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J Accid Emerg Med. 1995 September; 12(3): 212–213.
PMCID: PMC1342485

Occupational phosgene poisoning: a case report and review.


Phosgene is a highly toxic gas to which some workers may be occupationally exposed. This case report demonstrates the possibility of refrigeration workers suffering phosgene poisoning after heating certain chlorinated fluorocarbons ('freons'). The need to suspect phosgene exposure and observe such patients is emphasized, especially in view of the delay in clinical deterioration observed in some patients who subsequently develop adult respiratory distress syndrome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Sidell FR. What to do in case of an unthinkable chemical warfare attack or accident. Postgrad Med. 1990 Nov 15;88(7):70–84. [PubMed]
  • Diller WF. Pathogenesis of phosgene poisoning. Toxicol Ind Health. 1985 Oct;1(2):7–15. [PubMed]
  • Rinzema LC, Silverstein LG. Hazards from chlorinated hydrocarbon decomposition during welding. Am Ind Hyg Assoc J. 1972 Jan;33(1):35–40. [PubMed]
  • Regan RA. Review of clinical experience in handling phosgene exposure cases. Toxicol Ind Health. 1985 Oct;1(2):69–72. [PubMed]
  • Diller WF. Early diagnosis of phosgene overexposure. Toxicol Ind Health. 1985 Oct;1(2):73–80. [PubMed]
  • Diller WF. Therapeutic strategy in phosgene poisoning. Toxicol Ind Health. 1985 Oct;1(2):93–99. [PubMed]
  • Diller WF. Late sequelae after phosgene poisoning: a literature review. Toxicol Ind Health. 1985 Oct;1(2):129–136. [PubMed]

Articles from Journal of Accident & Emergency Medicine are provided here courtesy of BMJ Group