Carbon Monoxide Poisonings from Forklift Use During Produce Packing Operations

Journal of Agromedicine
Anne E HirschJesse S McDaniel

Abstract

In August 2013, the North Carolina Division of Public Health investigated a carbon monoxide (CO) exposure on a farm. Two employees were overcome by CO and lost consciousness while using a propane-powered forklift to load produce into a refrigerated trailer backed up to a warehouse. One employee died, and the second employee was admitted to the hospital for hyperbaric oxygen treatment. Eighteen people, ranging in age from 18 to 69 years, were potentially exposed to CO, including the two employees, a family member who discovered the employees, two bystanders who stopped to offer assistance, and 13 first responders. Thirteen people who assisted in the emergency response experienced symptoms such as headache and dizziness, and all 16 who assisted were evaluated in a local hospital emergency department and released after receiving 100% oxygen. Blood tests showed five people (the two employees, family member, and two bystanders) had elevated blood carboxyhemoglobin levels, but all first responders had levels within normal range. Firefighters measured a peak CO concentration of 2214 parts per million in the warehouse. The North Carolina Division of Occupational Safety and Health investigated and determined that the forklift, operated ...Continue Reading

References

Oct 4, 2002·The New England Journal of Medicine·Lindell K WeaverAlan H Morris
Dec 7, 2006·American Journal of Clinical Oncology·Saulius GirniusWilliam Barrett
Jul 17, 2010·Journal of Occupational and Environmental Hygiene·Carolyn K Reeb-WhitakerDarrin Adams
May 17, 2011·The American Journal of Emergency Medicine·Shahed IqbalAnne Elixhauser
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Sep 4, 2012·Public Health Reports·Shahed IqbalFuyuen Y Yip
Oct 23, 2012·American Journal of Respiratory and Critical Care Medicine·Neil B HampsonLindell K Weaver

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Citations

Jul 14, 2017·Journal of Agromedicine·Ricky LangleyDerrick Bell

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