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Introduction. Because 78% of the air we breathe is nitrogen gas, many people assume that nitrogen is not harmful. However, nitrogen is safe to breathe only when mixed with the appropriate amount of oxygen. Depending on the concentration of nitrogen a person is exposed to, the signs and symptoms progress from sudden unconsciousness to death due to asphyxiation. The study presents a case of an unconscious patient after attempted suicide, due to breathing air depleted in oxygen. Case report. A 38-year-old male fruit-grower was brought from his home by emergency services and admitted to the hospital emergency room in an unconscious state, with brief episodes of myoclonus and seizure. The patient had been found by family members in the controlled atmosphere of a cooling storage room. The controlled atmosphere was carefully regulated with an atmosphere containing a very low level of oxygen – 1.5%, carbon dioxide – 1.5% and gaseous nitrogen – 98%. Patient’s family carried him out of controlled atmosphere storage room and called for emergency services and a Medical Team brought the patient to the Emergency Department of the regional hospital. In the ambulance, the patient was given oxygen via face mask – 6l/min, and the peripheral vein was secured for intravenous infusion, which was started with 500ml of electrolyte solution. Myoclonus and seizure was treated with iv, diazepam in a dosage of Adres do korespondencji: Jacek Wadełek, Mazowieckie Centrum Rehabilitacji Sp. z o.o., Szpital Chirurgii Urazowej św. Anny, Oddział Anestezjologii i Intensywnej Terapii, ul. Barska 16/20, 02-315, Warszawa, Polska e-mail: WAD_jack@poczta.fm Nadesłano: 21.04.2020; zaakceptowano do druku: 10.08.2020; publikacja online: 31.08.2020 Medycyna Ogólna i Nauki o Zdrowiu 2020, Tom 26, Nr 3, 309–313

medycyna ogólna i nauki o zdrowiu

Emergency management after attempted suicide due to inhalation of a gas mixture in environmental depletion of oxygen and high nitrogen concentration – a case report