Acute and chronic toxicity of ethyl chloride insufflation in two patients

Objective: Inhalant abuse has been a source of increasing concern because of its easy accessibility and affordability. Anecdotal reports have previously described ethyl chloride as a potential cause of altered mental state and neurologic symptoms. Its use has been thought to be found most often in adolescents and among men who have sex with men. Common acute symptoms include confusion, dizziness, headache, nausea, and fatigue. We describe two cases of adult patients who presented to one general hospital emergency department with ethyl chloride toxicity. The first presented with acute delirium; the second with a picture of chronic neurological symptomatology. It is important that clinicians become familiar with ethyl chloride intoxication because of its prevalence and potential to present with varying acute and chronic symptomatology.

Inhalant Abuse of Ethyl Chloride Spray: A Case Report

Ethyl chloride spray, which is usually used to relieve pain after injuries, is increasingly being used as a sniffing alternative. The number of people using this is rising due to its easy availability, cost-effectiveness and legality. The high lipid solubility of ethyl chloride leads to a rapid absorption of it in the lungs. However, data on the biotransformation of ethyl chloride in humans are sparse. We present the case of a 53-year-old male who had been inhaling ethyl chloride up to 3 times a week since 25 years, and describe his symptoms and the circumstances of abuse. This should help raise awareness of this issue so that abuse can be recognized early and rapid action taken.

IMPLEMENTASI PERATURAN DAERAH PROVINSI KALIMANTAN TIMUR NOMOR 5 TAHUN 2015 TENTANG PENCEGAHAN PENYALAHGUNAAN INHALAN (STUDI KASUS DI KOTA SAMARINDA)

This article will review the achievements of implementing the East Kalimantan Provincial Regulation Number 5 of 2015 concerning Inhalant Abuse prevention. With a qualitative descriptive analysis research model with data collection techniques by observation, interviews, documentation, and interactive data analysis, the results showed that East Kalimantan Provincial Regulation Number 5 of 2015 concerning Inhalant Abuse Prevention Samarinda City has not been going well. There are various kinds of obstacles in the implementation process, such as the lack of human resources, lack of facilities and infrastructure, and people who comply with local regulations.Keywords: implementation, prevention, abuse, inhalation, local regulations