A case of a chlorine inhalation injury in an Ebola treatment unit

We present a 26-year-old male British military nurse, deployed to Sierra Leone to treat patients with Ebola virus disease at the military-run Kerry Town Ebola Treatment Unit. Following exposure to chlorine gas during routine maintenance procedures, the patient had an episode of respiratory distress...

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Published in:BMJ military health 2016-06, Vol.162 (3), p.229-231
Main Authors: Carpenter, Adrian, Cox, A T, Marion, D, Phillips, A, Ewington, I
Format: Article
Language:English
Subjects:
Adult
Bronchial Hyperreactivity - chemically induced
Chlorine - poisoning
Disinfectants - poisoning
Disinfection & disinfectants
Ebola virus
Gases
Hemorrhagic Fever, Ebola - nursing
Humans
Hypocapnia - chemically induced
Inhalation Exposure
Lung Injury - chemically induced
Male
Military Personnel
Nurses
Occupational Exposure
Personal protective equipment
Sierra Leone
Syncope - chemically induced
United Kingdom
Ventilation
Viruses
Workers
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cited_by cdi_FETCH-LOGICAL-b436t-f1836ffbbd0b0cfcc33c8caf6b5ecc5a9e5d929c9f168f17b0f6b638862a10403
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container_issue 3
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container_title BMJ military health
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creator Carpenter, Adrian
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Marion, D
Phillips, A
Ewington, I
description We present a 26-year-old male British military nurse, deployed to Sierra Leone to treat patients with Ebola virus disease at the military-run Kerry Town Ebola Treatment Unit. Following exposure to chlorine gas during routine maintenance procedures, the patient had an episode of respiratory distress and briefly lost consciousness after exiting the facility. Diagnoses of reactive airways disease, secondary to the chlorine exposure and a hypocapnic syncopal episode were made. The patient was resuscitated with minimal intervention and complete recovery occurred in less than 1 week. This case highlights the issues of using high-strength chlorine solution to disinfect the red zone. Although this patient had a good outcome, this was fortunate. Ensuring Ebola treatment centres are optimally designed and that appropriate management systems are formulated with extraction scenarios rehearsed are important to mitigate the chlorine-associated risk.
doi_str_mv 10.1136/jramc-2015-000501
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source BMJ Publishing
subjects Adult
Bronchial Hyperreactivity - chemically induced
Chlorine - poisoning
Disinfectants - poisoning
Disinfection & disinfectants
Ebola virus
Gases
Hemorrhagic Fever, Ebola - nursing
Humans
Hypocapnia - chemically induced
Inhalation Exposure
Lung Injury - chemically induced
Male
Military Personnel
Nurses
Occupational Exposure
Personal protective equipment
Sierra Leone
Syncope - chemically induced
United Kingdom
Ventilation
Viruses
Workers
title A case of a chlorine inhalation injury in an Ebola treatment unit
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