SDS

Avoid giving alcohol.
4.2 Most important symptoms and effects, both acute and delayed
See Secon 11
4.3. Indicaon of any immediate medical aenon and special treatment needed
for intoxicaon due to Freons/ Halons;
A: Emergency and Supporve Measures
Maintain an open airway and assist venlaon if necessary
Treat coma and arrhythmias if they occur. Avoid (adrenaline) epinephrine or other sympathomimec amines that may precipitate ventricular arrhythmias. Tachyarrhythmias
caused by increased myocardial sensisaon may be treated with propranolol, 1-2 mg IV or esmolol 25-100 microgm/kg/min IV.
Monitor the ECG for 4-6 hours
B: Specific drugs and andotes:
There is no specific andote
C: Decontaminaon
Inhalaon; remove vicm from exposure, and give supplemental oxygen if available.
Ingeson; (a) Prehospital: Administer acvated charcoal, if available. DO NOT induce voming because of rapid absorpon and the risk of abrupt onset CNS depression. (b)
Hospital: Administer acvated charcoal, although the efficacy of charcoal is unknown. Perform gastric lavage only if the ingeson was very large and recent (less than 30
minutes)
D: Enhanced eliminaon:
There is no documented efficacy for diuresis, haemodialysis, haemoperfusion, or repeat-dose charcoal.
POISONING and DRUG OVERDOSE, Californian Poison Control System Ed. Kent R Olson; 3rd Edion
Do not administer sympathomimec drugs unless absolutely necessary as material may increase myocardial irritability.
No specific andote.
Because rapid absorpon may occur through lungs if aspirated and cause systemac effects, the decision of whether to induce voming or not should be made by an
aending physician.
If lavage is performed, suggest endotracheal and/or esophageal control.
Danger from lung aspiraon must be weighed against toxicity when considering emptying the stomach.
Treatment based on judgment of the physician in response to reacons of the paent
For gas exposures:
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BASIC TREATMENT
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Establish a patent airway with sucon where necessary.
Watch for signs of respiratory insufficiency and assist venlaon as necessary.
Administer oxygen by non-rebreather mask at 10 to 15 l/min.
Monitor and treat, where necessary, for pulmonary oedema .
Monitor and treat, where necessary, for shock.
Ancipate seizures.
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ADVANCED TREATMENT
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Consider orotracheal or nasotracheal intubaon for airway control in unconscious paent or where respiratory arrest has occurred.
Posive-pressure venlaon using a bag-valve mask might be of use.
Monitor and treat, where necessary, for arrhythmias.
Start an IV D5W TKO. If signs of hypovolaemia are present use lactated Ringers soluon. Fluid overload might create complicaons.
Drug therapy should be considered for pulmonary oedema.
Hypotension with signs of hypovolaemia requires the cauous administraon of fluids. Fluid overload might create complicaons.
Treat seizures with diazepam.
Proparacaine hydrochloride should be used to assist eye irrigaon.
BRONSTEIN, A.C. and CURRANCE, P.L.
EMERGENCY CARE FOR HAZARDOUS MATERIALS EXPOSURE: 2nd Ed. 1994
SECTION 5 FIREFIGHTING MEASURES
5.1. Exnguishing media
SMALL FIRE: Use exnguishing agent suitable for type of surrounding fire.
LARGE FIRE: Cool cylinder.
DO NOT direct water at source of leak or venng safety devices as icing may occur.
5.2. Special hazards arising from the substrate or mixture
Fire Incompability Avoid contaminaon with oxidising agents i.e. nitrates, oxidising acids, chlorine bleaches, pool chlorine etc. as ignion may result
5.3. Advice for firefighters
Fire Fighng
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GENERAL
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Alert Fire Brigade and tell them locaon and nature of hazard.
Wear breathing apparatus and protecve gloves.
Fight fire from a safe distance, with adequate cover.
Use water delivered as a fine spray to control fire and cool adjacent area.