Mistry Dipak, Meredith Carolyn
Newham Hospital, Emergency Department, Glen Road, Plaistow, London, E13 8RU, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1042. Epub 2009 Mar 2.
Aerosols are commonplace in the home and in industry as they provide a quick and controlled way of distributing chemicals or perfumes. It is well known that deliberating concentrating and inhaling vapours may result in dizziness, euphoria, blackouts, respiratory distress, cardiac and renal failure. However, in the most part, warnings and guidance on use are sparse. Here, a proven case of acute respiratory distress is presented and a reporting mechanism via the UK National Poisons Information Service (NPIS) directly from the Emergency Department (ED) is highlighted. In this case, as a result of our reporting, the aerosol was redesigned and redeployed as a trigger spray with better consumer guidance. Clinicians are reminded of the central role of the ED in the reporting of such hazards.
气雾剂在家庭和工业中很常见，因为它们提供了一种快速且可控的方式来分发化学品或香水。众所周知，故意浓缩和吸入蒸汽可能会导致头晕、欣快感、昏厥、呼吸窘迫、心脏和肾衰竭。然而，在很大程度上，关于使用的警告和指导很少。在此，展示了一个经证实的急性呼吸窘迫病例，并强调了通过英国国家毒物信息服务中心（NPIS）直接从急诊科（ED）进行报告的机制。在这个案例中，由于我们的报告，气雾剂被重新设计并重新部署为带有更好消费者指导的触发式喷雾。提醒临床医生急诊科在报告此类危害方面的核心作用。
