ARSENIC TRICHLORIDE
HAZARDTEXT ®
Information to help in the initial response for evaluating chemical incidents
-IDENTIFICATION
SYNONYMS
ARSENIC TRICHLORIDE ARSENIC BUTTER ARSENIC(III) CHLORIDE ARSENIC CHLORIDE ARSENIC CHLORIDE, liquid ARSENIC(III) TRICHLORIDE ARSENIC TRICHLORIDE, liquid ARSENIOUS CHLORIDE ARSENOUS CHLORIDE ARSENOUS TRICHLORIDE ARSENOUS TRICHLORIDE(9CI) BUTTER of ARSENIC CAUSTIC ARSENIC CHLORIDE CAUSTIC OIL OF ARSENIC CHLORURE ARSENIEUX (French) CHLORURE D'ARSENIC (French) FUMING LIQUID ARSENIC TRICHLOROARSINE TRICHLORURE D'ARSENIC (French)
IDENTIFIERS
1560-Arsenic trichloride 1560-Arsenic chloride
SYNONYM REFERENCE
- (RTECS , 1991; AAR, 1987; EPA, 1985; Budavari, 1989)
USES/FORMS/SOURCES
It is used in the ceramics and metallurgy industries, in the production of organic arsenical pharmaceuticals, herbicides, and insecticides, and in the synthesis of chloro- derivatives of arsine (Budavari, 1996; ITI, 1995; Harbison, 1998; Hathaway et al, 1996; Lewis, 1997; HSDB , 2000).
Arsenic trichloride is a colorless or yellow oily liquid, which fumes in air and has an unpleasant acrid odor and sweetish, metallic taste (AAR, 1998; (Budavari, 1996; Hathaway et al, 1996; ITI, 1995; Sittig, 1991; Lewis, 1998; Lewis, 1997). Arsenic trichloride releases ARSENIC and HYDROCHLORIC ACID upon contact with water or when heated to decomposition (AAR, 1998; (Lewis, 1996; EPA, 1985; OHM/TADS , 1991; HSDB , 2000). Its toxicity is determined by both of these components.
-CLINICAL EFFECTS
GENERAL CLINICAL EFFECTS
- Arsenic trichloride is a colorless or yellow oily liquid with an unpleasant, acrid odor which fumes in air. On contact with water or when heated to decomposition, arsenic and hydrochloric acid are released. The fumes are very irritating to the eyes, skin, and mucous membranes.
Ingestion can cause severe irritation of the mouth, throat, esophagus, and stomach. Laryngeal or tracheal edema may occur and compromise the airway. Severe esophageal erosions may be seen in ingestions. Direct dermal exposure can cause irritation and blistering. Following inhalation, ingestion, or dermal exposure, arsenic is absorbed systemically and arsenic poisoning results.
- Arsenic trichloride is mutagenic in bacteria, hamster embryo cells, and human leukocytes.
- Acute arsenic ingestion generally produces symptoms within 30 to 60 minutes, but onset may be delayed for several hours if ingested with food. A metallic or garlic taste, vomiting, abdominal pain, dysphagia, and profuse watery (rice-water-like) and sometimes bloody diarrhea may occur. Dehydration, intense thirst, and fluid-electrolyte disturbances are common. Hypovolemia from capillary leaking ("third spacing" of fluids) is a common early event.
- Systemic arsenic poisoning from occupational exposure is uncommon. Arsenic workers have developed a hoarse voice, nasal irritation and possibly perforation of the nasal septum, irritation of eyes, skin, and mucous membranes, and rarely, cirrhosis of the liver. Nausea and vomiting are infrequent. Painful ulceration of the wrist and scrotal skin, lips, and nostrils may develop with dust exposure.
- The primary target organs initially are the gastrointestinal tract, heart, brain, and kidneys. Eventually, the skin, bone marrow, and peripheral nervous system may be significantly damaged. The peripheral neuropathy appears similar regardless of the route of exposure.
- POTENTIAL HEALTH HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004)
TOXIC; inhalation, ingestion or contact (skin, eyes) with vapors, dusts or substance may cause severe injury, burns, or death. Reaction with water or moist air will release toxic, corrosive or flammable gases. Reaction with water may generate much heat which will increase the concentration of fumes in the air. Fire will 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
- Arsenic trichloride fumes or dust are very irritating to the eyes, skin, nose, throat, and mucous membranes (AAR, 1998; (Lewis, 1997; EPA, 1985; Grant, 1993; HSDB , 2000).
- Irritation of the eyes by arsenic trichloride fumes can be characterized by redness, lacrimation, and feelings of itching or burning (Grant, 1993; HSDB , 2000).
- Direct dermal exposure can cause irritation and blistering of the skin causing serious damage at the point of contact (Lewis, 1998; EPA, 1985; Sittig, 1991).
- Arsenic trichloride irritates and inflames the mucous membranes of the nose, greatly increasing the permeability of blood capillaries (HSDB , 2000; Morgan, 1993; EPA, 1985). Sensations of burning and dryness, and constriction of the nasal cavities may follow, even leading to perforations of the septum (Clayton & Clayton, 1994; Hathaway et al, 1996).
- Following ingestion, arsenic trichloride can cause severe irritation of the mouth, esophagus, and stomach (EPA, 1985; HSDB , 2000). Immediate effects include burning sensations of the lips, constriction of the throat and difficulty swallowing (Hathaway et al, 1996; HSDB , 2000). Severe corrosion can occur in the esophagus or stomach. Hemorrhagic gastroenteritis accompanied by loss of electrolytes and fluids, collapse, and shock may result (Sittig, 1991; HSDB , 2000).
- 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, 1993; Sittig, 1991; HSDB , 2000).
- Following ingestion, inhalation, or dermal exposure to arsenic trichloride, systemic arsenic poisoning can occur (CHRIS , 2000; EPA, 1985; HSDB , 2000; Lewis, 1998).
- The primary target organs of arsenic poisoning initially are the gastrointestinal tract, kidneys, liver, heart, and brain. Eventually, the skin, bone marrow, and peripheral nervous system may be significantly damaged (Finkel, 1983; Morgan, 1993; Sittig, 1991; HSDB , 2000).
- A sweet metallic taste, or garlic odor of the breath and feces, may help identify arsenic trichloride poisoning. Additional symptoms include severe abdominal pain, vomiting, dysphagia, and profuse watery (rice water-like) and sometimes bloody diarrhea (EPA, 1988; HSDB , 2000; Morgan, 1993; Hathaway et al, 1996; Sittig, 1991).
- Dehydration, intense thirst, and fluid-electrolyte disturbances are common. Hypovolemia from capillary leaking ("third spacing" of fluids) and increased capillary permeability are common early signs of poisoning (Morgan, 1993; EPA, 1988; HSDB , 2000).
- Renal injury is manifest as oliguria with hematuria, proteinuria, and glycosuria, and in severe cases of poisoning, acute tubular necrosis may occur (Morgan, 1993; HSDB , 2000).
- Arsenic trichloride damages hepatic parenchyma, producing elevated liver enzymes, fatty infiltration, central necrosis, and cirrhosis (HSDB , 2000).
- Cardiovascular effects can result from electrolyte disturbances and direct toxic action after arsenic trichloride intoxication, causing cardiac arrhythmias and ECG abnormalities that may persist for months after recovery (Morgan, 1993; HSDB , 2000).
- Permanent encephalopathy may ensue from acute exposure to arsenic compounds. The encephalopathy can result in atrophy of the cortex one to six months after exposure (Fincher & Koerker, 1987).
- Acute central nervous system effects can include headaches, dizziness, muscle weakness and spasms, cold sweats, lethargy, delirium, occasional convulsion, and syncope; in severe cases, general paralysis, coma, and even death may result (HSDB , 2000; Lewis, 1996; Morgan, 1993).
- Peripheral neuropathy of both the sensory and motor neurons can appear after arsenic trichloride intoxication, regardless of the route of exposure (Clayton & Clayton, 1994; Harbison, 1998). It commonly begins one to 3 weeks later (Le Quesne & McLeod, 1977; Heyman et al, 1956), usually as paresthesias of the soles of the feet, then the hands, progressing proximally over the next few days (Heyman et al, 1956). Severe muscle weakness and wasting then develops, distal more so than proximal, causing disability (Le Quesne & McLeod, 1977; Donofrio et al, 1987; Heyman et al, 1956). It may initially be confused with Guillain-Barre syndrome (Clayton & Clayton, 1994; Donofrio et al, 1987).
- Physical findings of arsenic neuropathy usually include prominently decreased sensation to touch, pinprick, and temperature, frequently in a stocking and glove distribution (Harbison, 1998; Heyman et al, 1956). Loss of vibration sense, loss of reflex, and muscle weakness are also common. Wrist drop, foot drop, and fasciculations may also occur (Clayton & Clayton, 1994; Heyman et al, 1956).
- Arsenic inhibits enzymes required for cellular respiration and has the effect of depleting cellular energy stores, leading to cellular death (Schoolmeester & White, 1980).
- Hemolysis, pancytopenia, and hypoplastic anemia may occur after acute arsenic poisoning (ITI, 1995; Kyle & Pease, 1965; Kjeldsberg & Ward, 1972).
- MEE'S LINES, transverse white lines in the 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).
- In animals, acute symptoms of arsenic trichloride poisoning can include salivation, thirst, vomition, violent colic, watery and sometimes bloody diarrhea, and exhaustion. Symptoms may progress to depression and loss of appetite, staggering gait, trembling, stupor, paralysis of hind quarters, and convulsions. Paracute arsenic poisoning may lead to death so rapidly, that symptoms of illness are never observed (HSDB , 2000).
CHRONIC CLINICAL EFFECTS
- Chronic arsenic poisoning from arsenic trichloride produces dermal manifestations more prominently than the gastrointestinal effects which characterize acute poisoning. Skin hyperpigmentation, hyperkeratosis, edema of the face, eyelids, and ankles, excessive salivation and sweating with a garlic odor to both the breath and perspiration, exfoliative dermatitis, and cancerous skin changes (See CARCINOGENIC EFFECTS section), are early signs of chronic poisoning (Morgan, 1993; HSDB , 2000; Lewis, 1996) Raffle, 1994). Loss of hair or nails, and white striations across nails (Mee's lines) may also occur (HSBD, 2000; (Morgan, 1993; Finkel, 1983).
- Workers chronically exposed to arsenic by inhalation and dermal contact have developed a hoarse voice, sore throat, nasal irritation and possible perforation of the nasal septum, irritation of eyes, skin, and mucous membranes, and (rarely) cirrhosis of the liver (ACGIH, 1996; (Harbison, 1998; Sittig, 1991; HSDB , 2000; Clayton & Clayton, 1994).
- Arsenic trichloride is highly irritating to the eyes; chronic exposure can cause conjunctivitis with lacrimation and sensations of irritation, possibly due to the excretion of arsenic in the tears. It is under debate whether or not organic arsenicals selectively affect the optic nerve or retina causing blindness (Grant, 1993; Hathaway et al, 1996).
- Disturbances of the digestive system such as cramps, stomatitis, constipation or diarrhea, nausea, and loss of appetite and body weight, may result from chronic arsenic trichloride exposure (Lewis, 1996; Morgan, 1993; HSDB , 2000). Liver damage, revealed as hepatomegaly and jaundice, may progress to cirrhosis, portal hypertension, and ascites (Lewis, 1996; Morgan, 1993; HSDB , 2000).
- Chronic systemic poisoning can also be characterized by peripheral neuritis, manifested by confusion and weakness, incoordination, burning or tingling discomfort in the hands and feet, paresthesia, and hyperthesia (Grant, 1993; HSDB , 2000; ITI, 1995).
- Arsenicals can affect the bone marrow and alter the cellular composition of the blood (HSDB , 2000). Arsenic has a depressant effect on bone marrow disturbing erythropoiesis and myelopoiesis (ITI, 1995; Sittig, 1991). Hematological evaluation after chronic arsenic trichloride exposure usually reveals hypoplastic or aplastic anemia, sometimes accompanied by leukopenia. Acute myelogenous leukemia has been reported, and eosinophilia and anisocytosis may be evident (ITI, 1995; HSDB , 2000; Kjeldsberg & Ward, 1972).
- Impairment of peripheral circulation as well as Raynaud's phenomenon have been reported as related to long-term exposure to arsenic compounds (Hathaway et al, 1996).
- Electrocardiogram changes have been seen after chronic arsenic exposure, these changes are attributed to electrolyte disturbances caused by arsenic poisoning (Sittig, 1991).
- In animals, chronic symptoms of arsenic trichloride poisoning may include indigestion, thirst, wasting, dry coat, weak and irregular pulse, and brick red-colored mucous membranes (HSDB , 2000).
-MEDICAL TREATMENT
LIFE SUPPORT
- Support respiratory and cardiovascular function.
SUMMARY
- FIRST AID - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (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.
INHALATION EXPOSURE Move patient from the toxic environment to fresh air. Monitor for respiratory distress. If cough or difficulty in breathing develops, evaluate for hypoxia, respiratory tract irritation, bronchitis, or pneumonitis. OBSERVATION: Carefully observe patients with inhalation exposure for the development of any systemic signs or symptoms and administer symptomatic treatment as necessary. INITIAL TREATMENT: Administer 100% humidified supplemental oxygen, perform endotracheal intubation and provide assisted ventilation as required. Administer inhaled beta-2 adrenergic agonists, if bronchospasm develops. Consider systemic corticosteroids in patients with significant bronchospasm (National Heart,Lung,and Blood Institute, 2007). Exposed skin and eyes should be flushed with copious amounts of water. Move victims of inhalation exposure from the toxic environment and administer 100% humidified supplemental oxygen with assisted ventilation as required. Exposed skin and eyes should be copiously flushed with water. Following ingestion, measures to decrease absorption may be useful if the patient is seen soon after the exposure.
DERMAL EXPOSURE Remove contaminated clothing while washing with an open faucet, hose, or shower for at least 15 minutes. Do repeated soap washings, paying close attention to the hair and nails. Wear chemical protective clothing (gloves, etc) if necessary, to prevent self-exposure (HSDB , 1991). Wash skin and hair with soap and water immediately (HSDB , 1991). Treat dermal irritation or burns with standard topical therapy. Patients developing dermal hypersensitivity reactions may require treatment with systemic or topical corticosteroids or antihistamines.
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. No cases of systemic arsenic poisoning following only eye exposure have been reported.
ORAL/PARENTERAL 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. First responders treatment. If swallowed and victim is conscious, have victim drink large amounts of water, then induce vomiting; give lime water, milk or raw egg; give a cathartic (CHRIS , 1991). If swallowed and victim is unconscious or having convulsions, do nothing except keep victim warm (CHRIS , 1991).
Because poisoning by ingested arsenic almost always results in profuse diarrhea, it is generally not appropriate to administer a cathartic (Morgan, 1989). GASTRIC LAVAGE: Consider after ingestion of a potentially life-threatening amount of poison if it can be performed soon after ingestion (generally within 1 hour). Protect airway by placement in the head down left lateral decubitus position or by endotracheal intubation. Control any seizures first. If treatment has been delayed, and if the victim remains fully alert, administer activated charcoal (Morgan, 1989). ACTIVATED CHARCOAL: Administer charcoal as a slurry (240 mL water/30 g charcoal). Usual dose: 25 to 100 g in adults/adolescents, 25 to 50 g in children (1 to 12 years), and 1 g/kg in infants less than 1 year old. Administer intravenous fluids to restore adequate hydration, support urine flow, and correct electrolyte imbalances. Monitor intake/output continuously to guard against fluid overload, if acute renal failure occurs. Monitor blood electrolytes regularly. Blood transfusions and oxygen by mask may be needed to treat shock.
-RANGE OF TOXICITY
MINIMUM LETHAL EXPOSURE
INHALATION - In experimental animals, a 5 minute inhalation exposure to 40,000 ppm of arsenic trichloride results in death from laryngeal spasm (Delepine, 1923). DERMAL - Following direct dermal exposure with the liquid, tissue necrosis progresses rapidly with systemic arsenic absorption and poisoning (Delepine, 1923). ORAL - One milligram/kilogram of ingested arsenic may be lethal in a child (Woody & Komentani, 1948). As little as 20 milligrams of arsenic may produce life-threatening toxicity (Zaloga et al, 1970; Schoolmeester & White, 1980). An oral dose of 120 mg of arsenic trioxide may be fatal (Finkel, 1983).
FATAL DOSE - The fatal human dose is 70 to 180 mg depending on the weight of the victim (EPA, 1985).
MAXIMUM TOLERATED EXPOSURE
Estimates of acute oral toxic doses of various arsenic compounds range from one milligram to 10 grams. Arsenic trioxide in a solubilized form becomes sodium arsenite, which is more toxic than in an un-solubilized form. Two hundred milligrams of arsenic trioxide ingestion by an adult may be lethal (Baselt & Cravey, 1989; Baselt, 1988). Acute ingestion of 9 to 14 milligrams of arsenic trioxide by a 16-month-old child produced classic gastrointestinal signs and symptoms of arsenic poisoning (Watson et al, 1981). 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).
Trivalent arsenic (arsenite) is more toxic in animals than the pentavalent form (arsenate) (Morgan, 1989).
- Carcinogenicity Ratings for CAS7784-34-1 :
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): Not Listed 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 CAS7784-34-1 (U.S. Environmental Protection Agency, 2011):
CALCULATIONS
-STANDARDS AND LABELS
WORKPLACE STANDARDS
- ACGIH TLV Values for CAS7784-34-1 (American Conference of Governmental Industrial Hygienists, 2010):
- AIHA WEEL Values for CAS7784-34-1 (AIHA, 2006):
- NIOSH REL and IDLH Values for CAS7784-34-1 (National Institute for Occupational Safety and Health, 2007):
- OSHA PEL Values for CAS7784-34-1 (U.S. Occupational Safety, and Health Administration (OSHA), 2010):
- OSHA List of Highly Hazardous Chemicals, Toxics, and Reactives for CAS7784-34-1 (U.S. Occupational Safety and Health Administration, 2010):
ENVIRONMENTAL STANDARDS
- EPA CERCLA, Hazardous Substances and Reportable Quantities for CAS7784-34-1 (U.S. Environmental Protection Agency, 2010):
- EPA CERCLA, Hazardous Substances and Reportable Quantities, Radionuclides for CAS7784-34-1 (U.S. Environmental Protection Agency, 2010):
- EPA RCRA Hazardous Waste Number for CAS7784-34-1 (U.S. Environmental Protection Agency, 2010b):
- EPA SARA Title III, Extremely Hazardous Substance List for CAS7784-34-1 (U.S. Environmental Protection Agency, 2010):
Listed as: Arsenous Trichloride Reportable Quantity, in pounds: 1 Threshold Planning Quantity, in pounds: Note(s): Not Listed
- EPA SARA Title III, Community Right-to-Know for CAS7784-34-1 (40 CFR 372.65, 2006; 40 CFR 372.28, 2006):
- DOT List of Marine Pollutants for CAS7784-34-1 (49 CFR 172.101 - App. B, 2005):
- EPA TSCA Inventory for CAS7784-34-1 (EPA, 2005):
SHIPPING REGULATIONS
- DOT -- Table of Hazardous Materials and Special Provisions for UN/NA Number 1560 (49 CFR 172.101, 2005):
- ICAO International Shipping Name for UN1560 (ICAO, 2002):
LABELS
- NFPA Hazard Ratings for CAS7784-34-1 (NFPA, 2002):
-HANDLING AND STORAGE
STORAGE
Containers: Tightly closed inner receptacles of earthenware glass or compatible plastics in quantities of not more than 1 pint or in metal inner receptacles of not more than 1 quart. These may be packed in strong wooden, fiberboard or other equally strong outer packaging. The maximum amount that may be carried in any one package is 1 quart (OHM/TADS, 1990). Glass bottles, cans, and drum (HSDB , 1991).
- ROOM/CABINET RECOMMENDATIONS
Protect against physical damage (ITI, 1988; HSDB , 1991). Store in cool, dry location (ITI, 1988; HSDB , 1991). Store in well ventilated areas away from food products and combustible materials and from heat and water (ITI, 1988) OHM/TADS, 1990). Avoid sunlight (OHM/TADS, 1990).
-PERSONAL PROTECTION
SUMMARY
- RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (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.
RESPIRATORY PROTECTION
- 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 7784-34-1.
-PHYSICAL HAZARDS
FIRE HAZARD
POTENTIAL FIRE OR EXPLOSION HAZARDS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004) Non-combustible, substance itself does not burn but may decompose upon heating to produce corrosive and/or toxic fumes. Vapors may accumulate in confined areas (basement, tanks, hopper/tank cars etc.). Substance will react with water (some violently), releasing corrosive and/or toxic gases. Contact with metals may evolve flammable hydrogen gas. Containers may explode when heated or if contaminated with water.
Arsenic trichloride is very reactive. Binary Reactants: Water or acids may produce toxic or corrosive compounds. Contact with water will generate hydrogen chloride gas, arsenic acid, and arsenic trioxide (OHM/TADS, 1990).
Arsenic trichloride fumes in air; decomposition by ultraviolet light (Budavari, 1989; Sax & Lewis, 1987; HSDB , 1991). During fire, irritating and toxic hydrogen chloride (hydrochloric acid) gases are generated (OHM/TADS, 1990; Sax & Lewis, 1989; (HSDB , 1991; CHRIS , 1991).
- FLAMMABILITY CLASSIFICATION
- NFPA Flammability Rating for CAS7784-34-1 (NFPA, 2002):
- FIRE CONTROL/EXTINGUISHING AGENTS
- FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004)
- SMALL FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004)
- LARGE FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004)
Water spray, fog or alcohol-resistant foam. Move containers from fire area if you can do it without risk. Use water spray or fog; do not use straight streams. Dike fire control water for later disposal; do not scatter the material.
- TANK OR CAR/TRAILER LOAD FIRE PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004)
Fight fire from maximum distance or use unmanned hose holders or monitor nozzles. Do not get water inside containers. Cool containers with flooding quantities of water until well after fire is out. Withdraw immediately in case of rising sound from venting safety devices or discoloration of tank. ALWAYS stay away from tanks engulfed in fire.
- NFPA Extinguishing Methods for CAS7784-34-1 (NFPA, 2002):
- Do NOT use water on arsenic trichloride directly (AAR, 1987).
- Avoid contact with water from adjacent fires (CHRIS , 1991).
- Extinguish fire using an agent suitable for type of surrounding fire; arsenic trichloride does not burn easily (AAR. 1987).
- If large quantities of arsenic trichloride are involved, use water in flooding quantities as spray or fog (AAR, 1987).
- Use water-spray to knock down vapors (AAR, 1987).
Arsenic trichloride will decompose to hydrogen chloride (hydrochloric acid gas), an irritating and toxic gas (CHRIS , 1991; HSDB , 1991) OHM/TADS, 1990; Sax & Lewis, 1989).
EXPLOSION HAZARD
- A cylinder may explode in the heat of fire (HSDB , 1991).
DUST/VAPOR HAZARD
- Inhalation of arsenic trichloride vapor or dust is highly toxic; the compound also is a strong irritant to the skin, upper respiratory tract and eyes (CHRIS , 1991; EPA, 1985; HSDB , 1991).
- Protect against absorption through the skin (OHM/TADS, 1990).
- Arsenic trichloride emits highly toxic and irritating arsenic and hydrogen chloride gases when heated to decomposition (Sax & Lewis, 1989; (CHRIS , 1991; EPA, 1985).
REACTIVITY HAZARD
- Arsenic trichloride is highly reactive; it explodes upon impact when in contact with sodium, potassium and aluminum (NFPA, 1990; Lewis, 1996).
- Powdered aluminum burns when in contact with vapors of arsenic trichloride (NFPA, 1990).
- When water solution of arsenic trichloride is in contact with active metals such as arsenic, iron, aluminum, and zinc, toxic arsenic fumes are emitted (HSDB , 2000).
- It will corrode metals (HSDB , 2000).
- Arsenic trichloride is decomposed by water releasing toxic hydrogen chloride (hydrochloric acid), arsenic hydroxide, arsenic acid and arsenic trioxide gases (EPA, 1985; HSDB , 2000).
- Arsenic trichloride fumes in moist air (Budavari, 1996; ITI, 1988; Sax & Lewis, 1987).
- Arsenic trichloride decomposes in ultraviolet light (EPA, 1985).
- Stability: Stable (EPA, 1985)
EVACUATION PROCEDURES
- Initial Isolation and Protective Action Distances (ERG, 2004)
Data presented from the Emergency Response Guidebook Table of Initial Isolation and Protective Action Distances are for use when a spill has occurred and there is no fire. If there is a fire, or if a fire is involved, evacuation information presented under FIRE - PUBLIC SAFETY EVACUATION DISTANCES should be used. Generally, a small spill is one that involves a single, small package such as a drum containing up to approximately 200 liters, a small cylinder, or a small leak from a large package. A large spill is one that involves a spill from a large package, or multiple spills from many small packages. Suggested distances to protect from vapors of toxic-by-inhalation and/or water-reactive materials during the first 30 minutes following the spill.
- SPILL - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004)
Increase, in the downwind direction, as necessary, the isolation distance of at least 50 meters (150 feet) for liquids and at least 25 meters (75 feet) for solids in all directions.
- FIRE - PUBLIC SAFETY EVACUATION DISTANCES - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (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 157 (ERG, 2004)
CALL Emergency Response Telephone Number on Shipping Paper first. If Shipping Paper not available or no answer, refer to appropriate telephone number: MEXICO: SETIQ: 01-800-00-214-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5559-1588; For calls originating elsewhere, call: 011-52-555-559-1588.
CENACOM: 01-800-00-413-00 in the Mexican Republic; For calls originating in Mexico City and the Metropolitan Area: 5550-1496, 5550-1552, 5550-1485, or 5550-4885; For calls originating elsewhere, call: 011-52-555-550-1496, or 011-52-555-550-1552; 011-52-555-550-1485, or 011-52-555-550-4885.
ARGENTINA: CIQUIME: 0-800-222-2933 in the Republic of Argentina; For calls originating elsewhere, call: +54-11-4613-1100.
BRAZIL: PRÓ-QUÍMICA: 0-800-118270 (Toll-free in Brazil); For calls originating elsewhere, call: +55-11-232-1144 (Collect calls are accepted).
COLUMBIA: CISPROQUIM: 01-800-091-6012 in Colombia; For calls originating in Bogotá, Colombia, call: 288-6012; For calls originating elsewhere, call: 011-57-1-288-6012.
CANADA: UNITED STATES:
For additional details see the section entitled "WHO TO CALL FOR ASSISTANCE" under the ERG Instructions. As an immediate precautionary measure, isolate spill or leak area in all directions for at least 50 meters (150 feet) for liquids and at least 25 meters (75 feet) for solids. Keep unauthorized personnel away. Stay upwind. Keep out of low areas. Ventilate enclosed areas.
- Arsenic trichloride will generate a visible toxic vapor cloud on contact with air; its thermal decomposition products are extremely toxic (HSDB , 1991; EPA, 1985) OHM/TADS, 1990; (CHRIS , 1991).
- Avoid eye, skin and respiratory contact with this material.
- AIHA ERPG Values for CAS7784-34-1 (AIHA, 2006):
- DOE TEEL Values for CAS7784-34-1 (U.S. Department of Energy, Office of Emergency Management, 2010):
Listed as Arsenous trichloride TEEL-0 (units = ppm): 0.0242 TEEL-1 (units = ppm): 0.2 TEEL-2 (units = ppm): 1.35 TEEL-3 (units = ppm): 12.1 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 CAS7784-34-1 (National Research Council, 2010; National Research Council, 2009; National Research Council, 2008; National Research Council, 2007; NRC, 2001; NRC, 2002; NRC, 2003; NRC, 2004; NRC, 2004; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; United States Environmental Protection Agency Office of Pollution Prevention and Toxics, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2009; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2008; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2007; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2005; National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances, 2006; 62 FR 58840, 1997; 65 FR 14186, 2000; 65 FR 39264, 2000; 65 FR 77866, 2000; 66 FR 21940, 2001; 67 FR 7164, 2002; 68 FR 42710, 2003; 69 FR 54144, 2004):
- NIOSH IDLH Values for CAS7784-34-1 (National Institute for Occupational Safety and Health, 2007):
CONTAINMENT/WASTE TREATMENT OPTIONS
SPILL OR LEAK PRECAUTIONS - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (ERG, 2004) ELIMINATE all ignition sources (no smoking, flares, sparks or flames in immediate area). All equipment used when handling the product must be grounded. Do not touch damaged containers or spilled material unless wearing appropriate protective clothing. Stop leak if you can do it without risk. A vapor suppressing foam may be used to reduce vapors. DO NOT GET WATER INSIDE CONTAINERS. Use water spray to reduce vapors or divert vapor cloud drift. Avoid allowing water runoff to contact spilled material. Prevent entry into waterways, sewers, basements or confined areas.
RECOMMENDED PROTECTIVE CLOTHING - EMERGENCY RESPONSE GUIDEBOOK, GUIDE 157 (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.
Do not touch spilled material (EPA, 1985). Avoid contact with water (AAR, 1987; CHRIS , 1991). Do not handle the material without appropriate respiratory and chemical protective equipment (HSDB , 1991). Stop leak if you can do it without risk (EPA, 1985). Build a dike to contain flow as necessary (AAR, 1987). Cover spill with absorbent materials (OHM/TADS, 1990). Keep material out of water sources and sewers (AAR, 1987). Use water spray to knock-down vapors. Do NOT use water on the material itself (AAR, 1987). Water Spill: Dam stream if possible to reduce the flow and prevent further dissipation by water movement. Bottom pumps or under water vacuum systems may be employed in small bodies of water; red going may be effective in larger bodies to remove any undissolved material from the bottom (OHM/TADS, 1990). Water Spill: Close beach and shore to public until material has been removed. If tidal, scrape affected area at low tide with a mechanical scraper (OHM/TADS, 1990). Liquids: Oily liquid will sink and disperse as the material decomposes (OHM/TADS, 1990). Liquids: Take up with sand or other noncombustible absorbent material and place into containers for later disposal (EPA, 1985). Solids: With clean shovel place material into clean, dry container and cover; move container from spill area (EPA, 1985). Transfer material to impervious containers for disposal (OHM/TADS, 1990). Arsenic trichloride-contaminated waste will have to be transported to a permitted storage, treatment or disposal facility (EPA, 1989). If practical, transport material back to the supplier or chemical company to recover the heavy metal content and deactivation. If this is not practical, or facilities not available, the material should be encapsulated and buried in a specifically designated chemical landfill (OHM/TADS, 1990). Arsenic-contaminated materials are not acceptable at a municipal sewage treatment plant (OHM/TADS, 1990). Notify local and state health authorities, local solid waste disposal authorities, supplier and shipper (OHM/TADS, 1990). Treatment: Neutralize liquid or solid spills with crushed lime, soda ash or lime (AAR, 1987). Treatment: For water contamination dissolve a minimum amount of concentrated hydrochloric acid until the appearance of a white precipitate. Add 6M-HCL just to dissolve again. Saturate with hydrogen sulfide. After filtration, wash the precipitate, dry, package and return to suppliers (ITI, 1988).
Dike surface flow using soil, sand bags, foamed polyurethane, or formed concrete (AAR, 1987). Absorb bulk liquid with fly ash or cement powder (AAR, 1987). Contain all contaminated water; treat and dispose as hazardous waste (EPA, 1989). Water Spill: Adjust pH to neutral (AAR, 1987). Water Spill: Oily liquid will sink and disperse as the material decomposes (OHM/TADS, 1990).
-ENVIRONMENTAL HAZARD MANAGEMENT
POLLUTION HAZARD
- Arsenic trichloride is persistent as a water pollutant. Arsenic trichloride will lower the pH of a water solution and it will become corrosive (OHM/TADS, 1990).
- This compound may be dangerous if it enters water intakes. Notify local health and wildlife officials. Notify operators of nearby water intakes (CHRIS , 1991). Arsenic trichloride contaminated water is not acceptable at municipal sewage treatment plants. Water uses threatened include recreational, fisheries, potable supply, and industrial(OHM/TADS, 1990).
- A toxic vapor cloud containing hydrogen chloride gas is created when arsenic trichloride is contact with moist air and ultraviolet light (EPA, 1985; ITI, 1988) OHM/TADS, 1990; Sax & Lewis, 1989).
- Arsenic compounds tend to be accumulated by oysters and other mollusks and shellfish (OHM/TADS, 1990).
ENVIRONMENTAL FATE AND KINETICS
ENVIRONMENTAL TOXICITY
The effect of low concentrations of arsenic trichloride on aquatic life is unknown (CHRIS , 1991). The LC50 for fathead minnows was 198 ppm arsenic trichloride for 96 hours (OHM/TADS, 1990). At concentrations ranging from 2 to 16 ppm, arsenic trichloride was harmful to fish food organisms (2 to 3 ppm), pink salmon (5.2 ppm for 142 hours), bass (10 ppm for 240 hours) and mussels (16 ppm for 38 to 72 hours) (OHM/TADS,1990).
Toxicity to aquatic plants is 0.1 ppm (OHM/TADS, 1990). Toxicity to oranges 0.5 ppm (OHM/TADS, 1990). Chronic plant toxicity is 0.1 ppm (OHM/TADS, 1990). No data on waterfowl (CHRIS , 1991).
-PHYSICAL/CHEMICAL PROPERTIES
MOLECULAR WEIGHT
DESCRIPTION/PHYSICAL STATE
- Arsenic trichloride is a colorless to light yellow oily liquid with an acrid odor. On contact with moisture arsenic trichloride becomes acidic (EPA, 1985; HSDB , 2000).
VAPOR PRESSURE
- 10 mmHg (at 23.5 degrees C) (EPA, 1985)
DENSITY
- NORMAL TEMPERATURE AND PRESSURE
FREEZING/MELTING POINT
BOILING POINT
- 130.21 degrees C (Budavari, 1989)
FLASH POINT
- Not Flammable (CHRIS , 1991; Sax & Lewis, 1987)
EXPLOSIVE LIMITS
SOLUBILITY
One mole per 9 moles water (Budavari, 1996). Arsenic trichloride decomposes in water (Budavari, 1996).
Arsenic trichloride is soluble in chloroform, carbon tetrachloride, ether, iodine, phosphorus, sulfur, alkali iodides, oils and fats (Budavari, 1996).
SPECTRAL CONSTANTS
OTHER/PHYSICAL
-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, pp 64.
- ACGIH: Documentation of the Threshold Limit Values and Biological Exposure Indices, 5th ed, Am Conference of Govt Ind Hyg, Inc, Cincinnati, OH, 1986, pp 37-38.
- AIHA: 2006 Emergency Response Planning Guidelines and Workplace Environmental Exposure Level Guides Handbook, American Industrial Hygiene Association, Fairfax, VA, 2006.
- AMA: American Medical Association: Drugs used in the treatment of poisoning, in: AMA Drug Evaluations, 6th ed, American Medical Association, Chicago, IL, 1986, pp 1641-1643.
- 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.
- Anon: Health hazards of inorganic arsenic, Occupational Safety and Health Administration, Washington, DC, 1979.
- 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.
- 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.
- 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: 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.
- Boysen PG & Modell JH: Pulmonary edema, in: Textbook of Critical Care Medicine, 2nd ed. Shoemaker WC, Ayres S, Grenvik A et al (Eds), WB Saunders Company, Philadelphia, PA, 1989, pp 515-518.
- 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.
- 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, Rahway, 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 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 October/31/2000; 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.
- Carvajal HF & Stewart CE: Emergency management of burn patients: the first few hours. Emerg Med Reports 1987; 8:129-136.
- 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.
- 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, Chiou HY, & Chiang MH: Dose-response relationship between ischemic heart disease mortality and long-term arsenic exposure. Arterioscler Thromb Vasc Biol 1996; 16:504-510.
- Chen CJ, Kuo TL, & Wu MM: Arsenic and cancers (Letter). Lancet 1988; 1:414-415.
- Chudnofsky CR & Otten EJ: Acute pulmonary toxicity to nitrofurantoin. J Emerg Med 1989; 7:15-19.
- Chyka PA, Seger D, Krenzelok EP, et al: Position paper: Single-dose activated charcoal. Clin Toxicol (Phila) 2005; 43(2):61-87.
- 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, Toxicology 4th ed, 2C, John Wiley & Sons, New York, NY, 1994.
- 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.
- 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.
- 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.
- Daya MR, Irwin R, & Parshley MC: Arsenic ingestion in pregnancy (Abstract). Vet Human Toxicol 1989; 31:347.
- Delepine S: Observations upon the effects of exposure to arsenic trichloride upon health. J Ind Hyg 1923; 4:346-464.
- DiNapoli J, Hall AH, & Drake R: Cyanide and arsenic poisoning by intravenous injection. Ann Emerg Med 1989; 18:308-311.
- Donofrio PD, Wilbourn AJ, & Albers JW: Acute arsenic intoxication presenting as Guillain-Barre-like syndrome. Muscle & Nerve 1987; 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.
- EPA: 40 CFR 302; CERCLA Hazardous Substances List; Reportable Quantities. 54 FR 3388, Government Printing Office, Washington, DC, 1989.
- EPA: EPA chemical profile on arsenous trichloride, Environmental Protection Agency, Washington, DC, 1985.
- 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.
- Elliot CG, Colby TV, & Kelly TM: Charcoal lung. Bronchiolitis obliterans after aspiration of activated charcoal. Chest 1989; 96:672-674.
- FDA: Poison treatment drug product for over-the-counter human use; tentative final monograph. FDA: Fed Register 1985; 50:2244-2262.
- 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 MD: Arsenic, in: Goldfrank LR, Flomenbaum NE, Lewin NA et al (Eds), Goldfrank's Toxicologic Emergencies, 6th ed, Appleton & Lange, Stanford, CT, 1998, pp 1261-1273.
- Fournier L, Thomas G, & Garnier R: 2,3-Dimercaptosuccinic acid treatment of heavy metal poisoning in humans. Med Toxicol 1988; 3:499-504.
- Freeman JW & Couch JR: Prolonged encephalopathy with arsenic poisoning. Neurology 1978; 28:853-855.
- Gerhardsson L, Dahlgren E, & Eriksson A: Fatal arsenic poisoning -- a case report. Scand J Work Environ Health 1988; 14:130-133.
- Gerhardt RE, Hudson JB, & Rao RN: Chronic renal insufficiency from cortical necrosis induced by arsenic poisoning. Arch Intern Med 1978; 138:1267-1269.
- 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: The Pharmacological Basis of Therapeutics, 7th ed, MacMillan Publishing Company, New York, NY, 1985, pp 1614-1617.
- Goldfrank LR, Howland MA, & Kirstein RH: Heavy Metals, in Golfrank LR, Flomenbaum NE, Lewin NA et al (eds): Goldfrank's Toxicologic Emergencies, 3rd ed, Appleton-Century-Crofts, Norwalk, CT, 1986, pp 609-618.
- Goldsmith S: Arsenic-induced atypical ventricular tachycardia. N Engl J Med 1980; 303:1096-1098.
- Golej J, Boigner H, Burda G, et al: Severe respiratory failure following charcoal application in a toddler. Resuscitation 2001; 49:315-318.
- Gousios AG & Adelson L: Electrocardiographic and radiographic findings in acute arsenic poisoning. Am J Med 1959; 659-663.
- Graff GR, Stark J, & Berkenbosch JW: Chronic lung disease after activated charcoal aspiration. Pediatrics 2002; 109:959-961.
- Grande GA, Rogers AA, & Ling LJ: Urine spot test as guide to treatment in acute pentavalent arsenic ingestion. Vet Human Toxicol 1987; 29:73-74.
- Grant WM: Toxicology of the Eye, 3rd ed, Charles C Thomas, Springfield, IL, 1986, pp 115-119.
- Grant WM: Toxicology of the Eye, 4th ed, Charles C Thomas, Springfield, IL, 1993.
- Graziano JH, Cuccia D, & Friedheim E: The pharmacology of 2,3-dimercaptosuccinic acid and its potential use in arsenic poisoning. J Pharmacol Exp Ther 1978; 207:1051-1055.
- Greenberg C, Davies S, & McGowan T: Acute respiratory failure following severe arsenic poisoning. Chest 1979; 76:596-598.
- Guha Mazumder DN, Ghoshal UC, & Saha J: Randomized placebo-controlled trial of 2,3-dimercaptosuccinic acid in 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 October/31/2000; 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.
- Harbison RM: Hamilton and Hardy's Industrial Toxicology, 5th ed, Mosby, St. Louis, MO, 1998.
- Harris CR & Filandrinos D: Accidental administration of activated charcoal into the lung: aspiration by proxy. Ann Emerg Med 1993; 22:1470-1473.
- Hathaway GJ, Proctor NH, & Hughes JP: Chemical Hazards of the Workplace, 4th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- Haynes BW Jr: Emergency department management of minor burns. Top Emerg Med 1981; 3:35-40.
- 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.
- 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.
- 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, Vol 2., Some inorganic and organometallic compounds, International Agency for Research on Cancer, World Health Organization, Geneva, Switzerland, 1973, pp 48-73.
- 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, 1988, pp 51-52.
- ITI: Toxic and Hazardous Industrial Chemicals Safety Manual, The International Technical Information Institute, Tokyo, Japan, 1995.
- International Agency for Research on Cancer (IARC): IARC monographs on the evaluation of carcinogenic risks to humans: list of classifications, volumes 1-116. International Agency for Research on Cancer (IARC). Lyon, France. 2016. Available from URL: http://monographs.iarc.fr/ENG/Classification/latest_classif.php. As accessed 2016-08-24.
- International Agency for Research on Cancer: IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. World Health Organization. Geneva, Switzerland. 2015. Available from URL: http://monographs.iarc.fr/ENG/Classification/. As accessed 2015-08-06.
- Ip M, Wong K-L, & Wong K-F: Lung injury in dimethyl sulfate poisoning. J Occup Med 1989; 31:141-143.
- 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.
- 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.
- Kersjes MP, Maurer JR, & Trestrail JH: An analysis of arsenic exposures referred to the Blodgett Regional Poison Center. Vet Human Toxicol 1987; 29:75-78.
- Khan IA & Gowda RM: Novel therapeutics for treatment of long-QT syndrome and torsade de pointes. Int J Cardiol 2004; 95(1):1-6.
- 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, Presented at the AACT/AAPCC/ABMT/CAPCC Annual Scientific Meeting, Vancouver, Canada, 1987.
- Kreppel H, Reichl FX, & Forth W: Lack of effectiveness of D-penicillamine in experimental arsenic poisoning. Vet Human Toxicol 1989; 31:1-5.
- 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.
- Kyle RA & Pease GL: Hematologic aspects of arsenic intoxication. N Engl J Med 1965; 273:18-23.
- 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.
- Lenz K, Hruby K, & Druml W: 2,3-Dimercaptosuccinic acid in human arsenic poisoning. Arch Toxicol 1981; 47:241-243.
- Lewis DR, Southwick JW, & Ouellet-Hellstrom R: Drinking water arsenic in Utah: A cohort mortality study. Environ Health Prospect 1999; 107:359-365.
- Lewis RA: Lewis' Dictionary of Toxicology, Lewis Publishers, Boca Raton, FL, 1998.
- Lewis RJ: Hawley's Condensed Chemical Dictionary, 13th ed, John Wiley & Sons, Inc, New York, NY, 1997.
- Lewis RJ: Sax's Dangerous Properties of Industrial Materials, 9th ed, Van Nostrand Reinhold Company, New York, NY, 1996.
- 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.
- Mackell MA, Poklis A, & Gantner GE: An unsuspected arsenic poisoning murder disclosed by forensic autopsy. Am J Forens Med Pathol 1985; 6:358-361.
- Maggart M & Stewart S: The mechanisms and management of noncardiogenic pulmonary edema following cardiopulmonary bypass. Ann Thorac Surg 1987; 43:231-236.
- Marcus SM: Survival after massive arsenic trioxide ingestion (Abstract), AACT/AAPCC/ABMT/CAPCC Annual Scientific Meeting, Vancouver, BC, 1987.
- Massmann VW & Opitz H: Experimental investigations of EKG changes with chronic arsenic poisoning. Zeitschrift fur Kreislaufforschung 1954; 48:704-713.
- Mizus I, Summer W, & Farrukh I: Isoproterenol or aminophylline attenuate pulmonary edema after acid lung injury. Am Rev Respir Dis 1985; 131:256-259.
- 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, pp 54-62.
- Moylan JA: Burn care after thermal injury. Top Emerg Med 1980; 2:39-52.
- NFPA: Fire Protection Guide on Hazardous Materials, 10th ed, National Fire Protection Association, Boston, MA, 1990.
- 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.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,3-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2,4-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Butylene Oxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648083cdbb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,2-Dibromoethane (Proposed). United States Environmental Protection Agency. Washington, DC. 2007g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802796db&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 1,3,5-Trimethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d68a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for 2-Ethylhexyl Chloroformate (Proposed). United States Environmental Protection Agency. Washington, DC. 2007b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037904e&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Acrylonitrile (Proposed). United States Environmental Protection Agency. Washington, DC. 2007c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648028e6a3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Adamsite (Proposed). United States Environmental Protection Agency. Washington, DC. 2007h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Agent BZ (3-quinuclidinyl benzilate) (Proposed). United States Environmental Protection Agency. Washington, DC. 2007f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ad507&disposition=attachment&contentType=pdf. As accessed 2010-08-18.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Allyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039d9ee&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Arsenic Trioxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480220305&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Automotive Gasoline Unleaded (Proposed). United States Environmental Protection Agency. Washington, DC. 2009a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cc17&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Biphenyl (Proposed). United States Environmental Protection Agency. Washington, DC. 2005j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1b7&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bis-Chloromethyl Ether (BCME) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648022db11&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Boron Tribromide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae1d3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromine Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2007d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648039732a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Bromoacetone (Proposed). United States Environmental Protection Agency. Washington, DC. 2008e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187bf&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Calcium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803ae328&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Carbonyl Sulfide (Proposed). United States Environmental Protection Agency. Washington, DC. 2007e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648037ff26&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Chlorobenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064803a52bb&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Cyanogen (Proposed). United States Environmental Protection Agency. Washington, DC. 2008f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809187fe&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Dimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbf3&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Diphenylchloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091884e&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyl Phosphorodichloridate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480920347&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethylbenzene (Proposed). United States Environmental Protection Agency. Washington, DC. 2008g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809203e7&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ethyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Germane (Proposed). United States Environmental Protection Agency. Washington, DC. 2008j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963906&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Hexafluoropropylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064801ea1f5&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Ketene (Proposed). United States Environmental Protection Agency. Washington, DC. 2007. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ee7c&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Aluminum Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Magnesium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Malathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2009k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064809639df&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Mercury Vapor (Proposed). United States Environmental Protection Agency. Washington, DC. 2009b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a087&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Isothiocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a03&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963a57&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyl tertiary-butyl ether (Proposed). United States Environmental Protection Agency. Washington, DC. 2007a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064802a4985&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methylchlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5f4&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Methyldichlorosilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2005a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c646&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN1 CAS Reg. No. 538-07-8) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006a. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN2 CAS Reg. No. 51-75-2) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006b. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Mustard (HN3 CAS Reg. No. 555-77-1) (Proposed). United States Environmental Protection Agency. Washington, DC. 2006c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6cb&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Tetroxide (Proposed). United States Environmental Protection Agency. Washington, DC. 2008n. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648091855b&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Nitrogen Trifluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009l. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e0c&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Parathion (Proposed). United States Environmental Protection Agency. Washington, DC. 2008o. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480963e32&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perchloryl Fluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e268&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Perfluoroisobutylene (Proposed). United States Environmental Protection Agency. Washington, DC. 2009d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26a&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008p. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dd58&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2006d. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020cc0c&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phenyldichloroarsine (Proposed). United States Environmental Protection Agency. Washington, DC. 2007k. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020fd29&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phorate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008q. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096dcc8&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene (Draft-Revised). United States Environmental Protection Agency. Washington, DC. 2009e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a8a08a&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Phosgene Oxime (Proposed). United States Environmental Protection Agency. Washington, DC. 2009f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e26d&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Potassium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005c. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Propargyl Alcohol (Proposed). United States Environmental Protection Agency. Washington, DC. 2006e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec91&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Selenium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec55&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Silane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006g. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d523&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Cyanide (Proposed). United States Environmental Protection Agency. Washington, DC. 2009h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7cbb9&disposition=attachment&contentType=pdf. As accessed 2010-08-15.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sodium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Strontium Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005f. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Sulfuryl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2006h. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020ec7a&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tear Gas (Proposed). United States Environmental Protection Agency. Washington, DC. 2008s. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e551&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tellurium Hexafluoride (Proposed). United States Environmental Protection Agency. Washington, DC. 2009i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7e2a1&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tert-Octyl Mercaptan (Proposed). United States Environmental Protection Agency. Washington, DC. 2008r. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5c7&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Tetramethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-17.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethoxysilane (Proposed). United States Environmental Protection Agency. Washington, DC. 2006i. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d632&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethyl Phosphite (Proposed). United States Environmental Protection Agency. Washington, DC. 2009j. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=0900006480a7d608&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Trimethylacetyl Chloride (Proposed). United States Environmental Protection Agency. Washington, DC. 2008t. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648096e5cc&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for Zinc Phosphide (Proposed). United States Environmental Protection Agency. Washington, DC. 2005e. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020c5ed&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- National Advisory Committee for Acute Exposure Guideline Levels for Hazardous Substances: Acute Exposure Guideline Levels (AEGLs) for n-Butyl Isocyanate (Proposed). United States Environmental Protection Agency. Washington, DC. 2008m. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=09000064808f9591&disposition=attachment&contentType=pdf. As accessed 2010-08-12.
- National Heart,Lung,and Blood Institute: Expert panel report 3: guidelines for the diagnosis and management of asthma. National Heart,Lung,and Blood Institute. Bethesda, MD. 2007. Available from URL: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf.
- National Institute for Occupational Safety and Health: NIOSH Pocket Guide to Chemical Hazards, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Cincinnati, OH, 2007.
- National Research Council : Acute exposure guideline levels for selected airborne chemicals, 5, National Academies Press, Washington, DC, 2007.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 6, National Academies Press, Washington, DC, 2008.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 7, National Academies Press, Washington, DC, 2009.
- National Research Council: Acute exposure guideline levels for selected airborne chemicals, 8, National Academies Press, Washington, DC, 2010.
- 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.
- None Listed: Position paper: cathartics. J Toxicol Clin Toxicol 2004; 42(3):243-253.
- 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.
- 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.
- 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.
- Peterson RG & Rumack BH: D-penicillamine therapy of acute arsenic poisoning. J Pediatr 1977; 91:661.
- Pollack MM, Dunbar BS, & Holbrook PR: Aspiration of activated charcoal and gastric contents. Ann Emerg Med 1981; 10:528-529.
- 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: Cordarone(R) oral tablets, amiodarone HCl oral tablets. Wyeth Pharmaceuticals Inc (per FDA), Philadelphia, PA, 2015.
- 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.
- 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 October/31/2000; 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, Tondel M, & Ahmad SA: Hypertension and arsenic exposure in Bangladesh. Hypertension 1999; 33:74-78.
- 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.
- Rau NR, Nagaraj MV, Prakash PS, et al: Fatal pulmonary aspiration of oral activated charcoal. Br Med J 1988; 297:918-919.
- Renwick JH, Harrington JM, & Waldron HA: Long-term effects of acute arsenical poisoning. J Soc Occup Med 1981; 31:144-147.
- Roberts JR: Minor burns (Pt II). Emerg Med Ambulatory Care News 1988; 10:4-5.
- Sax NI & Lewis RJ: Hawley's Condensed Chemical Dictionary, 11th ed, Van Nostrand Reinhold Company, 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.
- Selzer PM & Ancel MA: Chronic arsenic poisoning masquerading as pernicious anemia. West J Med 1983; 139:219-220.
- Shum S, Skarbovig J, & Habersang R: Acute lethal arsenite poisoning in mice: effect of treatment with N-acetylcysteine, D-penicillamine and dimercaprol on survival time. Vet Human Toxicol 1981; 23(Suppl 1):39-42.
- 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.
- St Peter J, Gross C, & Victoria BE: Ventricular fibrillation caused by arsenic poisoning. Am J Dis Child 1970; 120:367-371.
- Stentoft J: The toxicity of cytarabine. Drug Saf 1990; 5:7-27.
- 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.
- U.S. Department of Energy, Office of Emergency Management: Protective Action Criteria (PAC) with AEGLs, ERPGs, & TEELs: Rev. 26 for chemicals of concern. U.S. Department of Energy, Office of Emergency Management. Washington, DC. 2010. Available from URL: http://www.hss.doe.gov/HealthSafety/WSHP/Chem_Safety/teel.html. As accessed 2011-06-27.
- U.S. Department of Health and Human Services, Public Health Service, National Toxicology Project : 11th Report on Carcinogens. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. Washington, DC. 2005. Available from URL: http://ntp.niehs.nih.gov/INDEXA5E1.HTM?objectid=32BA9724-F1F6-975E-7FCE50709CB4C932. As accessed 2011-06-27.
- U.S. Environmental Protection Agency: Discarded commercial chemical products, off-specification species, container residues, and spill residues thereof. Environmental Protection Agency's (EPA) Resource Conservation and Recovery Act (RCRA); List of hazardous substances and reportable quantities 2010b; 40CFR(261.33, e-f):77-.
- U.S. Environmental Protection Agency: Integrated Risk Information System (IRIS). U.S. Environmental Protection Agency. Washington, DC. 2011. Available from URL: http://cfpub.epa.gov/ncea/iris/index.cfm?fuseaction=iris.showSubstanceList&list_type=date. As accessed 2011-06-21.
- U.S. Environmental Protection Agency: List of Radionuclides. U.S. Environmental Protection Agency. Washington, DC. 2010a. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: List of hazardous substances and reportable quantities. U.S. Environmental Protection Agency. Washington, DC. 2010. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-sec302-4.pdf. As accessed 2011-06-17.
- U.S. Environmental Protection Agency: The list of extremely hazardous substances and their threshold planning quantities (CAS Number Order). U.S. Environmental Protection Agency. Washington, DC. 2010c. Available from URL: http://www.gpo.gov/fdsys/pkg/CFR-2010-title40-vol27/pdf/CFR-2010-title40-vol27-part355.pdf. As accessed 2011-06-17.
- U.S. Occupational Safety and Health Administration: Part 1910 - Occupational safety and health standards (continued) Occupational Safety, and Health Administration's (OSHA) list of highly hazardous chemicals, toxics and reactives. Subpart Z - toxic and hazardous substances. CFR 2010 2010; Vol6(SEC1910):7-.
- U.S. Occupational Safety, and Health Administration (OSHA): Process safety management of highly hazardous chemicals. 29 CFR 2010 2010; 29(1910.119):348-.
- United States Environmental Protection Agency Office of Pollution Prevention and Toxics: Acute Exposure Guideline Levels (AEGLs) for Vinyl Acetate (Proposed). United States Environmental Protection Agency. Washington, DC. 2006. Available from URL: http://www.regulations.gov/search/Regs/contentStreamer?objectId=090000648020d6af&disposition=attachment&contentType=pdf. As accessed 2010-08-16.
- 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.
- Watson WA, Veltri JC, & Metcalf TJ: Acute arsenic exposure treated with oral D-penicillamine. Vet Human Toxicol 1981; 23:164-166.
- Willson DF, Truwit JD, Conaway MR, et al: The adult calfactant in acute respiratory distress syndrome (CARDS) trial. Chest 2015; 148(2):356-364.
- Wilson DF, Thomas NJ, Markovitz BP, et al: Effect of exogenous surfactant (calfactant) in pediatric acute lung injury. A randomized controlled trial. JAMA 2005; 293:470-476.
- Woody NC & Kometani JT: BAL in the treatment of arsenic ingestion of children. Pediatr 1948; 1:372-378.
- Zaloga GP, Deal J, & Spurling T: Case report: unusual manifestations of arsenic intoxication. Am J Med Sci 1970; 289:210-214.
- Zitnik RJ & Cooper JA: Pulmonary disease due to antirheumatic agents. Clin Chest Med 1990; 11:139-150.
- 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.
|