In acute cases of chlorine poisoning oxygen treatment should be tried,
but in any case the patient should have free access to pure air.
Approved remedies are inhalation of soda spray or very dilute ammonia,
or of a vapourised solution of sodium hypochlorite. If the patient is in
great pain, he may be allowed to inhale cocaine solution (0·2 per cent.).
The administration of arsenic (solutio arsenicalis) is recommended,
especially in cases of acne. In general the usual treatment for diseases
of the skin is followed; salicylic acid lotions, sulphur baths, and
sulphur ointments may be made use of.
=Chlorides.=—_Chlorides of Phosphorus_, _Phosphorus-trichloride_ (PCl₃),
and _Phosphorus oxychloride_ (POCl₃), are strong-smelling liquids,
fuming in the air, and when brought into contact with water decomposing
into phosphorous acid and hydrochloric acid. These halogen compounds
of phosphorus have a violently irritant action upon the respiratory
organs and the eyes, in that they decompose on the mucous membrane into
hydrochloric acid and an oxyacid of phosphorus. Inhalation of the fumes
of these compounds causes cough, difficulty of breathing, inflammation of
the respiratory passages, and blood-stained expectoration.
Treatment is similar to that for acid poisoning in general and
hydrochloric acid in particular.
Similar to that of the chlorides of phosphorus is the action of
_chlorides of sulphur_, of which _sulphur monochloride_ (S₂Cl)₂ is of
industrial hygienic importance as it is employed in the vulcanising of
indiarubber. It is a brown, oily, fuming liquid, which, mixed with water
or even in damp air, decomposes into sulphur dioxide and hydrochloric
acid. The fumes of sulphur monochloride have therefore a marked irritant
effect, like that of hydrochloric acid and sulphur dioxide. The action of
sulphur chloride was thoroughly studied by Lehmann. Industrial poisoning
by sulphur chloride is mentioned by Leymann and also in the reports of
the Prussian factory inspectors for 1897. The latter case ended fatally
owing to the ignorance of the would-be rescuers: a workman had spilt
trichloride of phosphorus upon his clothes, and the by-standers, not
knowing its dangerous action when combined with water, poured water on
him.
Treatment is similar to that of poisoning from hydrochloric acid or
sulphur dioxide.
_Chloride of zinc_ (zinc chloride, ZnCl₂) likewise has corroding and
irritant action upon the mucous membrane of the respiratory organs.
AMMONIA
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