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Methyl Isocyanate (C 2 H 3 NO). Methyl Isocyanate - Overview. Physical properties Colorless liquid with a very distinct, sharp odor Highly flammable with low flash point Extremely toxic to people. Methyl Isocyanate - Overview.
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Methyl Isocyanate - Overview • Physical properties • Colorless liquid with a very distinct, sharp odor • Highly flammable with low flash point • Extremely toxic to people
Methyl Isocyanate - Overview • A chemical intermediate in production of carbamate insecticides/herbicides • 1984 accidental release in Bhopal, India killed 3-5,000 and injured 170,000
Methyl Isocyanate - Toxicity • Extremely toxic to humans • Inhalation exposure: LD50 < 200 mg/m3 • Oral exposure: LD50 of 50-500 mg/kg • 23 mg/m3 is irritating to the eyes, nose, and throat • 68 mg/m3 results in a risk of severe injuries • 225 mg/m3 may result in death
Methyl Isocyanate - Toxicity • OSHA / NIOSH standards for skin exposure: TWA limit = 0.02 ppm (0.05 mg/m3) & IDLH = 3 ppm
Protective Equipment • Diffuses through polyethylene and attacks most elastomers • Wear protective clothing appropriate to the type and degree of contamination • Positive-pressure, self-contained breathing apparatus (SCBA) is recommended
Detection • No automated detection devices found
Decontamination • Remove victims from the area of exposure, provide 100% O2 if inhalation has occurred • Remove and double-bag contaminated clothing and personal belongings
Decontamination • Eyes • Flush with lukewarm water, 15 minutes • Remove contact lenses • Skin • Flush skin and hair with water, 5 minutes • Wash with soap and water, 15 minutes • Rinse thoroughly
Signs and Symptoms • Early effects of acute inhalation gaseous exposure • Eye exposure: various adverse effects • Continued exposure • Difficulty breathing and cough develops • Acute pulmonary edema and even acute respiratory distress syndrome
Signs and Symptoms • Skin irritant causing a burning sensation • Absorbed through the skin
Signs and Symptoms • Highly toxic with oral exposure • Reaches most organs in active form • Systemic effects seen in animal studies • Other systemic symptoms: nausea, gastritis, sweating, fever, and chills
Signs and Symptoms • Bhopal accident • Burning eyes most frequent symptom • Cough associated with poor prognosis • Other symptoms include diarrhea, shortness of breath • Many deaths from secondary infections • Severe changes in lung function, renal tubular necrosis, reduced liver function
Treatment • Basic first aid for victim • Primarily supportive treatment • Treat pulmonary irritation and maintain adequate ventilation and oxygenation
Treatment • Oral exposures • Administer activated charcoal slurry (240 mL water / 30 gm charcoal) • 25 to 100gm in adults and adolescents • 25 to 50gm in children ages 1 to 12 years • 1 gm/kg in infants less than 1 year old • A cathartic may be beneficial
Treatment • Eye exposure • Liquid • Extremely irritating • May cause permanent damage • Gas • Irritating • Rarely causes permanent injury
Treatment • Eye exposure • Corneal abrasions • Mydriatics, systemic analgesics, and topical ophthalmic antibiotics • Severe iritis • Topical atropine or homatropine
Treatment • Dermal exposure • Extremely irritating • Treat topically • Dermal hypersensitivity reactions • Systemic or topical corticosteroids or antihistamines
Treatment • Inhalation • Oxygen, ventilatory support, and an intravenous line • For bronchospasm: inhaled and/or parenteral sympathomimetics, IV theophylline, and steroids • Hospitalize and observe all symptomatic patients for 72 hours for possible delayed pulmonary edema
Treatment • Inhalation • Pulmonary edema • Maintain ventilation and oxygenation • Frequent ABGs or pulse oximetry • Control hypoxia with O2 supplementation • IPPB, PEEP mask or intubation
Treatment • Symptomatic patients • ECG • Chest x-ray • Pulse oximetry • Peak air flows • Arterial blood gases • Serum electrolytes • Renal and hepatic function
Long-Term Medical Sequelae • Bhopal accident • Chronic eye problems • Pulmonary damage • Reproductive effects • EPA Group D • Not classifiable as to human carcinogenicity • Teratogenicity not defined
Environmental Sequelae • Rapidly hydrolyzes when released to moist soil or to water • Volatilization from dry near-surface soil or surfaces is likely • Bioconcentration, volatilization and absorption not significant processes
Summary • Difficult to make and safely store • Less likely to be a terrorist weapon • Immediate danger to life and health by inhalation or oral exposure • Eye irritation to full-blown ARDS, and numerous serious systemic effects
Summary • Supportive treatment • Treat pulmonary irritation and maintain adequate ventilation and oxygenation • 1984 accidental release in Bhopal, India provides long-term medical consequences data