: lack of elevated serum osmol gap. Intensive Care Med 1999; 25:859-861.
- De Leacy EA, Moxon LN, & Ellis VM: A report of accidental ethylene glycol ingestion in 2 siblings. Pathology 1995; 27:273-276.
- Denning DW, Berendt A, & Chia Y: Myocarditis complicating ethylene glycol poisoning in the absence of neurological features. Postgrad Med J 1988; 64:867-870.
- Depass LR: Fundam Appl Toxicol 1986; 7:547-565.
- Depass LR: Fundam Appl Toxicol 1986b; 7:566-572.
- Dezso A, Ramsden R, Saeed SR, et al: Bilateral cochlear implantation after ethylene glycol intoxication: a case report. Cochlear Implants Int 2011; 12(3):170-172.
- Dial SM, Thrall MA, & Hamar DW: 4-Methylpyrazole as treatment for naturally acquired ethylene glycol intoxication in dogs. J Am Vet Med Assoc 1989; 195:73-76.
- Doeden DJ: Methods for the determination of ethylene glycol. Vet Human Toxicol 1983; 25:96-101.
- Donovan JW, Burkhart KK, & Cienki J: Removal of ethylene glycol and 4-methylpyrazole with continuous venovenous hemofiltration. J Tox - Clin Tox 1997; 35(5):538.
- Dragun J: The Soil Chemistry of Hazardous Materials, Hazardous Materials Control Research Institute, Silver Spring, MD, 1988.
- Dreisbach RH & Robertson WO: Alcohols and Glycols, in: Handbook of Poisoning, 12th ed, Appleton & Lange, Norwalk, CT, 1987.
- Dribben W, Furbee B, & Kirk M: Brainstem infarction and quadriplegia associated with ethylene glycol ingestion (abstract). J Toxicol-Clin Toxicol 1999; 37:657.
- Druteika DP, Zed PJ, & Ensom MHH: Role of fomepizole in the management of ethylene glycol toxicity. Pharmacother 2002; 22:365-372.
- DuPont: DuPont Suit Smart: Interactive Tool for the Selection of Protective Apparel. DuPont. Wilmington, DE. 2002. Available from URL: http://personalprotection.dupont.com/protectiveapparel/suitsmart/smartsuit2/na_english.asp. As accessed 10/31/2002.
- DuPont: Permeation Guide for DuPont Tychem Protective Fabrics. DuPont. Wilmington, DE. 2003. Available from URL: http://personalprotection.dupont.com/en/pdf/tyvektychem/pgcomplete20030128.pdf. As accessed 4/26/2004.
- DuPont: Permeation Test Results. DuPont. Wilmington, DE. 2002a. Available from URL: http://www.tyvekprotectiveapprl.com/databases/default.htm. As accessed 7/31/2002.
- Dubejkovaskaja LS: Gig Trud Prof Zabol 1973; 10:1-4.
- Dy-Liacco MS, Tuttle-Newhall EJ, Collins BH, et al: Liver transplantation from a cadaver donor with ethylene-glycol-induced brain death. Transplantation 2003; 75:1056.
- EPA: Search results for Toxic Substances Control Act (TSCA) Inventory Chemicals. US Environmental Protection Agency, Substance Registry System, U.S. EPA's Office of Pollution Prevention and Toxics. Washington, DC. 2005. Available from URL: http://www.epa.gov/srs/.
- ERG: Emergency Response Guidebook. A Guidebook for First Responders During the Initial Phase of a Dangerous Goods/Hazardous Materials Incident, U.S. Department of Transportation, Research and Special Programs Administration, Washington, DC, 2004.
- Eder AF, McGrath CM, & Dowdy YG: Ethylene glycol poisoning: toxicokinetic and analytical factors affecting laboratory diagnosis. Clin Chem 1998; 44(1):168-177.
- Edinboro LE, Nanco CR, & Soghioan DM: Determination of ethylene glycol in serum utilizing direct injection on a wide-bore capillary column. Ther Drug Monitor 1993; 15:220-223.
- Eisenga BH, Kuslikis BI, & Cohle S: Confirmation of death due to ethylene glycol ingestion by measurement of blood and urine glycolic acid levels (abstract). Clin Toxicol 2001; 39:482.
- Erdman AE, Mallea MC, & Jolliff HA: Is the osmolar gap (OG) a reliable surrogate for ethylene glycol (EG) measurement?. Clin Toxicol 2001; 39:480.
- Factor SA & Lava NS: Ethylene glycol intoxication: a new stage in the clinical syndrome. State J Med 1987; 87:179-180.
- Faessel H, Houze P, & Baud FJ: 4-Methylpyrazole monitoring during haemodialysis of ethylene glycol intoxicated patients. Eur J Clin Pharmacol 1995a; 49:211-213.
- Faessel H, Houze P, Baud FJ, et al: 4-Methylpyrazole monitoring during haemodialysis of ethylene glycol intoxicated patients. Eur J Clin Pharmacol 1995; 49:211-213.
- Feierman DE & Cederbaum AI: Increased content of cyctochrome P-450 and 4-methylpyrazole binding spectrum after 4-methylpyrazole treatment. Biochem Biophys Res Comm 1985; 126:1076-1081.
- Fellman DM: Facial diplegia following ethylene glycol ingestion (Letter). Arch Neurol 1982; 39:739.
- Field DL: Acute ethylene glycol poisoning (letter). Crit Care Med 1985; 13:872.
- Fieni F, Beckers JP, & Buggin M: Evaluation of cryopreservation techniques for goat embryos. Reprod Nutr Devel 1995; 35:367-373.
- Fijen J, Kemperman H, Ververs FFT, et al: False hyperlactatemia in ethylene glycol poisoning. Intensive Care Med 2006; 32(4):626-627.
- Fox LE, Grauer GF, & Dubielzig RR: Reversal of ethylene glycol-induced nephrotoxicosis in a dog. J Am Vet Med Assoc 1987; 191:1433-1435.
- Fraser AD & MacNeil W: Colorimetric and gas chromatographic procedures for glycolic acid in serum: the major toxic metabolite of ethylene glycol. Clin Toxicol 1993; 31:397-405.
- Fraser AD & MacNeil W: Colorimetric and gas chromatographic procedures for glycolic acid in serum: the major toxic metabolite ot ethylene glycol. Clin Toxicol 1993a; 31:397-405.
- Fraser AD, Coffin L, & Worth D: Drug and chemical metabolites in clinical toxicology investigations: the importance of ethylene glycol, methanol and cannabinoid metabolite analyses. Clin Biochem 2002; 35(7):501-511.
- Freilich BM, Altun Z, Ramesar C, et al: Neuropsychological sequelae of ethylene glycol intoxication: a case study. Appl Neuropsychol 2007; 14(1):56-61.
- Friedman EA, Greenberg JB, & Merrill JP: Consequences of ethylene glycol poisoning. Report of four cases and review of the literature. Am J Med 1962; 32:891-902.
- Froberg K, Dorion RP, & McMartin KE: The role of calcium oxalate crystal deposition in cerebral vessels during ethylene glycol poisoning. Clin Toxicol (Phila) 2006; 44(3):315-318.
- Frommer JP & Ayus JC: Acute ethylene glycol intoxication. Am J Nephrol 1982; 2:1-5.
- Gardner TB, Manning HL, Beelen AP, et al: Ethylene glycol toxicity associated with ischemia, perforation, and colonic oxalate crystal deposition. J Clin Gastroenterol 2004; 38:435-439.
- Garg D, Lim T, & Irani M: A rare case of fatal stroke after ethylene glycol toxicity. BMJ Case Rep 2015; 2015:bcr2014208855.
- Gibbs DA & Watts RWE: The action of pyridoxine in primary hyperoxaluria. Clin Sci 1970; 38:277-286.
- Glaser DS: Utility of the serum osmol gap in the diagnosis of methanol or ethylene glycol ingestion. Annal Emerg Med 1996; 27:343-346.
- Goodkin DA: Ethylene glycol poisoning (Letter). Am J Med 1990; 88:201.
- Grant WM: Toxicology of the Eye, 4th ed, Charles C Thomas, Springfield, IL, 1993.
- Grauer GF & Thrall MAH: Ethylene glycol (antifreeze) poisoning, in: Kirk RW (Ed), Current Veterinary Therapy IX, WB Saunders, Philadelphia, PA, 1986.
- Guardian Manufacturing Group: Guardian Gloves Test Results. Guardian Manufacturing Group. Willard, OH. 2001. Available from URL: http://www.guardian-mfg.com/guardianmfg.html. As accessed 12/11/2001.
- Guenther Skokan E, Junkins EP, & Corneli HM: Taste test: children rate flavoring agents used with activated charcoal. Arch Pediatr Adolesc Med 2001; 155:683-686.
- Guo C & McMartin KE: The cytotoxicity of oxalate, metabolite of ethylene glycol, is due to calcium oxalate monohydrate formation. Toxicology 2005; 208(3):347-355.
- Guo C, Cenac TA, Li Y, et al: Calcium oxalate, and not other metabolites, is responsible for the renal toxicity of ethylene glycol. Toxicol Lett 2007; 173(1):8-16.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 2004; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 2005; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 8/31/2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Haas CF: Mechanical ventilation with lung protective strategies: what works?. Crit Care Clin 2011; 27(3):469-486.
- Haley TJ & Berndt WO: Handbook of Toxicology, Hemisphere Publishing Corp, New York, NY, 1987, pp 518.
- Hansson P & Masson P: Simple enzymatic screening assay for ethylene glycol (ethane-1,2-diol) in serum. Clin Chim Acta 1989; 182:95-102.
- Hantson P, Vanbinst R, & Mahieu P: Determination of ethylene glycol tissue content after fatal oral poisoning and pathologic findings. Am J Forens Med Pathol 2002; 23:159-161.
- Hanzlik PJ, Lawrence WS, & Fellows JK: J Ind Hyg Toxicol 1947; 29:325.
- Harrison TR: Principles of Internal Medicine, 9th ed, McGraw-Hill Publishing Co, New York, NY, 1980.
- Harry P, Turcant A, & Bouachour G: Efficacy of 4-methylpyrazole in ethylene glycol poisoning - clinical and toxicokinetic aspects. Human Exp Toxicol 1994; 13:61-64.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 4th ed, Van Nostrand Reinhold Co, New York, NY, 1996.
- Haupt MC, Zull DN, & Adams SL: Massive ethylene glycol poisoning without evidence of crystalluria: a case for early intervention. J Emerg Med 1988; 6:295-300.
- Heckering PS: Ethylene glycol poisoning with a normal anion gap due to occult bromide intoxication. Ann Emerg Med 1987; 16:1384-1386.
- Hegenbarth MA & American Academy of Pediatrics Committee on Drugs: Preparing for pediatric emergencies: drugs to consider. Pediatrics 2008; 121(2):433-443.
- Hewlett TP, Jacobsen D, & Collins TD: Ethylene glycol and glycolate kinetics in rats and dogs. Vet Human Toxicol 1989; 31:116-120.
- Hewlett TP, McMartin KE, & Lauro AJ: Ethylene glycol poisoning. The value of glycolic acid determinations for diagnosis and treatment. Clin Toxicol 1986; 24:389-402.
- Hilliard NJ, Robinson CA, Hardy R, et al: Repeated positive ethylene glycol levels by gas chromatography. Arch Pathol Lab Med 2004; 128:e79-e80.
- Hochi S, Fujimoto T, & Choi YH: Cryopreservation of equine oocytes by 2-step freezing. Theriogenol 1994; 42:1085-1094.
- Hoffman RJ, Hoffman RS, & Nelson LS: Ethylene glycol toxicity despite therapeutic ethanol level (abstract). Clin Toxicol 2001; 39:302.
- Hoffman RS, Smilkstein MJ, & Howland MA: Osmol gaps revisited: normal values and limitations. Clin Toxicol 1993; 31:81-93.
- Howard PH, Boethling RS, & Jarvis WF: Handbook of Environmental Degradation Rates, Lewis Publishers, Chelsea, MI, 1991.
- Howard PH: Handbook of Environmental Fate and Exposure Data for Organic Chemicals. Volume II: Solvents, Lewis Publishers, Chelsea, MI, 1990.
- Howland MA: Ethanol. In: Nelson LS, Hoffman RS, Lewin NA, et al, eds. Goldfrank's Toxicologic Emergencies, 9th ed. McGraw Hill Medical, New York, NY, 2011, pp 1419-1422.
- Huhn KM & Rosenberg FM: Critical clue to ethylene glycol poisoning. Canad Med Assoc J 1995; 152:193-195.
- Hunt R: Toxicity of ethylene and propylene glycol. Ind Eng Chem 1932; 24:361.
- Hvidberg EF & Dam M: Clinical pharmacokinetics of anticonvulsants. Clin Pharmacokinet 1976; 1:161.
- Hylander B & Kjellstrand CM: Prognostic factors and treatment of severe ethylene glycol intoxication. Intens Care Med 1996; 22:546-552.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: 1,3-Butadiene, Ethylene Oxide and Vinyl Halides (Vinyl Fluoride, Vinyl Chloride and Vinyl Bromide), 97, International Agency for Research on Cancer, Lyon, France, 2008.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Formaldehyde, 2-Butoxyethanol and 1-tert-Butoxypropan-2-ol, 88, International Agency for Research on Cancer, Lyon, France, 2006.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Household Use of Solid Fuels and High-temperature Frying, 95, International Agency for Research on Cancer, Lyon, France, 2010a.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Smokeless Tobacco and Some Tobacco-specific N-Nitrosamines, 89, International Agency for Research on Cancer, Lyon, France, 2007.
- IARC Working Group on the Evaluation of Carcinogenic Risks to Humans : IARC Monographs on the Evaluation of Carcinogenic Risks to Humans: Some Non-heterocyclic Polycyclic Aromatic Hydrocarbons and Some Related Exposures, 92, International Agency for Research on Cancer, Lyon, France, 2010.
- IARC: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans- Overall Evaluations of Carcinogenicity: An Updating of IARC Monographs Volumes 1 to 42, Supplement 7, International Agency for Research on Cancer, World Health Organization, Geneva, Switzerland, 1987.
- IARC: List of all agents, mixtures and exposures evaluated to date - IARC Monographs: Overall Evaluations of Carcinogenicity to Humans, Volumes 1-88, 1972-PRESENT. World Health Organization, International Agency for Research on Cancer. Lyon, FranceAvailable from URL: http://monographs.iarc.fr/monoeval/crthall.html. As accessed Oct 07, 2004.
- ICAO: Technical Instructions for the Safe Transport of Dangerous Goods by Air, 2003-2004. International Civil Aviation Organization, Montreal, Quebec, Canada, 2002.
- ILC Dover, Inc.: Ready 1 The Chemturion Limited Use Chemical Protective Suit, ILC Dover, Inc., Frederica, DE, 1998.
- ILO: Encyclopaedia of Occupational Health & Safety, 4th ed. (CD ROM Version), 1-4, International Labour Organization, Geneva, Switzerland, 1998.
- IPCS: Concise International Chemical Assessment Document. No 22. Ethylene Glycol: Environmental Aspects, World Health Organization, Geneva, Switzerland, 2000.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1995.
- International Agency for Research on Cancer (IARC): IARC monographs on the evaluation of carcinogenic risks to humans: list of classifications, volumes 1-116. International Agency for Research on Cancer (IARC). Lyon, France. 2016. Available from URL: http://monographs.iarc.fr/ENG/Classification/latest_classif.php. As accessed 2016-08-24.
- International Agency for Research on Cancer: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. World Health Organization. Geneva, Switzerland. 2015. Available from URL: http://monographs.iarc.fr/ENG/Classification/. As accessed 2015-08-06.
- Jacobsen D, Barron SK, & Simon Sebastian C: Non-linear kinetics of 4-methylpyrazole in healthy human subjects. Eur J Clin Pharmacol 1989; 37:599-604.
- Jacobsen D, McMartin KE, & Ordinario AT: Changing crystalluria in ethylene glycol (EG) intoxication (Abstract). Vet Human Toxicol 1987; 29:460.
- Jacobsen D, Ostby N, & Bredesen JE: Studies on ethylene glycol poisoning. Acta Med Scand 1982; 212(1-2):11-15.
- Jacobsen D, Ostensen J, & Bredesen L: 4-Methylpyrazole (4-MP) is effectively removed by hemodialysis in the pig model (abstract). Vet Hum Toxicol 1992; 34:362.
- Jacobsen D, Ovrebo S, & Ostborg J: Glycolate causes the acidosis in ethylene glycol poisoning and is effectively removed by hemodialysis. Acta Med Scand 1984; 216:409-416.
- Jacobsen D, Sebastian CS, & Barron SK: Effects of 4-methylpyazole, methanol/ethylene glycol antidote, in healthy humans. J Emerg Med 1990; 8:455-461.
- Jacobsen D, Sebastian CS, & Blomstrand R: 4-methylpyrazole: a controlled study of safety in healthy human subjects after single, ascending doses. Alcoholism Clin Exp Res 1988; 12:516-522.
- Jaeger A, Kopferschmitt J, & Berton C: The importance of the osmolal gap, European Association of Poisons Centres and Clinical Toxicologists Scientific Meeting, Birmingham, UK, 1993.
- Jarvie DR & Simpson D: Simple screening tests for the emergency identification of methanol and ethylene glycol in poisoned patients. Clin Chem 1990; 36:1957-1961.
- Jeong KC, Foxman EB, & Mazbar SA: A bartender fixes a curious drink (letter). Am J Emerg Med 2000; 18:112-113.
- Jobard E, Harry P, & Turcant A: 4-Methylpyrazole and hemodialysis in ethylene glycol poisoning. Clin Toxicol 1996; 34(4):373-377.
- Jobard E, Harry P, Turcant A, et al: 4-Methylpyrazole and hemodialysis in ethylene glycol poisoning. Clin Toxicol 1996a; 34:373-377.
- Johnson B, Meggs WJ, & Bentzel CJ: Emergency department hemodialysis in a case of severe ethylene glycol poisoning. Ann Emerg Med 1999; 33:108-110.
- Jolliff HA, Megarbane B, & Waksman JC: The value of serum bicarbonate and base deficit in the diagnosis of ethylene glycol toxicity. A systematic review (abstract). Clin Toxicol 2001; 39:245.
- Jones AW & Hard L: How good are clinical chemistry laboratories at analysing ethylene glycol?. Scand J Clin Lab Invest 2004; 64(7):629-634.
- Jones TC & Hunt RD: Veterinary Pathology, 5th ed, Lea & Febiger, Philadelphia, PA, 1983.
- Jonsson JA, Eklund A, & Molin L: Determination of ethylene glycol in postmortem blood by capillary gas chromatography. J Anal Toxicol 1989; 13:25-26.
- Kahn HS & Brotchner RJ: A recovery from ethylene glycol (antifreeze) intoxication; a case of survival and two fatalities from ethylene glycol including autopsy findings. Ann Intern Med 1950; 32:284.
- Kappler, Inc.: Suit Smart. Kappler, Inc.. Guntersville, AL. 2001. Available from URL: http://www.kappler.com/suitsmart/smartsuit2/na_english.asp?select=1. As accessed 7/10/2001.
- Karlson-Stiber C & Persson H: Ethylene glycol poisoning: experiences from an epidemic in Sweden. Clin Tox 1992; 30:565-574.
- Kimberly-Clark, Inc.: Chemical Test Results. Kimberly-Clark, Inc.. Atlanta, GA. 2002. Available from URL: http://www.kc-safety.com/tech_cres.html. As accessed 10/4/2002.
- Kollef MH & Schuster DP: The acute respiratory distress syndrome. N Engl J Med 1995; 332:27-37.
- Kralova I, Stepanek Z, & Dusek J: Ethylene glycol intoxication misdiagnosed as eclampsia. Acta Anaesthesiol Scand 2006; 50(3):385-387.
- Kruse JA & Cadnapaphornchai P: The serum osmole gap. J Crit Care 1994; 9:185-197.
- LaCrosse-Rainfair: Safety Products, LaCrosse-Rainfair, Racine, WI, 1997.
- Lacoma FJ, Oud L, & Kruse JA: Interference with blood lactate determination due to toxic substances associated with lactic acidosis. Crit Care Med 1997; 25(suppl):A53.
- Lamb JC 4th, Maronpot RR, & Gulati DK: Reproductive and developmental toxicity of ethylene glycol in the mouse. Toxicol Appl Pharmacol 1985; 81:100-112.
- Lavelle KJ: Ethylene glycol poisoning. Indiana St Med Assoc J 1977; 70:249-252.
- Leikin J, Toerne T, & McAllister K: A summertime cluster of antifreeze ingestions. J Tox - Clin Tox 1997; 35:512.
- Leon M & Graeber C: Absence of high anion gap metabolic acidosis in severe ethylene glycol poisoning: A potential effect of simultaneous lithium carbonate ingestion. Am J Kidney Dis 1994; 23:313-316.
- Leon M & Graeber C: Absence of high anion gap metabolic acidosis in severe ethylene glycol poisoning: a potential effect of simultaneous lithium carbonate ingestion. Am J Kidney Dis 1994a; 23:313-316.
- Levine M, Curry SC, Ruha AM, et al: Ethylene glycol elimination kinetics and outcomes in patients managed without hemodialysis. Ann Emerg Med 2012; 59(6):527-531.
- Levy RI: Renal failure secondary to ethylene glycol intoxication. JAMA 1960; 173:1210-1213.
- Lewis LD, Smith BW, & Mamourian AC: Delayed sequelae after acute overdoses or poisonings; cranial neuropathy related to ethylene glycol ingestion. Clin Pharmacol Ther 1997; 61:692-629.
- Lewis RA: Lewis' Dictionary of Toxicology, Lewis Publishers, Boca Raton, FL, 1998.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 13th ed, John Wiley & Sons, Inc, New York, NY, 2001a.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 14th ed, John Wiley & Sons, Inc, New York, NY, 2001.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 10th ed, Van Nostrand Reinhold Co, New York, NY, 2000.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 9th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Liberacki AB, Carney EW, & Bartels MJ: Identification of proximate toxicant for ethylene glycol developmental toxicity using rat whole embryo culture. Teratology 1996; 53:38-46.
- Loch-Caruso R: Environ Health Perspect 1984; 57:119-123.
- Loddenkemper T & Goodkin HP: Treatment of Pediatric Status Epilepticus. Curr Treat Options Neurol 2011; Epub:Epub.
- Lowes N: Deposition of visceral urates associated with oxalate nephrosis in turkeys. Canad Vet J 1990; 31:653-654.
- Lung DD, Kearney TE, Brasiel JA, et al: Predictors of Death and Prolonged Renal Insufficiency in Ethylene Glycol Poisoning. J Intensive Care Med 2015; 30(5):270-277.
- MAPA Professional: Chemical Resistance Guide. MAPA North America. Columbia, TN. 2003. Available from URL: http://www.mapaglove.com/pro/ChemicalSearch.asp. As accessed 4/21/2003.
- MAPA Professional: Chemical Resistance Guide. MAPA North America. Columbia, TN. 2004. Available from URL: http://www.mapaglove.com/ProductSearch.cfm?id=1. As accessed 6/10/2004.
- MMWR: Ethylene glycol intoxication due to contamination of water systems. MMWR: MMWR 1987; 36:611-614.
- Maier W: Cerebral computed tomography of ethylene glycol intoxication. Neuroradiology 1983; 24:175-177.
- Mallya KB, Mendis T, & Guberman A: Bilateral facial paralysis following ethylene glycol ingestion. Canad J Neurol Sci 1986; 13:340-341.
- Malmlund HO, Berg A, & Karlman G: Considerations for the treatment of ethylene glycol poisoning based on analysis of two cases. Clin Toxicol 1991; 29:231-240.
- Manno EM: New management strategies in the treatment of status epilepticus. Mayo Clin Proc 2003; 78(4):508-518.
- Mar-Mac Manufacturing, Inc: Product Literature, Protective Apparel, Mar-Mac Manufacturing, Inc., McBee, SC, 1995.
- Marigold Industrial: US Chemical Resistance Chart, on-line version. Marigold Industrial. Norcross, GA. 2003. Available from URL: www.marigoldindustrial.com/charts/uschart/uschart.html. As accessed 4/14/2003.
- Maronpot RR: Drug Chem Toxicol 1983; 6:579-594.
- Marr MC, Price CJ, & Myers CB: Developmental stages of the CD (Sprague-Dawley) rat skeleton after maternal exposure to ethylene glycol. Teratology 1992; 46:169-181.
- Marshall TC: Ann Rep Inhal Toxicol Res Inst 1979; 563-566.
- Martin CL: Ocular signs of systemic disease. Mod Vet Pract 1982; 77:935-940.
- Marwick J, Elledge RO, & Burtenshaw A: Ethylene glycol poisoning and the lactate gap. Anaesthesia 2012; 67(3):299.
- Maurer HH, Peters FT, & Paul LD: Validated gas chromatographic-mass spectrometric assay for determination of the antifreezes ethylene glycol and diethylene glycol in human plasma after microwave-assisted pivalylation. J Chromatogr 2001; 754:401-409.
- McChesney EW, Golberg L, & Parekh CK: Reappraisal of the toxicology of ethylene glycol. II. Metabolism studies in laboratory animals. Food Chem Cosmet Toxicol 1971; 9:21-38.
- McCoy HG, Cipolle RJ, & Ehlers SM: Severe methanol poisoning: application of a pharmacokinetic model for ethanol therapy and hemodialysis. Am J Med 1979; 67:804-807.
- McGregor DB, Brown AG, & Howgate S: Responses of the L5178Y mouse lymphoma cell forward mutation assay. V: 27 coded chemicals. Environ Mol Mutagen 1991; 17:196-219.
- McMartin KE & Heath A: Treatment of ethylene glycol poisoning with intravenous 4-methylpyrazole (Letter). N Engl J Med 1989; 320:125.
- McMartin KE, Jacobsen D, & Sebastian S: Safety and metabolism of 4-methylpyrazole in human subjects (Abstract). Vet Human Toxicol 1987; 29:471.
- Melnick RL: Environ Health Perspect 1984; 57:147-155.
- Memphis Glove Company: Permeation Guide. Memphis Glove Company. Memphis, TN. 2001. Available from URL: http://www.memphisglove.com/permeation.html. As accessed 7/2/2001.
- Moestue S, Akervik O, Svendsen J, et al: Fomepizole treatment prevents renal failure in severe ethylene glycol poisoning: report of two cases (abstract). J Toxicol Clin Toxicol 2002; 40:269.
- Montgomery Safety Products: Montgomery Safety Products Chemical Resistant Glove Guide, Montgomery Safety Products, Canton, OH, 1995.
- Moossavi S, Wadhwa NK, & Nord EP: Recurrent severe anion gap metabolic acidosis secondary to episodic ethylene glycol intoxication. Clin Nephrol 2003; 60:205-210.
- Moreau C, Kerns W, & Tomaszewski C: Glycolate kinetics and hemodialysis clearance in ethylene glycol poisoning. J Tox - Clin Tox 1997; 35(5):506.
- Morgan BW, Ford MD, & Follmer R: Ethylene glycol ingestion resulting in brainstem and midbrain dysfunction. Clin Toxicol 2000; 38:445-451.
- Mount ME: Toxicology, in: Textbook of Veterinary Internal Medicine: Diseases of the Dog and Cat, 3rd ed. Ettinger SJ (Ed), Saunders, Philadelphia, PA, 1989.
- Murphy CM, Vitto MJ, & Dulaney AR: Detectable serum ethylene glycol levels after subcutaneous injection of antifreeze. Clin Toxicol (Phila) 2013; 51(9):908-909.
- Mycyk MB, Drendel A, Sigg T, et al: Leukemoid response in ethylene glycol intoxication. Vet Hum Toxicol 2002; 44(5):304-306.
- NFPA: Fire Protection Guide to Hazardous Materials, 13th ed, National Fire Protection Association, Quincy, MA, 2002a.
- NFPA: Fire Protection Guide to Hazardous Materials, 13th ed., National Fire Protection Association, Quincy, MA, 2002.
- NHLBI ARDS Network: Mechanical ventilation protocol summary. Massachusetts General Hospital. Boston, MA. 2008. Available from URL: http://www.ardsnet.org/system/files/6mlcardsmall_2008update_final_JULY2008.pdf. As accessed 2013-08-07.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 1, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2001.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 2, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2002.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 3, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2003.
- NRC: Acute Exposure Guideline Levels for Selected Airborne Chemicals - Volume 4, Subcommittee on Acute Exposure Guideline Levels, Committee on Toxicology, Board on Environmental Studies and Toxicology, Commission of Life Sciences, National Research Council. National Academy Press, Washington, DC, 2004.
- NTP: Seventh Annual Report on Carcinogens - Summary, National Toxicology Program, US Department of Health and Human Services, Technical Resources, Inc, Research Triangle Park, NC, 1994.
- Nagano K: Environ Health Perspect 1984; 57:75-84.
- Najafi CC, Hertko LJ, & Leikin JB: Fomepizole in ethylene glycol intoxication (letter). Ann Emerg Med 2001; 37:358-359.
- Najafi CC, Korbet SM, & Hertko L: Use of fomepizole to avoid hemodialysis (abstract). J Toxicol-Clin Toxicol 2000; 38:540.
- Naradzay J & Barish RA: Approach to ophthalmologic emergencies. Med Clin North Am 2006; 90(2):305-328.
- Nat-Wear: Protective Clothing, Hazards Chart. Nat-Wear. Miora, NY. 2001. Available from URL: http://www.natwear.com/hazchart1.htm. As accessed 7/12/2001.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,3-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,4-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Butylene Oxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648083cdbb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Dibromoethane (Proposed). United States Environmental Protection Agency. Washington, DC. 2007g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802796db&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,3,5-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 2-Ethylhexyl Chloroformate (Proposed). United States Environmental Protection Agency. Washington, DC. 2007b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037904e&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Acrylonitrile (Proposed). United States Environmental Protection Agency. Washington, DC. 2007c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648028e6a3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Adamsite (Proposed). United States Environmental Protection Agency. Washington, DC. 2007h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Agent BZ (3-quinuclidinyl benzilate) (Proposed). United States Environmental Protection Agency. Washington, DC. 2007f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ad507&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Allyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039d9ee&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Arsenic Trioxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480220305&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Automotive Gasoline Unleaded (Proposed). United States Environmental Protection Agency. Washington, DC. 2009a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cc17&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Biphenyl (Proposed). United States Environmental Protection Agency. Washington, DC. 2005j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1b7&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bis-Chloromethyl Ether (BCME) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648022db11&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Boron Tribromide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae1d3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromine Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2007d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039732a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromoacetone (Proposed). United States Environmental Protection Agency. Washington, DC. 2008e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187bf&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Calcium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae328&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Sulfide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037ff26&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Chlorobenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803a52bb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Cyanogen (Proposed). United States Environmental Protection Agency. Washington, DC. 2008f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187fe&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Dimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbf3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Diphenylchloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091884e&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Phosphorodichloridate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480920347&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809203e7&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Germane (Proposed). United States Environmental Protection Agency. Washington, DC. 2008j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963906&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Hexafluoropropylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1f5&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ketene (Proposed). United States Environmental Protection Agency. Washington, DC. 2007. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ee7c&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Malathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2009k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809639df&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Mercury Vapor (Proposed). United States Environmental Protection Agency. Washington, DC. 2009b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a087&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Isothiocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a03&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a57&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl tertiary-butyl ether (Proposed). United States Environmental Protection Agency. Washington, DC. 2007a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802a4985&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methylchlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5f4&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c646&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN1 CAS Reg. No. 538-07-8) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN2 CAS Reg. No. 51-75-2) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN3 CAS Reg. No. 555-77-1) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Tetroxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091855b&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Trifluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e0c&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008o. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e32&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perchloryl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e268&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perfluoroisobutylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2009d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26a&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008p. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dd58&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2006d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020cc0c&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phorate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008q. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dcc8&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene (Draft-Revised). United States Environmental Protection Agency. Washington, DC. 2009e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a08a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene Oxime (Proposed). United States Environmental Protection Agency. Washington, DC. 2009f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26d&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Propargyl Alcohol (Proposed). United States Environmental Protection Agency. Washington, DC. 2006e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec91&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Selenium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec55&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Silane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d523&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Strontium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sulfuryl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec7a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tear Gas (Proposed). United States Environmental Protection Agency. Washington, DC. 2008s. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e551&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tellurium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e2a1&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tert-Octyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2008r. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5c7&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tetramethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-17.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7d608&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethylacetyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008t. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5cc&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Zinc Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for n-Butyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064808f9591&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Heart,Lung,and Blood Institute: Expert panel report 3: guidelines for the diagnosis and management of asthma. National Heart,Lung,and Blood Institute. Bethesda, MD. 2007. Available from URL: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.
- National Institute for Occupational Safety and Health: NIOSH Pocket Guide to Chemical Hazards, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Cincinnati, OH, 2007.
- National Research Council : Acute exposure guideline levels for selected airborne chemicals, 5, National Academies Press, Washington, DC, 2007.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 6, National Academies Press, Washington, DC, 2008.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 7, National Academies Press, Washington, DC, 2009.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 8, National Academies Press, Washington, DC, 2010.
- Neeper-Bradley TL, Tyl RW, & Fisher LC: Determination of a no-observed-effect level for developmental toxicity of ethylene glycol administered by gavage to CD rats and CD-1 mice. Fundam Appl Toxicol 1995; 27:121-130.
- Neese Industries, Inc.: Fabric Properties Rating Chart. Neese Industries, Inc.. Gonzales, LA. 2003. Available from URL: http://www.neeseind.com/new/TechGroup.asp?Group=Fabric+Properties&Family=Technical. As accessed 4/15/2003.
- North: Chemical Resistance Comparison Chart - Protective Footwear . North Safety. Cranston, RI. 2002. Available from URL: http://www.linkpath.com/index2gisufrm.php?t=N-USA1. As accessed April 30, 2004.
- North: eZ Guide Interactive Software. North Safety. Cranston, RI. 2002a. Available from URL: http://www.northsafety.com/feature1.htm. As accessed 8/31/2002.
- Nunamaker DM, Medway W, & Berg P: Treatment of ethylene glycol poisoning in the dog. JAVMA 1971; 159:310-314.
- Nzerue CM, Harvey P, & Volcy J: Survival after massive ethylene glycol poisoning: role of an ethanol enriched, bicarbonate-based dialysate. Intl J Art Organs 1999; 22:744-746.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 8/31/2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Olivero JJ: A comatose man with marked acidosis and crystaluria. Hosp Pract 1993; 86-88.
- Oostvogels R, Kemperman H, Hubeek I, et al: The importance of the osmolality gap in ethylene glycol intoxication. BMJ 2013; 347:f6904.
- Osweiler GD & Eness PG: Ethylene glycol poisoning in swine. JAVMA 1972; 160:746-749.
- Otoi T, Yamamoto K, & Koyama N: In vitro fertilization and development of immature and mature bovine oocytes cryopreserved by ethylene glycol with sucrose. Cryobiol 1995; 32:455-460.
- Palmer BF, Eigerbrodt EH, & Henrich WL: Cranial nerve deficit: a clue to the diagnosis of ethylene glycol poisoning. Am J Med 1989; 87:91-92.
- Pappas SC & Silverman M: Treatment of methanol poisoning with ethanol and hemodialysis. Can Med Assoc J 1982; 126:1391-1394.
- Parry MF & Wallach R: Ethylene glycol poisoning. Am J Med 1974; 57:143-149.
- Parsa T, Cunningham SJ, Wall SP, et al: The usefulness of urine fluorescence for suspected antifreeze ingestion in children. Am J Emerg Med 2005; 23(6):787-792.
- Peate WF: Work-related eye injuries and illnesses. Am Fam Physician 2007; 75(7):1017-1022.
- Personal Communication: Personal Communication: H Larson, Orphan Medical, Minnetonka, MN, 1997.
- Peterson CD, Collins AJ, & Himes JM: Ethylene glycol poisoning. Pharmacokinetics during therapy with ethanol and hemodialysis. N Engl J Med 1981; 304:21-23.
- Peterson RL & Rodgerson: Gas chromatography determination of ethylene glycol in serum. Clin Chem 1974; 20:820-824.
- Piagnerelli M, Carlier, & Lejeune P: Adult respiratory distress syndrome and medullary toxicity: two unusual complications of ethylene glycol intoxication (letter). Intens Care Med 1999a; 25:1200.
- Piagnerelli M, Lejeune P, & Vanhaeverbeek M: Diagnosis and treatment of an unusual cause of metabolic acidosis: ethylene glycol poisoning. Acta Clinica Belgica 1999; 54:351-356.
- Pizon AF & Brooks DE: Hyperosmolality: another indication for hemodialysis following acute ethylene glycol poisoningPIZON2006. Clin Toxicol (Phila) 2006; 44(2):181-183.
- Playtex: Fits Tough Jobs Like a Glove, Playtex, Westport, CT, 1995.
- Pohanish RP & Greene SA: Rapid Guide to Chemical Incompatibilities, Van Nostrand Reinhold Company, New York, NY, 1997.
- Polzin DJ & Osborne CA: Anion Gap--Diagnostic and Therapeutic Applications, in: Kirk RW (Ed), Current Veterinary Therapy IX, Saunders, Philadelphia, PA, 1986.
- Pons CA & Custer RP: Acute ethylene glycol poisoning. A clinico-pathologic report of eighteen fatal cases. Am J Med Sci 1946; 211:544-552.
- Porter WH & Jarrells MC: Improved specificity for ethylene glycol determined as the phenylboronate by capillary column gas chromatography. Clin Chem 1994; 40:850-851.
- Porter WH, Crellin M, & Rutter PW: Interference by glycolic acid in the Beckman Synchron method for lactate: a useful clue for unsuspected ethylene glycol intoxication. Clin Chem 2000; 46:874-875.
- Porter WH, Rutter PW, & Bush BA: Ethylene glycol toxicity: the role of serum glycolic acid in hemodialysis. Clin Toxicol 2001; 39:607-615.
- Price CJ, Kimmel CA, & Tyl RW: The developmental toxicity of ethylene glycol in rats and mice. Toxicol Appl Pharmacol 1985; 81:113-127.
- Product Information: ANTIZOL(R) IV injection, fomepizole IV injection. Jazz Pharmaceuticals,Inc, Palo Alto, CA, 2006.
- Product Information: diazepam IM, IV injection, diazepam IM, IV injection. Hospira, Inc (per Manufacturer), Lake Forest, IL, 2008.
- Product Information: lorazepam IM, IV injection, lorazepam IM, IV injection. Akorn, Inc, Lake Forest, IL, 2008.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 8/31/2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Rangno RE, Kreeft JH, & Sitar DS: Ethanol 'dose-dependent' elimination: Michaelis-Menten V classical kinetic analysis. Br J Clin Pharmacol 1981; 12:667-673.
- Reddy NJ, Lewis LD, Gardner TB, et al: Two cases of rapid onset Parkinson's syndrome following toxic ingestion of ethylene glycol and methanol. Clin Pharm Ther 2007; 81(1):114-121.
- Riddell C, Nielsen SW, & Kersting: Ethylene glycol poisoning in poultry. JAVMA 1967; 150:1531-1535.
- River City: Protective Wear Product Literature, River City, Memphis, TN, 1995.
- Roberts JA & Seibold HR: Ethylene glycol toxicity in the monkey. Toxicol Appl Pharmacol 1969; 15:624-631.
- Robinson CA, Scott JW, & Ketchum C: Propylene glycol interference with ethylene glycol procedures. Clin Chem 1983; 29:727.
- Rossa V & Weber U: Effects of ethylene glycol on rabbit retinas. Opthalmologica 1990; 200:98-103.
- Rowe VK & Wolf MA: Glycols, in: Clayton GD & Clayton FE (Eds), Patty's Industrial Hygiene and Toxicology, 3rd ed, Vol 3, John Wiley & Sons, New York, NY, 1982.
- Rzepecki J & Fabicka B: Severe ethylene glycol poisonings, pH below 6,7 (Abstract), EAPCCT, XV Congress, Istanbul, Turkey, 1992, pp 92.
- S Budavari : The Merck Index, 12th ed. on CD ROM. Merck & Co, Inc. Whitehouse Station, NJ. 2000.
- S Sweetman : Martindale: The Complete Drug Reference. Pharmaceutical Press. London, England (Internet Version). Edition expires 2002; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Safety 4: North Safety Products: Chemical Protection Guide. North Safety. Cranston, RI. 2002. Available from URL: http://www.safety4.com/guide/set_guide.htm. As accessed 8/14/2002.
- Schuler RL, Hardin BD, & Niemeier RW: Results of testing fifteen glycol ethers in a short-term in vivo reproductive toxicity assay. Environ Health Perspect 1984; 57:141-146.
- Scott R, Besag FMC, & Neville BGR: Buccal midazolam and rectal diazepam for treatment of prolonged seizures in childhood and adolescence: a randomized trial. Lancet 1999; 353:623-626.
- Scully RE, Galdabini JJ, & McNeely BU: Case records of the Massachusetts General Hospital, Case 38-1979. N Engl J Med 1979; 301:650-657.
- Seeff LB, Hendler ED, & Hosten HO: Ethylene glycol poisoning. Survival after ingestion of 400 mL with 42 days of oliguria and 17 days of coma. Med Ann DC 1970; 39:31-35.
- Servus: Norcross Safety Products, Servus Rubber, Servus, Rock Island, IL, 1995.
- Shannon MW & Woolf A: Severe untreated ethylene glycol intoxication in a 4-month-old infant (Abstract). Vet Human Toxicol 1989; 31:348.
- Sharma N & Jain S: Toxicity of brake oil. Emerg Med J 2002; 19:267-268.
- Shepard TH: Shepard's Catalog of Teratogenic Agents, Johns Hopkins University Press, Baltimore, MD, 1995, pp 176.
- Shoemaker JD, Lynch RE, & Hoffmann JW: Misidentification of propionic acid as ethylene glycol in a patient with methylmalonic acidemia. J Pediatr 1992; 120:417-421.
- Singh M, Murtaza M, & D'Souza N: Abdominal pain and lactic acidosis with ethylene glycol poisoning (letter). Am J Emerg Med 2001; 19:529-530.
- Sittig M: Handbook of Toxic and Hazardous Chemicals and Carcinogens, 3rd ed, Noyes Publications, Park Ridge, NJ, 1991.
- Sivilotti MLA, Burns MJ, & McMartin KE: Toxicokinetics of ethylene glycol during fomepizole therapy: implications for management. Ann Emerg Med 2000; 36:114-125.
- Sivilotti MLA, Burns MJ, McMartin KE, et al: Toxicokinetics of ethylene glycol during fomepizole therapy: implications for management. Ann Emerg Med 2000a; 36(2):114-125.
- Smith BJ, Anderson BG, & Smith SA: Early effects of ethylene glycol on the ultrastructure of the renal cortex in dogs. Am J Vet Res 1990; 51:89-96.
- Smith RA & Lang DG: Rapid determination of ethylene glycol and glycolic acid in biological fluids. Vet Human Toxicol 2000; 42:358-360.
- Spillane L, Roberts JR, & Meyer AE: Multiple cranial nerve deficits after ethylene glycol poisoning. Ann Emerg Med 1991; 20:208-210.
- Spiller HA & Rogers GC: Evaluation of administration of activated charcoal in the home. Pediatrics 2002; 108:E100.
- Sreenath TG, Gupta P, Sharma KK, et al: Lorazepam versus diazepam-phenytoin combination in the treatment of convulsive status epilepticus in children: A randomized controlled trial. Eur J Paediatr Neurol 2009; Epub:Epub.
- Standard Safety Equipment: Product Literature, Standard Safety Equipment, McHenry, IL, 1995.
- Steinhart B: Case report: severe ethylene glycol intoxication with normal osmolal gap - "a chilling thought. J Emerg Med 1990; 8:583-585.
- Steinke W, Arendt G, & Mull M: Good recovery after sublethal ethylene glycol intoxication: serial EEG and CT findings. J Neurol 1989; 236:170-173.
- Stokes JB III & Aueron F: Prevention of organ damage in massive ethylene glycol ingestion. JAMA 1980; 243:2065-2066.
- Stolbach A & Hoffman RS: Respiratory Principles. In: Nelson LS, Hoffman RS, Lewin NA, et al, eds. Goldfrank's Toxicologic Emergencies, 9th ed. McGraw Hill Medical, New York, NY, 2011.
- Sztajnkrycer MD & Scaglione JM: Falsely elevated osmol gap due to hypertonic hyponatremia. J Emerg Med 2005; 28(4):455-457.
- Tadokoro M, Ozono Y, & Hara K: A case of acute renal failure due to ethylene glycol intoxication (MEDLINE abstract). Nippon Jinzo Gakkai Shi 1995; 37:353-356.
- Terlinsky AS, Grochowski J, & Geoly KL: Identification of atypical calcium oxalate crystalluria following ethylene glycol ingestion. Am J Clin Pathol 1981; 76:223-226.
- Thakore S & Murphy N: The potential role of prehospital administration of activated charcoal. Emerg Med J 2002; 19:63-65.
- Thrall MA, Grauer GF, & Mero KN: Clinicopathologic findings in dogs and cats with ethylene glycol intoxication. JAVMA 1984; 184:37-41.
- Tingley: Chemical Degradation for Footwear and Clothing. Tingley. South Plainfield, NJ. 2002. Available from URL: http://www.tingleyrubber.com/tingley/Guide_ChemDeg.pdf. As accessed 10/16/2002.
- Tobe TJM, Branko-Braam G, & Meulenbelt J: Ethylene glycol poisoning mimicking Snow White (letter). Lancet 2002; 359:444-445.
- Trelleborg-Viking, Inc.: Chemical and Biological Tests (database). Trelleborg-Viking, Inc.. Portsmouth, NH. 2002. Available from URL: http://www.trelleborg.com/protective/. As accessed 10/18/2002.
- Trelleborg-Viking, Inc.: Trellchem Chemical Protective Suits, Interactive manual & Chemical Database. Trelleborg-Viking, Inc.. Portsmouth, NH. 2001.
- Troisi FM: Chronic intoxication by ethylene glycol vapour. Br J Ind Med 1950; 7:65-69.
- Tyl RW, Ballantyne B, & Fisher LC: Evaluation of the developmental toxicity of ethylene glycol aerosol in CD-1 mice by nose-only exposure. Fundam Appl Toxicol 1995b; 27:49-62.
- U.S. Department of Energy, Office of Emergency Management: Protective Action Criteria (PAC) with AEGLs, ERPGs, & TEELs: Rev. 26 for chemicals of concern. U.S. Department of Energy, Office of Emergency Management. Washington, DC. 2010. Available from URL: http://www.hss.doe.gov/HealthSafety/WSHP/Chem_Safety/teel.html. As accessed 2011-06-27.
- U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project : 11th Report on Carcinogens. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. Washington, DC. 2005. Available from URL: http://ntp.niehs.nih.gov/INDEXA5E1.HTM?objectid=32BA9724-F1F6-975E-7FCE50709CB4C932. As accessed 2011-06-27.
- U.S. Environmental Protection Agency: Discarded commercial chemical products, off-specification species, container residues, and spill residues thereof. Environmental Protection Agency's (EPA) Resource Conservation and Recovery Act (RCRA); List of hazardous substances and reportable quantities 2010b; 40CFR(261.33, e-f):77-.
- U.S. Environmental Protection Agency: Integrated Risk Information System (IRIS). U.S. Environmental Protection Agency. Washington, DC. 2011. Available from URL: http://cfpub.epa.gov/ncea/iris/index.cfm?fuseaction=iris.showSubstanceList&list_type=date. As accessed 2011-06-21.
- U.S. Environmental Protection Agency: List of Radionuclides. U.S. Environmental Protection Agency. Washington, DC. 2010a. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: List of hazardous substances and reportable quantities. U.S. Environmental Protection Agency. Washington, DC. 2010. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: The list of extremely hazardous substances and their threshold planning quantities (CAS Number Order). U.S. Environmental Protection Agency. Washington, DC. 2010c. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-part355.pdf. As accessed 2011-06-17.
- U.S. Occupational Safety and Health Administration: Part 1910 - Occupational safety and health standards (continued) Occupational Safety, and Health Administration's (OSHA) list of highly hazardous chemicals, toxics and reactives. Subpart Z - toxic and hazardous substances. CFR 2010 2010; Vol6(SEC1910):7-.
- U.S. Occupational Safety, and Health Administration (OSHA): Process safety management of highly hazardous chemicals. 29 CFR 2010 2010; 29(1910.119):348-.
- United States Environmental Protection Agency Office of Pollution Prevention and Toxics: Acute Exposure Guideline Levels (AEGLs) for Vinyl Acetate (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6af&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- Urben PG: Bretherick's Handbook of Reactive Chemical Hazards, Volumes 1 & 2, 6th ed, Butterworth-Heinemann Ltd, Oxford, England, 1999.
- Vale JA, Widdop B, & Bluett NH: Ethylene glycol poisoning. Postgrad Med J 1976; 52:598-602.
- Vasavada N, Williams C, & Hellman RN: Ethylene glycol intoxication: case report and pharmacokinetic perspectives. Pharmacother 2003; 23:1652-1658.
- Velez LI, Lynton R, Shepherd G, et al: Massive ethylene glycol ingestion treated without hemodialysis. J Toxicol Clin Toxicol 2002; 40:333.
- Verrilli MR, Deyling CL, & Pippenger CE: Fatal ethylene glycol intoxication: report of a case and review of the literature. Cleveland Clin J Med 1987; 54:289-295.
- Verschueren K: Handbook of Environmental Data on Organic Chemicals. 4th ed. CD-ROM version, Wiley-Interscience, New York, NY, 2000.
- Verschueren K: Handbook of Environmental Data on Organic Chemicals. 4th ed. CD-ROM version. Wiley-Interscience. Hoboken, NJ. 2001.
- Volkmann E: Chem Abstr 1953; 47:9567.
- Wacker: Treatment of ethylene glycol poisoning with ethyl alcohol. JAMA 1965; 194:173-175.
- Wahl A, Azaroual N, & Imbenotte M: Poisoning with methanol and ethylene glycol: 1H NMR spectroscopy as an effective clinical tool for diagnosis and quantification. Toxicol 1998; 128:73-81.
- Walder AD & Tyler CKG: Ethylene glycol antifreeze poisoning. Anaesthesia 1994; 49:964-967.
- Wallace K, Suchard J, & Curry S: Accuracy and reliability of urine fluorescence by Wood's lamp examination for antifreeze ingestion (abstract). J Toxicol-Clin Toxicol 1999; 37:669.
- Wallace KL, Suchard JR, & Curry SC: Diagnostic use of physicians' detection of urine fluorescence in a simulated ingestion of sodium fluorescein-containing antifreeze. Ann Emerg Med 2001; 38:49-54.
- Watson W, Brent J, & Barceloux D: Outcome of ethylene glycol toxicity after ethanol treatment (abstract). Clin Toxicol 2001; 39:480.
- Watson WA: Ethylene glycol toxicity: closing in on rational, evidence-based treatment. Ann Emerg Med 2000; 36:139-141.
- Wax P, Branton T, & Cobaugh D: False positive ethylene glycol determination by enzyme assay in patients with chronic acetaminophen hepatotoxicity (abstract). J Toxicol - Clin Toxicol 1999; 37:604.
- Wedge MK, Natarajan S, Johanson C, et al: The safety of ethanol infusions for the treatment of methanol or ethylene glycol intoxication: an observational study. CJEM 2012; 14(5):283-289.
- Wells Lamont Industrial: Chemical Resistant Glove Application Chart. Wells Lamont Industrial. Morton Grove, IL. 2002. Available from URL: http://www.wellslamontindustry.com. As accessed 10/31/2002.
- Wezorek C, Hodgman M, & Dean B: Inadvertent ethylene glycol inhalation resulting in a toxic level (Abstract). J Toxicol--Clin Toxicol 1995; 33:553.
- Widman C: A few cases of ethylene glycol intoxication. Acta Med Scand 1946; 126:295.
- Wiley FH, Hueper WC, & Bergen DS: The formation of oxalic acid from ethylene glycol and related solvents. J Ind Hyg Toxicol 1938; 20:269-277.
- Williams HE & Smith LH: Disorders of oxalate metabolism. Am J Med 1968; 45:715-735.
- Wills JH, Coulston F, & Harris ES: Inhalation of aerolized ethylene glycol by man. Clin Toxicol 1974; 7:463-476.
- Willson DF, Truwit JD, Conaway MR, et al: The adult calfactant in acute respiratory distress syndrome (CARDS) trial. Chest 2015; 148(2):356-364.
- Wilson DF, Thomas NJ, Markovitz BP, et al: Effect of exogenous surfactant (calfactant) in pediatric acute lung injury. A randomized controlled trial. JAMA 2005; 293:470-476.
- Winter ME: Basic Clinical Pharmacokinetics, 2nd ed, Applied Therapeutics, Inc, Vancouver, WA, 1988.
- Wolff M, Schaefer N, Rabe C, et al: Successful transplantation of a liver from a donor with fatal ethylene glycol poisoning. Liver Transpl 2005; 11(8):990-992.
- Woo MY, Greenway DC, Nadler SP, et al: Artifactual elevation of lactate in ethylene glycol poisoning. J Emerg Med 2003; 25:289-293.
- Woolf AD, Wynshaw-Boris A, & Rinaldo P: Intentional infantile ethylene glycol poisoning presenting as an inherited metabolic disorder. J Pediatr 1992; 120:421-424.
- Workrite: Chemical Splash Protection Garments, Technical Data and Application Guide, W.L. Gore Material Chemical Resistance Guide, Workrite, Oxnard, CA, 1997.
- Yao HH & Porter WH: Simultaneous determination of ethylene glycol and its major toxic metabolite, glycolic acid, in serum by gas chromatography. Clin Chem 1996; 42:292-297.
- Zeiss J, Velasco ME, & McCann KM: Cerebral CT of lethal ethylene glycol intoxication with pathologic correlation. Am J Neuroradiol 1989; 10:440-442.
- Zhou L, Zabad R, & Lewis RA: Ethylene glycol intoxication: electrophysiological studies suggest a polyradiculopathy. Neurology 2002; 59(11):1809-1810.
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