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Multiple Patients with Carbon Monoxide Toxicity from Water-Pipe Smoking

  • Simon F.J. Clarke (a1) (a2), Caroline Stephens (a3), Maisse Farhan (a3), Patricia Ward (a3), Catherine Keshishian (a2), Virginia Murray (a2) and Dominik Zenner (a4)...
Abstract

This case report describes carbon monoxide toxicity from prolonged shisha (water-pipe) smoking. The evidence base for the source and pathway of toxicity is discussed. This practice has been increasing in the UK in recent years, and emergency physicians need to be aware of the high levels of CO, with the consequent risk of clinical poisoning from water-pipe smoking.

ClarkeSFJ, StephensC, FarhanM, WardP, KeshishianC, MurrayV, ZennerD. Multiple Patients with Carbon Monoxide Toxicity from Water-Pipe Smoking. Prehosp Disaster Med. 2012;27(6):1-3.

Copyright
Corresponding author
Correspondence: Simon Clarke, DA, FRCS, FCEM Emergency Department, Frimley Park NHS Foundation Trust Portsmouth Road, Frimley, Camberley, Surrey, GU16 7UJ United Kingdom E-mail sfjclarke@doctors.org.uk
References
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1.Mohamed, MK, Loffredo, CA, Israel, E, eds. Tobacco Use in Shisha. Studies on Waterpipe Smoking in Egypt. Cairo, Egypt: World Health Organization, Regional Office for the Eastern Mediterranean, Egyptian Smoking Prevention Research Institute; 2006.
2.Knishkowy, B, Amitai, Y. Water-pipe (narghile) smoking: an emerging health risk behaviour. Pediatrics. 2005;116(1):e113-e119.
3.El-Nachef, WN, Hammond, SK. Exhaled carbon monoxide with waterpipe use in US students. JAMA. 2008;299(1):36-38.
4.Chaouachi, K. The medical consequences of narghile (hookah, shisha) use in the world. Rev Epidemiol Sante Publique. 2007;55(3):165-170.
5.Monn, C, Kindler, P, Meile, A, Brändli, O. Ultrafine particle emissions from waterpipes. Tob Control. 2007;16(6):390-393.
6.Jackson, D, Aveyard, P. Waterpipe smoking in students: prevalence, risk factors, symptoms of addiction, and smoke intake. Evidence from one British University. BMC Public Health. 2008;8:174.
7.Bacha, Z, Salameh, P, Waked, M. Saliva cotinine and exhaled carbon monoxide levels in natural environment waterpipe smokers. Inhal Toxicol. 2007;19(9):771-777.
8.Daher, N, Saleh, R, Jaroudi, E, et al. Comparison of carcinogen, carbon monoxide, and ultrafine particle emissions from narghile waterpipe and cigarette smoking: Sidestream smoke measurements and assessment of second-hand smoke emission factors. Atmos Environ. 2010;44(1):8-14.
9.Zahran, F, Yousef, AA, Baig, MH. A study of carboxyhaemoglobin levels of cigarette and sheesha smokers in Saudi Arabia. Am J Public Health. 1982;72(7):722-724.
10.Zahran, F, Ardawi, M, Al-Fayez, S. Carboxyhemoglobin concentrations in smokers of sheesha and cigarettes in Saudi Arabia. Br Med J (Clin Res Ed). 1985;291(6511):1768-1770.
11.Eissenberg, T, Shihadeh, A. Waterpipe tobacco and cigarette smoking. Direct comparison of toxicant exposure. Am J Prev Med. 2009;37(6):518-523.
12.Theron, A, Schultz, C, Ker, JA, Falzone, N. Carboxyhaemoglobin levels in water-pipe and cigarette smokers. S Afr Med J. 2010;100(2):122-124.
13.Sajid, KM, Akhter, M, Malik, GQ. Carbon monoxide fractions in cigarette and hookah (hubble bubble) smoke. J Pak Med Assoc. 1993;43(9):179-182.
14.Monzer, B, Sepetdjian, E, Saliba, N, Shihadeh, A. Charcoal emissions as a source of CO and carcinogenic PAH in mainstream narghile waterpipe smoke. Food Chem Toxicol. 2008;46(9):2991-2995.
15.Lim, BL, Lim, GH, Seow, E. Case of carbon monoxide poisoning after smoking shisha. Int J Emerg Med. 2009;2(2):121-122.
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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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