Part 5: Carbon Monoxide and Other Toxic Gases
Key Learning Objective: Understand toxic gas properties, physiological effects, statutory exposure limits (CMR 2017 Reg 123-125), and first-aid treatment as per DGMS Rescue Rules.
5.1 Carbon Monoxide (CO) - The Silent Killer
☠️ CO EXPOSURE EFFECTS ☠️
| Concentration (ppm) | Exposure Time | Symptoms |
| 50 | 8 hours | Headache, mild nausea |
| 200 | 2-3 hours | Severe headache, dizziness |
| 800 | 2 hours | Unconsciousness |
| 3200 | 30 min | Death |
Statutory Limit: 50ppm (8hr TWA) - CMR 123
5.2 CO Sources and Detection
🔥 Primary Sources
- Blasting: Incomplete combustion (0.5-2% CO)
- Diesel Loco: 2000-5000ppm exhaust
- Coal oxidation: Spontaneous heating
- Explosions: Afterdamp (CO 0.2-1%)
📊 Detection Specifications
- Range: 0-2000ppm
- Alarm 1: 50ppm (low)
- Alarm 2: 100ppm (high)
- STEL: 200ppm (15min)
- Sensor: Electrochemical
5.3 Other Toxic Gases
| Gas |
Sources |
TLV (ppm) |
Symptoms |
IDLH |
| CO₂ |
Ventilation failure, strata |
5000 |
Breathing difficulty >3% |
40,000 |
| H₂S |
Sulphide minerals, sewers |
10 |
Rotten egg smell → Paralysis |
100 |
| NO₂ |
Blasting fumes |
5 |
Bronchitis, pulmonary edema |
50 |
| SO₂ |
Pyrite oxidation |
2 |
Eye/throat irritation |
100 |
5.4 Gas Mask and Self-Rescuer Usage
🦺 Respiratory Protection Matrix
| Gas Concentration | PPE Required | Duration |
| CO <100ppm | Filter type B2 | 30 min |
| CO >100ppm | Self-contained SCBA | 30-60 min |
| H₂S <50ppm | Filter type AX | 20 min |
| Unknown/High | 30-min Self-Rescuer | Emergency only |
5.5 First Aid for Gas Poisoning
🩹 CO Poisoning Treatment
- Remove to fresh air IMMEDIATELY
- 100% Oxygen with HBO if available
- Monitor SpO₂, pulse, respiration
- Hyperbaric oxygen for >25% carboxy-Hb
- Observe 24 hours minimum
⚠️ H₂S Exposure
- Never use mouth-to-mouth
- Rescuers use SCBA
- Sodium bicarbonate IV
- Monitor for pulmonary edema
- Amyl nitrite inhaler
⚠️ Exam Critical Data:
- CO combines with Hb: 200x faster than O₂
- Carboxyhemoglobin half-life: 4-6hrs on air, 1hr on O₂
- H₂S paralysis: Olfactory nerve at 100ppm
- CO₂ doubling point: 1.5% = Increased breathing
- Form V-27: Toxic gas incident report
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