PubMed · 6842756
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B H Rumack, C M Rumack. 1983-05-13. Disk battery ingestion.. https://doi.org/10.1001/jama.1983.03330420055037
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In a landfill mixture of gases, consisting principally of methane and carbon dioxide, may be produced by microbial degradation of organic waste under anaerobic conditions. Methane is explosive at concentrations between 5 and 15% by volume. Other gases, for instance hydrogensulphide, mercury and ethane, may be emitted at low concentrations, but usually do not represent a health hazard following normal atmospheric dilution. Indoor climate may be affected, though, in cases of accumulation in closed spaces. A case is presented where two persons died following an explosion caused by lighting a cigarette in their house which was surrounded on three sides by a landfill. The explosion occurred after heavy precipitation on a day with low atmospheric pressure. Methane measurements showed values consistent with risk of explosion.
As paediatricians we are often reminded of the importance of correct marking and storage of drugs to prevent accidental intoxication. We report on a patient who developed typical signs of central and peripheral anticholinergic syndrome within a few hours after intake of atropine through her nose. Clinical presentation and treatment are described. Children with fever, Down's syndrome or convulsive disorders seem to be particularly sensitive to atropine.
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