Medicina de Emergência: Acesso Aberto
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Danger behind the Door: Challenges of Field Rescue and Medical Management in a Hydrogen Sulfide Suicide Attempt

Stephanie Carreiro, Adam Darnobid, Sean Rhyee and Stacey Weisberg

Background: Hydrogen Sulfide (H2S) has become a method of suicide that has gained popularity across the world in the recent years. The traditional means included a well-sealed car in a remote location. The completion rate of suicide was very high and living patient contact is rarely made. Case Discussion: A 35 year old female was discovered in her apartment after a suicide attempt in an apartment room, utilizing H2S. A multiple tiered response included Emergency Physicians from the onset of the case both on scene and at the receiving facility advising on scene safety, toxicological issues and management. The patient required intubation in the field and supportive care, but ultimately was discharged from the hospital neurologically intact. No first responders or bystanders were seriously affected. Discussion: With rapid on scene care and early and aggressive critical care this patient survived without deficit. First responders and emergency physicians need to be aware of this novel method of self-harm and the implications for patients, emergency personnel and bystanders.