The Toxic Twins

The Toxic Twins

Carbon Monoxide & Hydrogen Cyanide

Fire Smoke

Carbon Monoxide & Hydrogen Cyanide

Introducing The Toxic Twins

Fire smoke has changed in the last 30 years.  The extensive commercial and residential use of synthetic materials (plastics, nylons and polymers such as Styrofoam and polyurethane foam) has a significant impact on combustion and fire behavior, as well as the smoke produced during a structure fire. The majority of these materials are carbon based, bonded with various atoms like hydrogen, nitrogen, chlorine, and sulfur. Synthetic substances ignite and burn fast, causing rapidly developing fires and toxic smoke and making structural firefighting more dangerous than ever before. These materials ignite and burn 2-3 times hotter and faster than conventional materials and when heated, emit a gas or smoke that will also ignite 2-3 times faster and burn 2-3 times hotter.

There is little question that the today’s fire smoke is more deadly than ever before.    Twenty years ago, firefighters came off of air as soon as the fire was out – or when they were outside of the structure.  That is no longer possible if, as a firefighter, you want to prevent the life-ending or cummulative impact of these deadly gases.

Firefighters who breathe fire smoke and expose themselves to off-gassing during overhaul and salvage, are gambling with their hearts and brains.  Every breath of fire smoke amounts to cummulative exposures, which over time, will debilitate the heart, brain and the central nervous sytem.

  • Carbon Monoxide adheres to oxygen binding sites in the blood with an affinity 220 times that of oxygen, thereby displacing oxygen from these sites

  • Hydrogen Cyanide disrupts the body’s ability to perform aerobic (oxygen utilizing) metabolism, even in the presence of normal oxygen levels.

This means that even if oxygen can be delivered to the cells, they are unable to use the oxygen and die anyway.  Together the chemical asphyxiant effects of carbon monoxide and hydrogen cyanide are deadly.  They are even more deadly in the presence of a low oxygen environment.

Resources

Carbon Monoxide

The reduction of the oxygen-carrying capacity of the blood leads to inadequate oxygenation of cells, tissues, and organs, i.e. “hypoxic stress”. The brain is especially susceptible to
hypoxia, but the subtle neurological effects of CO may prevent a victim from being aware of the danger.  Eventually, brain function is depressed to the point where collapse and incapacitation occurs, followed by unconsciousness.

  • Carbon monoxide displaces oxygen in the red blood cells

Know Your Limits
NFPA 1584 Firefighter Rehab

Hydrogen Cyanide

Cyanide disrupts the body’s ability to perform aerobic (oxygen utilizing) metabolism, even in the presence of normal oxygen levels.

Once absorbed in the body, cyanide compounds ‘poison’ the cytochrome oxidase, barring oxygen from entering the mitochondria and effectively shutting down the process of aerobic metabolism.

Without oxygen, the cells switch to anaerobic metabolism, producing toxic by-products such as lactic acid, ultimately killing the cell. Therefore, cyanide toxicity is not about the amount of cyanide in smoke inhalation victims.

  • Hydrogen Cyanide prevents the cells from using oxygen

 

"Another immediate effect of exposure to smoke that is probably under-appreciated is consequences to the heart after exposure to particles. "
Jean Marie McMahon, MD , Internal Medicine and Occupational and Environmental Medicine

Preventing Exposure

add links to:

Why ROAM

Rule of Air Management

Importance of SCBA

More Air, More Time

Ric Jorge Breathing Techniques Video & Reilly Breathing Technique Videos

Link to Firefighter Rehab

Link to pre-hospital Treatment for Smoke Inhalation

Firefighter Air Coalition