ARSENIC PENTOXIDE
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
Arsenic acid anhydride Arsenic anhydride Arsenic pentaoxide Arsenic pentoxide, solid Arsenic (v) oxide Diarsenic pentoxide Orthoarsenic acid
IDENTIFIERS
SYNONYM REFERENCE
- (RTECS , 1991; EPA, 1985; AAR, 1987; HSDB , 1991; CHRIS , 1991)
USES/FORMS/SOURCES
Arsenic pentoxide is used as an herbicide, wood preservative, metal adhesives, insecticides, fungicide, in dyeing and printing, and in the production of arsenates (National Institute for Occupational Safety and Health, 2008; Sax & Lewis, 1987; Budavari, 1989; OHM/TADS , 1991; HSDB , 1991; EPA, 1985). Little is known about the effects of arsenic pentoxide aside from those of arsenic and other arsenical compounds in general. The following review is based on the toxic effects of arsenic and inorganic arsenic compounds, with effects attributed specifically to arsenic pentoxide noted.
Arsenic pentoxide is an odorless, white crystalline amorphous solid pentavalent inorganic arsenic compound. It dissolves in water to form arsenic acid (AAR, 1987; Sax & Lewis, 1987; Sax & Lewis, 1989; Budavari, 1989; OHM/TADS , 1991; CHRIS , 1991; HSDB , 1991; EPA, 1985).
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- USES: Arsenic pentoxide is an inorganic pentavalent arsenic compound. It is an odorless, white crystalline amorphous solid which dissolves in water, forming arsenic acid. Arsenic pentoxide is used as an herbicide, wood preservative, metal adhesives, insecticides, fungicide, in dyeing and printing, and in the production of arsenates. Little is known about the effects of arsenic pentoxide. The following review is based on the toxic effects of arsenic and inorganic arsenic compounds, with effects attributed specifically to arsenic pentoxide noted. Please refer to "ARSENIC" document for more information.
- TOXICOLOGY: Pentavalent arsenic may be transformed to arsenic or substitute for inorganic phosphate in glycolysis, leading to uncoupling of oxidative phosphorylation and loss of ATP formation. Chronically, arsenic may cause DNA damage, mutation in the p-53 suppressor gene, and inhibition of DNA repair mechanisms leading to cancer. Arsenic-containing metals are considered non-toxic due to their low solubility.
- EPIDEMIOLOGY: Toxicity from arsenic is uncommon and major effects are rare.
The following information is based on the toxic effects of arsenic and inorganic arsenic compounds. ACUTE OVERDOSE: Arsenic pentoxide is readily absorbed into the body via ingestion, inhalation, and through mucosal membranes, and minimally absorbed through intact skin. Acute arsenic ingestion generally produces signs and symptoms within 30 minutes but symptoms may be delayed for several hours if ingested with food. Many arsenic compounds are severe irritants of the skin, eye, and mucous membranes; some may be corrosive. Contact produces local hyperemia, followed by vesicular or pustular eruptions. Acute inhalation exposures have resulted in irritation of the upper respiratory tract. MILD TO MODERATE TOXICITY: Gastrointestinal symptoms occur rapidly after acute ingestion. Initial signs and symptoms include burning lips, throat constriction, cough, and dysphagia. Excruciating abdominal pain, severe nausea, vomiting, and profuse "rice water-like" diarrhea that may lead to hypovolemia follows these symptoms. In addition, hypovolemia from capillary leakage (third-spacing of fluids) is a common early effect. QTc prolongation may occur. Muscle cramps, facial edema, bronchitis, dyspnea, chest pain, dehydration, intense thirst, and fluid-electrolyte disturbances are also common following significant exposures. A garlic-like odor of the breath and feces may also develop. Subacute toxicity can produce neuropathies, both motor and sensory, and can progress to a Guillain-Barre like syndrome. SEVERE TOXICITY: Hypotension and tachycardia are common early signs of severe poisoning. Hypotension may be resistant to fluid resuscitation and multi-organ failure may ensue. Fever and tachypnea may occur. These patients can develop ventricular dysrhythmias including torsade de pointes. Encephalopathy, seizures and coma have been reported. Acute renal failure, hemolytic anemia, rhabdomyolysis, and hepatitis may occur several days after ingestion. CHRONIC TOXICITY: Inhalation is the most common route of exposure in arsenic workers. The sequence of chronic poisoning involves weakness, anorexia, hepatomegaly, jaundice, and gastrointestinal complaints, followed by conjunctivitis, irritation of the upper respiratory tract, hyperpigmentation, and eczematoid and allergic dermatitis. A hoarse voice and chronic upper respiratory septum is a common result after prolonged inhalation of white arsenic dust or fume. Peripheral nervous system symptoms may include numbness, burning, and tingling of the hands and feet; pain; paresthesias; tenderness; muscle fasciculations; gross tremors; ataxia; discoloration; and mental confusion. Muscular weakness, limb tenderness and difficulty walking may follow. The final phase consists of peripheral sensory neuropathy of the hands and feet. Associated motor neuropathy may occur as well. Certain arsenic compounds are known human carcinogens. Chronic exposure in either occupational settings or by drinking contaminated groundwater can cause poisoning and carries an increased risk of skin, lung, bladder, and possibly liver cancers. ARSENIC PENTOXIDE: Chronic exposure to arsenic pentoxide was considered to be at least partly responsible for a complex pattern of health effects in one family including: sensory hypesthesias, muscle cramping, recurring pruritic conjunctivitis, otitis media, sinusitis, bronchitis, pneumonia, skin rashes described as "measle-like," reddened and thickened skin on the soles, malaise, decreased sensation in hands and feet, headaches, blackouts, grand mal seizures in the youngest children, epistaxis, easy bruising, alopecia, and premature labor.
- POTENTIAL HEALTH HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (ERG, 2004)
Highly toxic, may be fatal if inhaled, swallowed or absorbed through skin. 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
- Acute arsenic ingestion generally produces symptoms within 30 to 60 minutes, but symptom onset may be delayed for several hours if ingested with food (Morgan, 1989; Sittig, 1985). A metallic or garlic taste, vomiting, abdominal pain, dysphagia, and profuse watery (rice-like) and sometimes bloody diarrhea may occur (Sittig, 1985; Finkel, 1983; EPA, 1988).
- Dehydration, intense thirst, and fluid-electrolyte disturbances are common (Morgan, 1989). Hypovolemia from capillary leaking ("third spacing" of fluids) is a common early sign (Morgan, 1989; EPA, 1988; HSDB , 1991).
- The primary target organs initially are the gastrointestinal tract, heart, brain, and kidneys (Sittig, 1985; Morgan, 1989; Finkel, 1983; HSDB , 1991). Eventually, the skin, bone marrow, and peripheral nervous system may be significantly damaged (Finkel, 1983; Morgan, 1989; Sittig, 1985; HSDB , 1991).
- Hemolysis, pancytopenia, and anemia may occur after acute arsenic poisoning (Kyle & Pease, 1965; Kjeldsberg & Ward, 1972).
- MEE'S LINES, transverse white lines in the finger and toe nails, may be seen after acute exposure. Mee's lines commonly take 5 weeks to appear above the cuticle and advance 1 mm per week afterwards, allowing an approximation of the time of acute exposure (Heyman et al, 1956).
- Permanent encephalopathy (brain damage) may ensue from acute exposure to arsenic compounds, and can result in atrophy of the cortex one to six months after exposure (Fincher & Koerker, 1987) with loss of many higher functions.
- Peripheral neuropathy of both the sensory and motor type can appear in a similar pattern, regardless of the route of exposure (Finkel, 1983). It commonly begins one to 3 weeks after exposure (Le Quesne & McLeod, 1977; Heyman et al, 1956), usually as paresthesias of the soles of the feet, then the hands, and progresses proximally over the next few days (Heyman et al, 1956). Muscle weakness and wasting then develops, causing severe disability (Le Quesne & McLeod, 1977). It may initially be confused with Guillain-Barre' syndrome (Donofrio et al, 1987). Paresthesias may be painful, and are frequently described as a severe burning pain in a stocking and glove distribution.
- Physical findings in arsenical neuropathy usually include decreased sensation to touch, pinprick, and temperature, frequently in a stocking and glove distribution (Heyman et al, 1956). Loss of vibration sense is also common. Profound muscle weakness and wasting, distal more than proximal, is also seen (Donofrio et al, 1987; Heyman et al, 1956). Wrist drop, foot drop, and fasciculations may also occur (Heyman et al, 1956).
- Arsenic inhibits enzymes required for cellular respiration and also competes with phosphorus for incorporation into ATP ("arsenolysis"), depleting cellular energy stores and leading to cell death (Schoolmeester & White, ' 1980).
CHRONIC CLINICAL EFFECTS
- Chronic exposure to arsenic pentoxide from burning chromium-copper-arsenic treated wood was considered to be responsible for at least part of a complex pattern of health effects in a rural family (Peters et al, 1984). This family burned the treated wood in a wood stove which was the major heat source in the family dwelling for four years. Hair and fingernail analysis indicated excessive arsenic exposure; ashes and dust from the area of the wood stove had an arsenic content of 100 to 1000 ppm (Peters et al, 1984).
- Signs and symptoms in this family included: sensory hypesthesias, muscle cramping, recurring pruritic conjunctivitis, otitis media, sinusitis, bronchitis, pneumonia, skin rashes described as "measle-like," reddened and thickened skin on the soles, malaise, decreased sensation in hands and feet, headaches, blackouts, grand mal seizures in the youngest children, epistaxis, easy bruising, and alopecia (Peters et al, 1984).
- Workers chronically exposed to arsenic by inhalation and dermal contact have developed a hoarse voice, nasal irritation, possible perforation of the nasal septum, irritation of eyes, skin, and mucous membranes, and rarely, cirrhosis of the liver (ACGIH, 1986; Finkel, 1983; Sittig, 1985; Proctor et al, 1988; Clayton & Clayton, 1981). Nausea and vomiting are infrequent complaints among arsenic-exposed workers (Clayton & Clayton, 1981). Painful ulceration of the wrist and scrotal skin, lips, and nostrils may develop with dust exposure (Finkel, 1983; Sittig, 1985).
- Chronic arsenic poisoning involves hair loss and enlarged livers in addition to the signs and symptoms described in the ACUTE EXPOSURE section above (Finkel, 1983).
- Skin disorders after chronic ingestion have included: melanosis, depigmentation, keratosis, and hyperkeratosis (Das et al, 1995; (Lerda, 1994).
- Arsenic can cause skin cancer in humans (refer to CARCINOGENIC EFFECTS section for more information). Aplastic anemia and acute myelogenous leukemia have also been described after chronic arsenic exposure (Kjeldsberg & Ward, 1972).
-FIRST AID
FIRST AID AND PREHOSPITAL TREATMENT
- PREHOSPITAL: Remove the contaminated clothing and wash the patient thoroughly.
-MEDICAL TREATMENT
LIFE SUPPORT
- Support respiratory and cardiovascular function.
SUMMARY
- FIRST AID - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (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 GENERAL Patients with acute arsenic poisoning usually die from hypovolemic shock secondary to vomiting and diarrhea, gastrointestinal tract bleeding, and 'third spacing' of fluids. Fluid replacement is a mainstay of initial treatment. Another threat to life is cardiac toxicity resulting in arrhythmias or cardiogenic shock. Advanced cardiac support may be required after massive acute arsenic poisoning.
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
-RANGE OF TOXICITY
MINIMUM LETHAL EXPOSURE
A concentration of 10 ppm of arsenic pentoxide in water presents an acute hazard (OHM/TADS , 2000). A rapid die-off was noted in breeding colonies of rats and mice when 5 mg/L of arsenic pentoxide was added to the drinking water (OHM/TADS , 2000). One mg/kg of ingested arsenic may be lethal in a child (Woody & Kometani, 1948). The smallest recorded lethal dose of arsenic is approximately 130 mg (Bingham et al, 2001; OHM/TADS , 2001). As little as 20 mg of arsenic may produce life-threatening toxicity (Hutton & Christians, 1983; Schoolmeester & White, 1980; Zaloga et al, 1970).
Between 1966 and 1979, 61 cases of accidental sodium arsenite poisoning, including 11 patients who were hospitalized and 24 fatal cases in adults and children, were reported to the EPA's Pesticide Incident Monitoring System (PIMS) (EPA, 1988).
MAXIMUM TOLERATED EXPOSURE
Estimates of acute oral toxic doses of various arsenic compounds range from 1 mg to 10 grams. Pentavalent arsenic may be converted in vivo to trivalent arsenic. Trivalent arsenic (arsenite) is more toxic in animals than the pentavalent form (arsenate). However, significant toxicity may occur with large amounts of pentavalent salts in humans (Morgan, 1993). A 30-year-old man survived an ingestion of 6 ounces of "Blue Ball Rat Killer" containing 1.5% arsenous oxide (2,150 milligrams metallic arsenic per 6 ounces) with aggressive therapy (fluid resuscitation, chelation, and hemodialysis) (Fesmire et al, 1988). In a case series of 149 arsenate ant-killer ingestions from Minnesota, mainly in children under age three, no treatment was provided and no adverse effects occurred on follow-up 4 to 6 months following exposure. In two cases, urine arsenic levels without chelation reached 3500 and 5819 mcg/24 hours and no sequelae were observed, suggesting that many small arsenate ingestions may remain asymptomatic (Kingston et al, 1993).
- Carcinogenicity Ratings for CAS1303-28-2 :
ACGIH (American Conference of Governmental Industrial Hygienists, 2010): Not Listed EPA (U.S. Environmental Protection Agency, 2011): Not Listed 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): 1 ; Listed as: Arsenic pentoxide 1 : The agent (mixture) is carcinogenic to humans. The exposure circumstance entails exposures that are carcinogenic to humans. This category is used when there is sufficient evidence of carcinogenicity in humans. Exceptionally, an agent (mixture) may be placed in this category when evidence of carcinogenicity in humans is less than sufficient but there is sufficient evidence of carcinogenicity in experimental animals and strong evidence in exposed humans that the agent (mixture) acts through a relevant mechanism of carcinogenicity.
NIOSH (National Institute for Occupational Safety and Health, 2007): Not Listed 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 CAS1303-28-2 (U.S. Environmental Protection Agency, 2011):
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS1303-28-2 (American Conference of Governmental Industrial Hygienists, 2010):
- AIHA WEEL Values for CAS1303-28-2 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS1303-28-2 (National Institute for Occupational Safety and Health, 2007):
- OSHA PEL Values for CAS1303-28-2 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS1303-28-2 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS1303-28-2 (U.S. Environmental Protection Agency, 2010):
Listed as: Arsenic oxide As2O5 Final Reportable Quantity, in pounds (kilograms): Additional Information: Listed as: Arsenic pentoxide Final Reportable Quantity, in pounds (kilograms): Additional Information:
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS1303-28-2 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS1303-28-2 (U.S. Environmental Protection Agency, 2010b):
Listed as: Arsenic oxide As2 O5 P or U series number: P011 Footnote: Listed as: Arsenic pentoxide P or U series number: P011 Footnote: Editor's Note: The D, F, and K series waste numbers and Appendix VIII to Part 261 -- Hazardous Constituents were not included. Please refer to 40 CFR Part 261.
- EPA SARA Title III, Extremely Hazardous Substance List for CAS1303-28-2 (U.S. Environmental Protection Agency, 2010):
Listed as: Arsenic Pentoxide Reportable Quantity, in pounds: 1 Threshold Planning Quantity, in pounds: Note(s): Not Listed
- EPA SARA Title III, Community Right-to-Know for CAS1303-28-2 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
- DOT List of Marine Pollutants for CAS1303-28-2 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS1303-28-2 (EPA, 2005):
SHIPPING REGULATIONS
- DOT -- Table of Hazardous Materials and Special Provisions for UN/NA Number 1559 (49 CFR 172.101, 2005):
- ICAO International Shipping Name for UN1559 (ICAO, 2002):
LABELS
- NFPA Hazard Ratings for CAS1303-28-2 (NFPA, 2002):
-HANDLING AND STORAGE
STORAGE
Keep well closed (Budavari, 1989). Protect containers against physical damage (Budavari, 1989).
- ROOM/CABINET RECOMMENDATIONS
Store in a well ventilated area away from food, food products, and combustible materials (ITI, 1988).
-PERSONAL PROTECTION
SUMMARY
- RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (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 in fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible.
- Wear a self-contained positive pressure breathing apparatus when working in the vicinity of spills or leaks or when fighting fires (AAR, 1987).
- Emergency response teams should wear appropriate personal protective clothing and respiratory protection.
- Wear full protective clothing when working in the vicinity of spills or leaks or when fighting fires (AAR, 1987).
RESPIRATORY PROTECTION
- Wear a self-contained positive pressure breathing apparatus when working in the vicinity of spills or leaks or when fighting fires (AAR, 1987).
- Refer to "Recommendations for respirator selection" in the NIOSH Pocket Guide to Chemical Hazards on TOMES Plus(R) for respirator information.
PROTECTIVE CLOTHING
- CHEMICAL PROTECTIVE CLOTHING. Search results for CAS 1303-28-2.
-PHYSICAL HAZARDS
FIRE HAZARD
POTENTIAL FIRE OR EXPLOSION HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (ERG, 2004) Non-combustible, substance itself does not burn but may decompose upon heating to produce corrosive and/or toxic fumes. Containers may explode when heated. Runoff may pollute waterways.
Use flooding quantities of water as spray (NFPA, 1991) Control runoff and isolate discharged material for proper disposal (NFPA, 1991) Extinguish fire using agent suitable for surrounding fire (NFPA, 1991). Arsenic pentoxide in not combustible, but if involved in a fire decomposes to produce arsenic fumes (NFPA, 1991). May decompose to elemental arsenic in a fire.
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS1303-28-2 (NFPA, 2002):
- FIRE CONTROL/EXTINGUISHING AGENTS
- SMALL FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (ERG, 2004)
- LARGE FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (ERG, 2004)
Water spray, fog or regular foam. Move containers from fire area if you can do it without risk. Dike fire control water for later disposal; do not scatter the material. Use water spray or fog; do not use straight streams.
- TANK OR CAR/TRAILER LOAD FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (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. For massive fire, use unmanned hose holders or monitor nozzles; if this is impossible, withdraw from area and let fire burn.
- NFPA Extinguishing Methods for CAS1303-28-2 (NFPA, 2002):
- Use flooding quantities of water as spray for small fires (NFPA, 1991)
When heated to decomposition, arsenic pentoxide releases highly toxic fumes of arsenic and oxides of arsenic (Sax & Lewis, 1989). Acids, or Halogens, or Metal halides, or Metals, or Non-metals, or Oxides: Contact at ambient or slightly elevated temperatures is violent, ignition often occurs (Bretherick, 1990). May decompose to elemental arsenic in a fire.
EXPLOSION HAZARD
- Reacts with acids, halogens, aluminum, and zinc (NFPA, 1991).
- Acids, or Halogens, or Metal halides, or Metals, or Non-metals, or Oxides: Contact at ambient or slightly elevated temperatures is violent, ignition often occurs (Bretherick, 1990).
DUST/VAPOR HAZARD
- When heated to decomposition, arsenic pentoxide releases highly toxic fumes of arsenic and oxides of arsenic (Sax & Lewis, 1989).
- May decompose to elemental arsenic in a fire.
REACTIVITY HAZARD
- When heated to decomposition, arsenic pentoxide releases highly toxic fumes of arsenic (Lewis, 1996).
- Reacts with halogens, acids, aluminum, and zinc (NFPA, 1994).
- Acids, or Halogens, or Metal halides, or Metals, or Non-metals, or Oxides: Contact at ambient or slightly elevated temperatures is violent, ignition often occurs (Bretherick, 1990).
- May decompose to elemental arsenic in a fire. May produce toxic arsine gas when in contact with metal and water, under fire conditions (EPA, 1985).
- Corrosive to metals in presence of moisture (AAR, 1998).
- Combines very slowly with water to form H3AsO4 (Budavari, 1996).
- Very stable in acidic solutions and will decompose rapidly in alkaline solutions (HSDB , 2000).
EVACUATION PROCEDURES
- Editor's Note: This material is not listed in the Table of Initial Isolation and Protective Action Distances.
- SPILL - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (ERG, 2004)
Increase, in the downwind direction, as necessary, the isolation distance of at least 25 to 50 meters (80 to 160 feet) in all directions.
- FIRE - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (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 151 (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.
- Downwind evacuation should be considered if this material is involved in a fire or if a large discharge has occurred (AAR, 1987).
- AIHA ERPG Values for CAS1303-28-2 (AIHA, 2006):
- DOE TEEL Values for CAS1303-28-2 (U.S. Department of Energy, Office of Emergency Management, 2010):
Listed as Arsenic pentoxide TEEL-0 (units = mg/m3): 0.0153 TEEL-1 (units = mg/m3): 1 TEEL-2 (units = mg/m3): 7.7 TEEL-3 (units = mg/m3): 7.7 Definitions: TEEL-0: The threshold concentration below which most people will experience no adverse health effects. TEEL-1: The airborne concentration (expressed as ppm [parts per million] or mg/m(3) [milligrams per cubic meter]) of a substance above which it is predicted that the general population, including susceptible individuals, could experience notable discomfort, irritation, or certain asymptomatic, nonsensory effects. However, these effects are not disabling and are transient and reversible upon cessation of exposure. TEEL-2: The airborne concentration (expressed as ppm or mg/m(3)) of a substance above which it is predicted that the general population, including susceptible individuals, could experience irreversible or other serious, long-lasting, adverse health effects or an impaired ability to escape. TEEL-3: The airborne concentration (expressed as ppm or mg/m(3)) of a substance above which it is predicted that the general population, including susceptible individuals, could experience life-threatening adverse health effects or death.
- AEGL Values for CAS1303-28-2 (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 CAS1303-28-2 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
SPILL OR LEAK PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 151 (ERG, 2004) 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. Cover with plastic sheet to prevent spreading. 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 151 (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 in fire situations ONLY; it is not effective in spill situations where direct contact with the substance is possible.
DECONTAMINATION OF SPILLS Alum Floc ties up arsenic in an insoluble form for easy removal and handling. Anionic exchangers will pick up arsenic (OHM/TADS , 1990).
Water spray may be used to reduce or knock down vapors (AAR, 1987).
Isolate and ventilate the area. Keep sources of fire away. Wear rubber or neoprene gloves and overshoes and an approved respirator. Get fire-fighting equipment ready. Contain any liquid spill around the edge and absorb with Zorb-All (R), soil, sweeping compound, sawdust, dry sand or similar material. Dispose of absorbed or dry material in disposable containers (EPA, 1975).
-ENVIRONMENTAL HAZARD MANAGEMENT
POLLUTION HAZARD
- Arsenic is persistent and may cycle due to methylation (OHM/TADS , 1990)
- Potential for accumulation: Positive, concentrated to limited extent by aquatic life. It is a cumulative poison in mammals, although a small amount is considered for normal life.
- Concentration factors for arsenic in marine and freshwater water plants, invertebrates, and fish is 333.
- Half-life in total human body is 280 days (OHM/TADS , 1990).
ENVIRONMENTAL FATE AND KINETICS
OTHER AQUATIC FATE TERRESTRIAL FATE With reference to the relative amounts of annual environmental burden of arsenic, it has been calculated for 1974 that land is the major sink for arsenic, approximately 90 percent, with the atmosphere accounting for 7 to 8 percent and the smallest quantity appearing in water (HSDB , 1991). Microorganisms in sediments that contain arsenic convert arsenic in to dimethyl arsine. A variety of arsenicals are converted into dimethyl by methanobacteria (HSDB , 1991). Inorganic arsenic is more mobile than organic arsenic in soil and thus poses greater problems by leaching into surface and ground waters. Estimated half-life of arsenic in soils varies from 6.5 years for As2O3 to 16 years for Pb3(AsO4)2 (HSDB , 1991).
ENVIRONMENTAL TOXICITY
- Published Values (HSDB , 1991)
1. TOXIC PIKE, PERCH: 1.1(as As) mg/L/48h 2. TOXIC BLEAK: 2.2(as As) mg/L/72h 3. TOXIC CARP: 3.1(as As) mg/L/96h 4. TOXIC EELS: 3.19(as As) mg/L/72h 5. TOXIC BASS: 7.6(as As) mg/L/240h 6. TOXIC MINNOWS: 11.6(as As) mg/L/36h 7. TOXIC MINNOWS: 60(as As) mg/L/16 8. TOXIC CRABS: 4.1(as AsO3(-1)) mg/L/264h
- Arsenic is persistent and may cycle due to methylation (OHM/TADS , 1990)
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
DESCRIPTION/PHYSICAL STATE
- Arsenic pentoxide is a white, amorphous solid; it is deliquescent. It combines very slowly with water to form H3AsO4, will sink and then dissolve (OHM/TADS , 2000).
- Arsenic pentoxide is an odorless solid (CHRIS , 2000).
DENSITY
- NORMAL TEMPERATURE AND PRESSURE
FREEZING/MELTING POINT
315 degrees C; 599 degrees F (decomposes on melting) (Sax & Lewis, 1989) 800 degrees C; 1472 degrees F (NFPA, 1991)
SOLUBILITY
150 g/100 mL of water (at 16 degrees C) (HSDB , 2000) 76.6 g/100 mL of water (at 100 degrees C) (HSDB , 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, 1987.
- AAR: Emergency Handling of Hazardous Materials in Surface Transportation, Bureau of Explosives, Association of American Railroads, Washington, DC, 1998.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, 5th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1986.
- 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.
- Agahian B, Lee JS, & Nelson JH: Arsenic levels in fingernails as a biological indicator of exposure to arsenic. Am Ind Hyg Assoc J 1990; 51:646-651.
- Ahasan HA: Complications of chronic arsenic poisoning. Trop Doct 2001; 31:28-29.
- Al-Mahasneh QM & Rodgers GC: An in vitro study of efficacy of activated charcoal as an adsorbent for arsenical salts (Abstract). International Congress on Clinical Toxicology, Poison Control and Analytical Toxicology, LUXTOX 90, Programme and Abstracts (May 2-5) Luxembourg, 1990.
- 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.
- American Heart Association: 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2005; 112(24 Suppl):IV 1-203. Available from URL: http://circ.ahajournals.org/content/vol112/24_suppl/. As accessed 12/14/2005.
- Amster E, Tiwary A, & Schenker MB: Case report: potential arsenic toxicosis secondary to herbal kelp supplement. Environ Health Perspect 2007; 115(4):606-608.
- Anon: Cutis laxa and other congenital defects with penicillamine, ADR Highlights (Division of drug experience), Rockville, MD, 1981, pp 1-4-81-21.
- Anon: Health hazards of inorganic arsenic, Occupational Safety and Health Administration, Washington, DC, 1979.
- Aposhian HV, Carter DE, & Hoover TD: DMSA, DMPS, and DMPA -- as arsenic antidotes. Fundam Appl Toxicol 1984; 4:S58-S70.
- Aposhian HV, Tadlock CH, & Moon TE: Protection of mice against the lethal effects of sodium arsenite -- a quantitative comparison of a number of chelating agents. Toxicol Appl Pharmacol 1981; 61:385-392.
- Arbeitsgruppe BGVV: Allgemeine und spezielle Massnahmen bei Vergiftungen und bei Drogennotfaellen. Empfehlungen der Kommission "Erkennung und Behandlung von Vergiftungen", Bundesinstituts fuer gesundheitlichen Verbraucherschutz und Veterinaermedizin, Berlin, Germany, 1996.
- 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.
- Bansal SK, Haldar N, & Dhand UK: Phrenic neuropathy in arsenic poisoning. Chest 1991; 100:878-880.
- Barlow SM & Sullivan FM: Arsenic and its compounds, in: Reproductive Hazards of Industrial Chemicals, Academic Press, London, UK, 1982, pp 62-82.
- Barrett S: Commercial hair analysis: science or scam?. JAMA 1985; 254:1041-1045.
- Bartolome B, Cordoba S, & Nieto S: Acute arsenic poisoning: clinical and histopathological features. Br J Dermatol 1999; 141:1106-1109.
- Baselt RC & Cravey RH: Disposition of Toxic Drugs and Chemicals in Man, 3rd ed, Year Book Medical Publishers, Chicago, IL, 1989, pp 65-69.
- Baselt RC: Biological Monitoring Methods for Industrial Chemicals, 2nd ed, PSG Publishing Company, Littleton, MA, 1988, pp 28-34.
- Baselt RC: Biological Monitoring Methods for Industrial Chemicals, 3rd ed, Chemical Toxicology Institute, Foster City, CA, 1997.
- Baselt RC: Disposition of Toxic Drugs and Chemicals in Man, 5th ed, Chemical Toxicology Institute, Foster City, CA, 2000.
- Baxley MN, Hood RD, & Vedel GC: Prenatal toxicity of orally administered sodium arsenite in mice. Bull Environ Contam Toxicol 1981; 26:749-756.
- Beck RB, Rosenbaum KN, & Byers PH: Ultrastructural findings in fetal penicillamine syndrome, 14th March of Dimes Ann Birth Defects Conf, San Diego, CA, 1981.
- Beckett WS, Moore JL, & Keogh JP: Acute encephalopathy due to occupational exposure to arsenic. Br J Ind Med 1986; 43:66-67.
- Beckman KJ, Bauman JL, & Pimental PA: Arsenic-induced torsade de pointes. Crit Care Med 1991; 19:290-292.
- Berlin A, Draper MH, & Duffus JH: The toxicology of chemicals - 1. Carcinogenicity, Volume III - Summary reviews of the scientific evidence, Office for Official Publications of the European Communities, Luxembourg, 1991.
- Bingham E, Chorsson B, & Powell CH: Patty's Toxicology, Vol 2. 5th ed, John Wiley & Sons, New York, NY, 2001.
- Blanusa M, Varnai VM, Piasek M, et al: Chelators as antidotes of metal toxicity: therapeutic and experimental aspects. Curr Med Chem 2005; 12(23):2771-2794.
- Boonchai W: Treatment of precancerous and cancerous lesions of chronic arsenicism with 5% imiquimod cream. Arch Dermatol 2006; 142(4):531-532.
- Bourrain JL, Morin C, & Beani JC: Airborne contact dermatitis from cacodylic acid. Contact Dermatitis 1998; 38:364-365.
- Brayer AF, Callahan CM, & Wax PM: Acute arsenic poisoning from ingestion of "snakes". Ped Emerg Care 1997; 13:394-396.
- Bretherick L: Bretherick's Handbook of Reactive Chemical Hazards, 4th ed, Butterworths, London, UK, 1990, pp 53-1710.
- 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.
- Buchet JP, Pauwels J, & Lauwerys R: Assessment of exposure to inorganic arsenic following ingestion of marine organisms by volunteers. Environ Res 1994; 66:44-51.
- Budavari S: The Merck Index, 11th ed, Merck & Co, Inc, Rahway, NJ, 1989, pp 127.
- Budavari S: The Merck Index, 12th ed, Merck & Co, Inc, Whitehouse Station, NJ, 1996.
- 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 1990; 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 1991; 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 4/30/2000; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Caravati EM, Knight HH, & Linscott MS: Esophageal laceration and charcoal mediastinum complicating gastric lavage. J Emerg Med 2001; 20:273-276.
- Caravati EM: D-Penicillamine. In: Dart RC, ed. Medical Toxicology, Lippincott Williams & Wilkins, Philadelphia, PA, 2004.
- 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.
- Chakraborti D, Mukherjee SC, Saha KC, et al: Arsenic toxicity from homeopathic treatment. J Toxicol Clin Toxicol 2003; 41:963-967.
- Chan KM & Matthews WS: Acute arsenic overdose. Lab Med 1990; 21:649-652.
- Chang CC, HO SC, Tsai SS, et al: Ischemic heart disease mortality reduction in an arseniasis-endemic area in southwestern Taiwan after a switch in the tap-water supply system. J Toxicol Environ Health 2004; 67:1353-1361.
- Charlton NP , Lawrence DT , Brady WJ , et al: Termination of drug-induced torsades de pointes with overdrive pacing. Am J Emerg Med 2010; 28(1):95-102.
- Chen CJ, Hsueh YM, & Lai MS: Increased prevalence of hypertension and long-term arsenic exposure. Hypertension 1995; 25:53-60.
- Chen CJ, Kuo TL, & Wu MM: Arsenic and cancers (Letter). Lancet 1988; 1:414-415.
- Chen Y, Factor-Litvak P, Howe GR, et al: Arsenic exposure from drinking water, dietary intakes of B vitamins and folate, and risk of high blood pressure in Bangladesh: a population-based, cross-sectional study. Am J Epidemiol 2007; 165(5):541-552.
- Clarkson TW: Mercury - an element of mystery (editorial). N Engl J Med 1990; 323:1137-1138.
- Clayton GD & Clayton FE: Patty's Industrial Hygiene and Toxicology, Vol 2A, Toxicology, 3rd ed, John Wiley & Sons, New York, NY, 1981, pp 1517-1528.
- Clayton GD & Clayton FE: Patty's Industrial Hygiene and Toxicology, Vol 2C, John Wiley & Sons, New York, NY, 1994, pp 1913-1923.
- Concha G, Vogler G, & Lezcano D: Exposure to inorganic arsenic metabolites during early human development. Toxicol Sci 1998; 44:185-190.
- Council on Scientific Affairs: Effects of Toxic Chemicals on the Reproductive System, American Medical Association, Chicago, IL, 1985.
- Cullen NM, Wolf LR, & St Clair D: Pediatric arsenic ingestion. Am J Emerg Med 1995; 13:432-435.
- 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.
- Dakeishi M, Murata K, & Grandjean P: Long-term consequences of arsenic poisoning during infancy due to contaminated milk powder. Environ Health 2006; 5:31-.
- Dalal B, Gangopadhyay PK, Mukherjee AK, et al: Identification of indicators of arsenic induced nephrotoxicity in humans. Internet J Toxicol 2008; 5(2):1-.
- Daya MR, Irwin R, & Parshley MC: Arsenic ingestion in pregnancy (Abstract). Vet Human Toxicol 1989; 31:347.
- DeKimpe J, Cornelis R, & Mees L: More than a tenfold increase of arsenic in serum and packed cells of chronic hemodialysis patients. Am J Nephrol 1993; 13:429-434.
- Dong JT, Zhou CN, & Luo XM: Induction of preneoplastic lesions by sodium arsenite in human fetal respiratory epithelia in organ culture. Environ Res 1995; 68:39-43.
- Donofrio PD, Wilbourn AJ, & Albers JW: Acute arsenic intoxication presenting as Guillain-Barre'-like syndrome. Muscle & Nerve 1987a; 10:114-120.
- Donofrio PD, Wilbourn AJ, & Albers JW: Acute arsenic intoxication presenting as Guillain-Barre-like syndrome. Muscle & Nerve 1987; 10:114-120.
- Donofrio PD, Wilbourn AJ, & Albers JW: Acute arsenic intoxication presenting as Guillain-Barre-like syndrome. Muscle Nerve 1987b; 10:114-120.
- Drew BJ, Ackerman MJ, Funk M, et al: Prevention of torsade de pointes in hospital settings: a scientific statement from the American Heart Association and the American College of Cardiology Foundation. J Am Coll Cardiol 2010; 55(9):934-947.
- Duenas C, Perez-Alverez JC, & Busteros JI: Idiopathic portal hypertension and angiosarcoma associated with arsenical salts therapy. J Clin Gastroenterol 1998; 26:303-305.
- Duenas-Laita A, Perez-Miranda M, Gonzalez-Lopez MA, et al: Acute arsenic poisoning. Lancet 2005; 365:1982.
- Dulout FN, Grillo CA, & Seoane AI: Chromosomal aberrations in peripheral blood lymphocytes from native Andean women and children from northwestern Argentina exposed to arsenic in drinking water. Mutat Res 1996; 370:151-158.
- EPA: EPA chemical profile on arsenic pentoxide, Environmental Protection Agency, Washington, DC, 1985.
- EPA: Handbook for Pesticide Disposal by Common Chemical Methods (SW-112c), Environmental Protection Agency, Washington, DC, 1975, pp 64-66.
- EPA: Pesticide Fact Handbook, Noyes Publications, Park Ridge, NJ, 1988.
- 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.
- Eagle H & Magnuson HJ: The systemic treatment of 227 cases of arsenic poisoning (encephalitis, dermatitis, blood dyscrasia, jaundice, fever) with 2,3-dimercaptopropanol (BAL). Am J Syph Gonor Ven Dis 1946; 30:420-441.
- Feehally J, Wheeler DC, Mackay EH, et al: Recurrent acute renal failure with interstitial nephritis due to D-penicillamine. Renal Failure 1987; 10:55-57.
- Fesmire FM, Schauben JL, & Roberge RJ: Survival following massive arsenic ingestion. Am J Emerg Med 1988; 6:602-606.
- Fincher RME & Koerker RM: Long-term survival in acute arsenic encephalopathy. Follow-up using newer measures of electrophysiologic parameters. Am J Med 1987; 82:549-552.
- Finkel AJ: Hamilton and Hardy's Industrial Toxicology, 4th ed, John Wright, PSG Inc, Boston, MA, 1983, pp 17-24.
- Ford M: Arsenic. In: Goldfrank LR, Flomenbaum N, Hoffman RS, et al, eds. Goldfrank's Toxicologic Emergencies, 8th. McGraw-Hill, New York, NY, 2006, pp 1251-1264.
- Fournier L, Thomas G, & Garnier R: 2,3-Dimercaptosuccinic acid treatment of heavy metal poisoning in humans. Med Toxicol 1988; 3:499-504.
- Fournier L, Thomas G, & Garnier R: 2,3-dimercaptosuccinic acid treatment of heavy metal poisoning in humans. Med Toxicol 1988a; 3:499-504.
- Freeman JW & Couch JR: Prolonged encephalopathy with arsenic poisoning. Neurology 1978; 28:853-855.
- Garcia-Vargas GG, Del Razo LM, & Cebrian ME: Altered urinary porphyrin excretion in a human population chronically exposed to arsenic in Mexico. Human Exp Toxicol 1994; 13:839-847.
- Gerhardt RE, Hudson JB, & Rao RN: Chronic renal insufficiency from cortical necrosis induced by arsenic poisoning. Arch Intern Med 1978; 138:1267-1269.
- Gherardi RK, Chariot P, & Vanderstigel M: Organic arsenic-induced guillain-barre-like syndrome due to melarsoprol: a clinical, electrophysiological, and pathological study. Muscle Nerve 1990; 13:637-645.
- Giberson A, Vaziri ND, & Mirahamadi K: Hemodialysis of acute arsenic intoxication with transient renal failure. Arch Intern Med 1976; 136:1303-1304.
- Gilman AG, Goodman LS, & Rall TW: et al: The Pharmacological Basis of Therapeutics, 7th ed, MacMillan Publishing Company, New York, NY, 1985, pp 1614-1617.
- Goebel HH, Schmidt PF, & Bohl J: Polyneuropathy due to acute arsenic intoxication: biopsy studies. J Neuropathol Exp Neurol 1990; 49:137-149.
- Goldsmith S: Arsenic-induced atypical ventricular tachycardia. N Engl J Med 1980; 303:1096-1098.
- Gonsebatt ME, Vega L, & Salazar AM: Cytogenic effects in human exposure to arsenic. Mutat Res 1997; 386:219-228.
- Gousios AG & Adelson L: Electrocardiographic and radiographic findings in acute arsenic poisoning. Am J Med 1959; 659-663.
- Grant WM: Toxicology of the Eye, 4th ed, Charles C Thomas, Springfield, IL, 1993.
- Greenberg C, Davies S, & McGowan T: Acute respiratory failure following severe arsenic poisoning. Chest 1979; 76:596-598.
- Guha Mazumda DN & Das Gupta J: Arsenic and non-cirrhotic portal hypertension. J Hepatol 1991; 13:376.
- Guha Mazumder DN, Chakraborty AK, & Ghosh A: Chronic arsenic toxicity from drinking tube well water in rural West Bengal. Bull World Health Organ 1988; 66:499-506.
- Guha Mazumder DN, Das Gupta J, & Chakraborty AK: Environmental pollution and chronic arsenicosis in South Calcutta. Bull World Health Organ 1992; 70:481-485.
- Guha Mazumder DN, Ghoshal UC, & Amal Santra A: Randomized placebo-controlled trial of 2,3-dimercaptosuccinic acid therapy of chronic arsenicosis due to drinking arsenic-contaminated subsoil water. J Toxicol -- Clin Toxicol 1998; 36:683-690.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 1991; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- HSDB : Hazardous Substances Data Bank. National Library of Medicine. Bethesda, MD (Internet Version). Edition expires 4/30/2000; 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.
- Hafeman DM, Ahsan H, Louis ED, et al: Association between arsenic exposure and a measure of subclinical sensory neuropathy in Bangladesh. J Occup Environ Med 2005; 47:778-784.
- Hahn I, Kline SA, & Howland MA: Chronic pediatric arsenic poisoning from pressure-treated wood burned in a fireplace (abstract). J Toxicol-Clin Toxicol 2000; 38:550-551.
- Hall JC & Harruff R: Fatal cardiac arrhythmia in a patient with interstitial myocarditis related to chronic arsenic poisoning. South Med J 1989; 82:1557-1560.
- Hantson P, Mahieu P, & Lauwerys R: Tolerance of intravenous dimercaptosuccinic acid (DMSA) therapy for acute arsenic poisoning (Abstract). Przegl Lek 1995; 52:175-176.
- Harbison RM: Hamilton and Hardy's Industrial Toxicology, 5th ed, Mosby, St. Louis, MO, 1998.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 4th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Hayes WJ Jr: Pesticides Studied in Man, Williams & Wilkins, Baltimore, MD, 1982.
- Heaven R, Duncan M, & Vukelja SJ: Arsenic intoxication presenting with macrocytosis and peripheral neuropathy, without anemia. ACTA Haematol 1994; 92:142-143.
- Hernandez-Zavala A, Del Razo LM, & Aguilar C: Alteration in bilirubin excretion in individuals chronically exposed to arsenic in Mexico. Toxicol Lett 1998; 99:79-84.
- Heyman A, Pfeiffer JB Jr, & Willett RW: Peripheral neuropathy caused by arsenical intoxication. A study of 41 cases with observations on the effects of BAL (2,3-dimercapto-propanol). N Engl J Med 1956; 254:401-409.
- Hilfer RJ & Mendel A: Acute arsenic intoxication diagnosed by roentgenograms. Report of a case with survival. N Engl J Med 1962; 266:663-664.
- Hla KK, Ashton CE, & Henry JA: Adverse effects from 2,3-dimercaptopropane sulphonate (DMPS) (abstract), EAPCCT, XV Congress, Istanbul, Turkey, 1992, pp 13.
- Hood RD & Harrison WP: Effects of prenatal arsenite exposure in the hamster. Bull Environ Contam Toxicol 1982; 29:671-678.
- Hood RD: Effects of sodium arsenite on fetal development. Bull Environ Contam Toxicol 1972; 7:216-222.
- Hopenhayn-Rich C, Biggs ML, & Fuchs A: Bladder cancer mortality associated with arsenic in drinking water in Argentina. Epidemiology 1996; 7:117-124.
- Hopenhayn-Rich C, Biggs ML, & Smith AH: Lung and kidney cancer mortality associated with arsenic in drinking water in Cordoba, Argentina. Int J Epidmiol 1998; 27:561-569.
- Howland MA: Dimercaprol (BAL), in Goldfrank LR, Flomenbaum NE, Lewin NA et al (eds): Goldfrank's Toxicologic Emergencies, 7th ed, McGraw-Hill, New York, NY, 2002.
- Hsieh FI, Hwang TS, Hsieh YC, et al: Risk of erectile dysfunction induced by arsenic exposure through well water consumption in Taiwan. Environ Health Perspect 2008; 116(4):532-536.
- Hsu CA, Aposhian V, & Heydolph S: Optical isomers of 2,3-dimercapto-1-propanesulfonate: antidotal activity, in vitro and in vivo, against sodium arsenite. J Pharmacol Exp Ther 1983; 224:314-318.
- Huang SY, Chang CS, & Tang JL: Acute and chronic arsenic poisoning associated with treatment of acute promyelocytic leukaemia. Br J Haematology 1998; 103:1092-1095.
- Hutton JT & Christians BL: Sources, symptoms, and signs of arsenic poisoning. J Fam Pract 1983; 17:423-426.
- 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: Arsenic and Inorganic Arsenic Compounds, in: IARC Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Man, 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.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1995.
- Inns RH & Rice P: Efficacy of dimercapto chelating agents for the treatment of poisoning by percutaneously applied dichloro(2-chlorovinyl)arsine in rabbits. Human Exp Toxicol 1993; 12:241-246.
- Inns RH, Rice P, & Bright JE: Evaluation of the efficacy of dimercapto chelating agents for the treatment of systemic organic arsenic poisoning in rabbits. Hum Exp Toxicol 1990; 9:215-220.
- 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.
- Jackson R & Grainge JW: Arsenic and cancer. Canad Med Assoc J 1975; 113:396-401.
- Jenkins RB: Inorganic arsenic and the nervous system. Brain 1966; 89:479-498.
- Kales S.N., Huyck K.L., & Goldman R.H.: Elevated urine arsenic: un-speciated results lead to unnecessary concern and further evaluations. J Anal Toxicol 2006; 30(2):80-85.
- Kay A: European league against rheumatism study of adverse reactions to D-penicillamine. Br J Rheumatol 1986; 25:193-198.
- Kelafant GA, Kasarskis EJ, & Horstman SW: Arsenic poisoning in central Kentucky -- a case report. Am J Ind Med 1993; 24:723-726.
- Keren A, Tzivoni D, & Gavish D: Etiology, warning signs and therapy of torsade de pointes: a study of 10 patients. Circulation 1981; 64:1167-1174.
- Kew J, Morris C, & Aihie A: Arsenic and mercury intoxication due to Indian ethnic remedies. Br Med J 1993; 306:506-507.
- Khan IA & Gowda RM: Novel therapeutics for treatment of long-QT syndrome and torsade de pointes. Int J Cardiol 2004; 95(1):1-6.
- Kingston RL, Hall S, & Sioris L: Clinical observations and medical outcome in 149 cases of arsenate ant killer ingestion. J Toxicol Clin Toxicol 1993; 31:581-591.
- Kirshenbaum LA, Mathews SC, & Sitar DS: Whole-bowel irrigation versus activated charcoal in sorbitol for the ingestion of modified-release pharmaceuticals. Clin Pharmacol Ther 1989; 46:264-271.
- Kjeldsberg & Ward: Leukemia in arsenic poisoning. Ann Intern Med 1972; 77:935.
- Kleinman ME, Chameides L, Schexnayder SM, et al: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 14: pediatric advanced life support. Circulation 2010; 122(18 Suppl.3):S876-S908.
- Kollef MH & Schuster DP: The acute respiratory distress syndrome. N Engl J Med 1995; 332:27-37.
- Kosnett MJ & Becker CE: Dimercaptosuccinic acid as a treatment for arsenic poisoning (Abstract). Vet Human Toxicol 1987; 29:462.
- Kreppel H, Reichl FX, & Szinicz L: Efficacy of various dithiol compounds in acute As2O3 poisoning in mice. Arch Toxicol 1990; 64:387-392.
- Kruszewska S, Wiese M, & Kolacinski Z: The use of hemodialysis and 2,3-propanesulphonate (DMPS) to manage acute oral poisoning from a lethal dose of arsenic trioxide. Internat J Occup Environ Health 1996; 9:111-115.
- Kuntzelman DR & Angle CR: Abnormal liver function in childhood lead poisoning unaffected by DMSA (Abstract). Vet Hum Toxicol 1992; 34:355.
- Kurttio P, Komulainen H, & Hakala E: Urinary excretion of arsenic species after exposure to arsenic present in drinking water. Arch Environ Contam Toxicol 1998; 34:297-305.
- Kuruvilla A, Bergeson PS, & Done AK: Arsenic poisoning in childhood. An unusual case report with special notes on therapy with penicillamine. Clin Toxicol 1975; 8:535-540.
- Kuslikis B, Maurer J, & Trestrail J: Acute human arsenate exposure in Michigan from 1985 to the present (Abstract). Vet Human Toxicol 1991; 33:378.
- Kwok RK, Mendola P, Liu ZY, et al: Drinking water arsenic exposure and blood pressure in healthy women of reproductive age in Inner Mongolia, China. Toxicol Appl Pharmacol 2007; 222(3):337-343.
- Kyle RA & Pease GL: Hematologic aspects of arsenic intoxication. N Engl J Med 1965; 273:18-23.
- Lagerkvist BJ & Zetterlund B: Assessment of exposure to arsenic among smelter workers: a five-year follow-up. Am J Ind Med 1994; 25:477-488.
- Lai MW, Boyer EW, Kleinman ME, et al: Acute arsenic poisoning in two siblings. Pediatrics 2005; 116:249-257.
- Lander H, Hodge PR, & Crisp CS: Arsenic in the hair and nails. Its significance in acute arsenical poisoning. J Forens Med 1965; 12:52-67.
- Le Quesne PM & McLeod JG: Peripheral neuropathy following a single exposure to arsenic. Clinical course in four patients with electrophysiological and histological studies. J Neurol Sci 1977; 32:437-451.
- Lee DC, Roberts JR, & Kelly JJ: Whole-bowel irrigation as an adjunct in the treatment of radiopaque arsenic (Letter). Am J Emerg Med 1995; 13:244-245.
- Lenz K, Hruby K, & Druml W: 2,3-Dimercaptosuccinic acid in human arsenic poisoning. Arch Toxicol 1981; 47:241-243.
- Lerda D: Sister-chromatid exchange (SCE) among individuals chronically exposed to arsenic in drinking water. Mutat Res 1994; 312:111-120.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 9th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Linares A, Zarranz JJ, & Rodrigues-Alarcon J: Reversible cutis laxa due to maternal d-penicillamine treatment. Lancet 1979; 2:43.
- Link MS, Berkow LC, Kudenchuk PJ, et al: Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132(18 Suppl 2):S444-S464.
- Lugo, Cassaty, & Palmisano: Acute maternal arsenic intoxication. Am J Dis Child 1969; 117:328.
- MMWR: Reduction of children's arsenic exposure following relocation - Mill Creek, Montana. MMWR: MMWR 1987; 36:505-507.
- Mackell MA, Poklis A, & Gantner GE: An unsuspected arsenic poisoning murder disclosed by forensic autopsy. Am J Forens Med Pathol 1985; 6:358-361.
- Majid Cheraghali A, Haghqoo S, Shalviri G, et al: Fatalities following skin exposure to arsenic. Clin Toxicol (Phila) 2007; 45(8):965-967.
- Marcus S, Okose P, & Jennis T: Untoward effects of oral dimercaptosuccinic acid in the treatment for lead poisoning (Abstract). Vet Hum Toxicol 1991; 33:376.
- Marcus SM: Survival after massive arsenic trioxide ingestion (Abstract). Vet Human Toxicol 1987; 29:481.
- Mazumder DNG, Chakraborty AK, & Ghose A: Chronic arsenic toxicity from drinking tubewell water in rural West Bengal. Bull World Health Organization 1988; 66:499-506.
- Mazumder DNG, De BK, & Santra A: Randomized placebo-controlled trial of 2,3-dimercapto-1-propanesulfonate (DMPS) in therapy of chronic arsenicosis due to drinking arsenic-contaminated water. Clin Toxicol 2001; 39:665-674.
- McWilliams ME: Accidental acute poisoning by a concentrated solution of arsenic acid from percutaneous absorption (Abstract). Vet Human Toxicol 1989; 31(4):354.
- Mitchell RD, Walberg CB, & Gupta RC: In vitro adsorption properties of activated charcoal with selected inorganic compounds (Abstract). Ann Emerg Med 1989; 18:444-445.
- Moore DF, O'Callaghan CA, & Berlyne G: Acute arsenic poisoning: absence of polyneuropathy after treatment with 2,3-dimercaptopropanesulphonate (DMPS). J Neurol Neurosurg Psychiatry 1994a; 57:1133-1135.
- Moore DF, O'Callaghan CA, Berlyne G, et al: Acute arsenic poisoning: absence of polyneuropathy after treatment with 2,3-dimercaptopropanesulphonate (DMPS). J Neurol Neurosurg Psychiatry 1994; 57(9):1133-1135.
- Moore LE, Smith AH, & Hopenhayn-Rich C: Micronuclei in exfoliated bladder cells among individuals chronically exposed to arsenic in drinking water. Cancer Epidemol Biomarkers Prev 1997b; 6:31-36.
- Moore LE, Smith AH, & Hopenhayn-Rich: Micronuclei in exfoliated bladder cells among individuals chronically exposed to arsenic in drinking water. Epidemiol Biomarkers Prev 1997; 6:31-36.
- Moore MM, Harrington-Brock K, & Doerr CL: Relative genotoxic potency of arsenic and its methylated metabolites. Mutat Res 1997a; 386:279-290.
- Morgan DP: Recognition and Management of Pesticide Poisonings, 4th ed, Global Professional Publications, Englewood, CO, 1993.
- Morgan DP: Recognition and Management of Pesticide Poisonings, 4th ed. EPA-540/9-88-0015, US Environmental Protection Agency, Government Printing Office, Washington, DC, 1989.
- Morton WE & Caron GA: Encephalopathy: an uncommon manifestation of workplace arsenic poisoning?. Am J Ind Med 1989; 15:1-5.
- Mukherjee SC, Saha KC, Pati S, et al: Murshidabad--one of the nine groundwater arsenic-affected districts of West Bengal, India. Part II: dermatological, neurological, and obstetric findings. Clin Toxicol (Phila) 2005; 43(7):835-848.
- NFPA: Fire Protection Guide to Hazardous Materials, 10th ed, National Fire Protection Association, Quincy, MA, 1991.
- NFPA: Fire Protection Guide to Hazardous Materials, 11th ed, National Fire Protection Association, Quincy, MA, 1994.
- 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.
- Naradzay J & Barish RA: Approach to ophthalmologic emergencies. Med Clin North Am 2006; 90(2):305-328.
- Narang APS: Arsenicosis in India. Clin Toxicol 1987a; 25:287-295.
- 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: Arsenic Pentoxide. Centers for Disease Control and Prevention. Atlanta, GA. 2008. Available from URL: http://www.cdc.gov/niosh/ershdb/EmergencyResponseCard_29750020.html. As accessed 2011-05-08.
- 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.
- Nazmul Ahasan HAM: Complications of chronic arsenic poisoning. Trop Doctor 2001; 31:28-29.
- Nelson LS: Copper. In: Nelson LS, Hoffman RS, Lewin NA, et al, eds. Goldfrank's Toxicologic Emergencies, 9th ed. McGraw Hill Medical, New York, NY, 2011, pp 1256-1265.
- Neumar RW , Otto CW , Link MS , et al: Part 8: adult advanced cardiovascular life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl 3):S729-S767.
- Nevens F, Fevery J, & Van Steenbergen W: Arsenic and non-cirrhotic portal hypertension. A report of eight cases. J Hepatol 1990; 11:80-85.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 1990; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 1991; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 2001; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- OHM/TADS : Oil and Hazardous Materials/Technical Assistance Data System. US Environmental Protection Agency. Washington, DC (Internet Version). Edition expires 4/30/2000; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- OSHA: 29 CFR 1910.1018, Government Printing Office, Washington, DC, 1988.
- OSHA: Personal Protective Equipment for General Industry. 59 FR 16334-16364, 59, Department of Labor, Occupational Safety and Health Administration, Washington, DC, 2000, pp 16334-16364.
- Oh SJ: Electrophysiological profile in arsenic neuropathy. J Neurol Neurosurg Psychiatr 1991; 54:1103-1105.
- Peate WF: Work-related eye injuries and illnesses. Am Fam Physician 2007; 75(7):1017-1022.
- Peberdy MA , Callaway CW , Neumar RW , et al: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science. Part 9: post–cardiac arrest care. Circulation 2010; 122(18 Suppl 3):S768-S786.
- Pepin J, Milord F, & Guern C: Trial of prednisolone for prevention of melarsoprol-induced encephalopathy in gambiense sleeping sickness. Lancet 1989; 1:1246-1250.
- Perticone F, Ceravolo R, & Cuccurullo O: Prolonged magnesium sulfate infusion in the treatment of ventricular tachycardia in acquired long QT syndrome. Clin Drug Inverst 1997; 13:229-236.
- Peters HA, Croft WA, & Woolson EA: Seasonal arsenic poisoning from burning chromium-copper-arsenate-treated wood. JAMA 1984; 251:2393-2396.
- Peterson & Rumack: D-penicillamine therapy of acute arsenic poisoning. J Ped 1977; 91:661.
- Proctor NH, Hughes JP, & Fischman ML: Chemical Hazards of the Workplace, 2nd ed, JB Lippincott Co, Philadelphia, PA, 1988, pp 80-82.
- Product Information: BAL In Oil intramuscular injection, dimercaprol intramuscular injection. Akorn, Inc. (per manufacurer), Lake Forest, IL, 2008.
- Product Information: CHEMET(R) oral capsules, succimer oral capsules. Ovation Pharmaceuticals,Inc, Deerfield, IL, 2005.
- Product Information: CHEMET(R) oral capsules, succimer oral capsules. Lundbeck Inc. (per Manufacturer), Deerfield, IL, 2011.
- Product Information: CUPRIMINE(R) oral capsules, penicillamine oral capsules. Merck & Co,Inc, Whitehouse Station, NJ, 2004.
- Product Information: Cordarone(R) oral tablets, amiodarone HCl oral tablets. Wyeth Pharmaceuticals Inc (per FDA), Philadelphia, PA, 2015.
- Product Information: DEPEN(R) titratable oral tablets, penicillamine titratable oral tablets. Meda Pharmaceuticals Inc, Somerset, NJ, 2009.
- Product Information: DIMAVAL(R) IV, IM injection, (RS)-2,3-bis(sulphany)propane-1-sulphonic acid, sodium salt-Monohydrate IV IM injection. HEYL Chemisch-pharmazeutische Fabrik GmbH & Co., Berlin, Germany, 2004.
- Product Information: DIMAVAL(R) oral capsules, (RS)-2,3-bis(sulphanyl)propane-1-sulphonic acid, sodium salt-monohydrate oral capsules. Heyl Chemisch-pharmazeutische Fabrik GmbH & Co., 2004.
- Product Information: Dimaval(R) intravenous intramuscular injection solution, 2,3-Bis(sulfanyl)propane-1-sulfonic acid intravenous intramuscular injection solution. Heyl Chem.-pharm. Fabrik (per manufacturer), Berlin, Germany, 2013.
- Product Information: Isuprel(TM) intravenous injection, intramuscular injection, subcutaneous injection, intracardiac injection, isoproterenol HCl intravenous injection, intramuscular injection, subcutaneous injection, intracardiac injection. Hospira, Inc. (per FDA), Lake Forest, IL, 2013.
- Product Information: Lidocaine HCl intravenous injection solution, lidocaine HCl intravenous injection solution. Hospira (per manufacturer), Lake Forest, IL, 2006.
- Product Information: dopamine hcl, 5% dextrose IV injection, dopamine hcl, 5% dextrose IV injection. Hospira,Inc, Lake Forest, IL, 2004.
- Product Information: magnesium sulfate heptahydrate IV, IM injection, solution, magnesium sulfate heptahydrate IV, IM injection, solution. Hospira, Inc. (per DailyMed), Lake Forest, IL, 2009.
- Product Information: norepinephrine bitartrate injection, norepinephrine bitartrate injection. Sicor Pharmaceuticals,Inc, Irvine, CA, 2005.
- Quatrehomme G, Ricq O, & Lapalus P: Acute arsenic Intoxication: forensic and toxicologic aspects (an observation). J Forens Sci 1992; 37:1163-1171.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 1991; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- RTECS : Registry of Toxic Effects of Chemical Substances. National Institute for Occupational Safety and Health. Cincinnati, OH (Internet Version). Edition expires 2000; provided by Truven Health Analytics Inc., Greenwood Village, CO.
- Rahman M, Tondel M, & Ahmad SA: Diabetes mellitus associated with arsenic exposure in Bangladesh. Am J Epidemiol 1998; 148:198-203.
- Rahman M, Wingren G, & Axelson O: Diabetes mellitus among Swedish art glass workers--an effect of arsenic exposure?. Scand J Work Environ Health 1996; 22:146-149.
- Rahman MM, Chowdhury UK, & Mukherjee SC: Chronic arsenic toxicity in Bangladesh and West Bengal, India - A review and commentary. Clin Toxicol 2001; 39:683-700.
- Renwick JH, Harrington JM, & Waldron HA: Long-term effects of acute arsenical poisoning. J Soc Occup Med 1981; 31:144-147.
- Rezuke WN, Anderson C, & Pastuszak WT: Arsenic intoxication presenting as a myelodysplastic syndrome: a case report. Am J Hematol 1991; 36:291-293.
- Ringenberg QS, Doll DC, & Patterson WP: Hematologic effects of heavy metal poisoning. South Med J 1988; 81:1132-1139.
- Rosa FW: Teratogen update: penicillamine. Teratology 1986; 33:127-131.
- Sass U, Grosshans E, & Simonart JM: Chronic Arsenicism: criminal poisoning or drug-intoxication?. Dermatology 1993; 186:303-305.
- Sax NI & Lewis RJ: Dangerous Properties of Industrial Materials, 7th ed, Van Nostrand Reinhold Co, New York, NY, 1989, pp 304.
- Sax NI & Lewis RJ: Hawley's Condensed Chemical Dictionary, 11th ed, Van Nostrand Reinhold Co, New York, NY, 1987, pp 99.
- Schardein JL: Chemically Induced Birth Defects 2nd ed, Marcel Dekker, Inc, New York, NY, 1993.
- Schoolmeester WL & White DR: Arsenic poisoning. South Med J 1980; 73:198-208.
- Shum S, Whitehead J, & Vaughn L: Chelation of organoarsenate with dimercaptosuccinic acid. Vet Human Toxicol 1995; 37:239-242.
- Sittig M: Handbook of Toxic and Hazardous Chemicals and Carcinogens, 2nd ed, Noyes Publications, Park Ridge, NJ, 1985, pp 86-90.
- Sittig M: Handbook of Toxic and Hazardous Chemicals and Carcinogens, 3rd ed, Noyes Publications, Park Ridge, NJ, 1991.
- Smith AH, Goyolea M, & Haque R: Marked increase in bladder and lung cancer mortality in a region of Northern Chile due to arsenic in drinking water. Am J Epidemiol 1998; 147:660-669.
- Smith SW, Ling LJ, & Halstenson CE: Whole-bowel irrigation as a treatment for acute lithium overdose. Ann Emerg Med 1991; 20:536-539.
- Smith WM & Gallagher JJ: "Les torsades de pointes": an unusual ventricular arrhythmia. Ann Intern Med 1980; 93:578-584.
- Snider TH, Wientjes MG, & Joiner RL: Arsenic distribution in rabbits after lewisite administration and treatment with British anti-lewisite (BAL). Fundam Appl Toxicol 1990; 14:262-272.
- Solomon L, Abrams G, & Dinner M: Neonatal abnormalities associated with d-penicillamine treatment during pregnancy. N Engl J Med 1977; 296:54.
- St Petery J, Gross C, & Victoria BE: Ventricular fibrillation caused by arsenic poisoning. Am J Dis Child 1970; 120:367-371.
- Stenehjem AE, Vahter M, Nermell B, et al: Slow recovery from severe inorganic arsenic poisoning despite treatment with DMSA (2.3-dimercaptosuccinic acid). Clin Toxicol (Phila) 2007; 45(4):424-428.
- 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.
- Tabocova S, Hunter ES 3rd, & Gladen BC: Developmental toxicity of inorganic arsenic in whole embryo: culture oxidation state, dose, time, and gestational age dependence. Toxicol Appl Pharmacol 1996; 138:298-307.
- Tenenbein M, Cohen S, & Sitar DS: Whole bowel irrigation as a decontamination procedure after acute drug overdose. Arch Int Med 1987; 147:905-907.
- Tseng HP, Wang YH, Wu MM, et al: Association between chronic exposure to arsenic and slow nerve conduction velocity among adolescents in Taiwan. J Health Popul.Nutr 2006; 24(2):182-189.
- Tsuji JS, Benson R, & Schoof RA: Health effect levels for risk assessment of childhood exposure to arsenic. Regul Toxicol Pharmacol 2004; 39:99-110.
- 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-.
- Uede K & Furukawa F: Skin manifestations in acute arsenic poisoning from the Wakayama curry-poisoning incident. Br J Dermatol 2003; 149:757-762.
- 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.
- Vale JA, Kulig K, American Academy of Clinical Toxicology, et al: Position paper: Gastric lavage. J Toxicol Clin Toxicol 2004; 42:933-943.
- Vale JA: Position Statement: gastric lavage. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. J Toxicol Clin Toxicol 1997; 35:711-719.
- Vanden Hoek TL, Morrison LJ, Shuster M, et al: Part 12: cardiac arrest in special situations: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122(18 Suppl 3):S829-S861.
- Vaziri ND, Upham T, & Barton CH: Hemodialysis clearance of arsenic. Clin Toxicol 1980; 17:451-456.
- Wagner SL & Weswig P: Arsenic in blood and urine of forest workers as indices of exposure to cacodylic acid. Arch Environ Health 1974; 28:77-79.
- Wagner SL, Maliner JS, & Morton WE: Skin cancer and arsenical intoxication from well water. Arch Dermatol 1979; 115:1205-1207.
- Warner ML, Moore LE, & Smith MT: Increased micronuclei in exfoliated bladder cells of individuals who chronically ingest arsenic-contaminated water in Nevada. Cancer Epidemiol Biomarkers Prev 1994; 3:583-590.
- Watson WA, Veltri JC, & Metcalf TJ: Acute arsenic exposure treated with oral D-penicillamine. Vet Human Toxicol 1981; 23:164-166.
- Wax PM & Thornton CA: Recovery from severe arsenic-induced peripheral neuropathy with 2,3-dimercapto-1-propanesulphonic acid. Clin Toxicol 2000a; 38:777-780.
- Wax PM & Thornton CA: Recovery from severe arsenic-induced peripheral neuropathy with 2,3-dimercapto-1-propanesulphonic acid. J Toxicol Clin Toxicol 2000; 38(7):777-780.
- Willson DF, Truwit JD, Conaway MR, et al: The Adult Calfactant in Acute Respiratory Distress Syndrome (CARDS) Trial. Chest 2015; Epub:Epub.
- 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.
- Wong SS, Tan KC, & Goh CL: Cutaneous manifestations of chronic arsenicism: Review of seventeen cases. J Am Acad Dermatol 1998; 38:179-185.
- Woody NC & Kometani JT: BAL in the treatment of arsenic ingestion of children. Pediatr 1948; 1:372-378.
- Yuan Y, Marshall G, Ferreccio C, et al: Acute myocardial infarction mortality in comparison with lung and bladder cancer mortality in arsenic-exposed region II of Chile from 1950 to 2000. Am J Epidemiol 2007; 166(12):1381-1391.
- Zaloga GP, Deal J, & Spurling T: Case report: unusual manifestations of arsenic intoxication. Am J Med Sci 1970; 289:210-214.
- Zilker T, Felgenhauer N, & Pfab R: Little effect of haemodialysis and cavhdf on the elimination of arsenic compared to dmps treatment (abstract). J Tox - Clin Tox 1999; 37:400-401.
- de Caen AR, Berg MD, Chameides L, et al: Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015; 132(18 Suppl 2):S526-S542.
|