Chlorine

CAS RN: 7782-50-5

ABC Reminders / Treatment

Syringe

ABC Reminders

If the patient's symptoms warrant, immediately institute emergency life support measures including the quick assessment of airway patency, as well as ensuring adequate respiration and pulse (document oxygen saturation). If spine trauma is suspected, maintain cervical immobilization manually and apply a cervical collar and a backboard when feasible. Place on a cardiac monitor.

Link to Primary and Secondary Survey

Advanced Treatment

Supportive

In cases of respiratory compromise, secure airway and respiration via endotracheal intubation or laryngeal mask airway (LMA) (use Bag Valve Mask (BVM) if unable to secure airway). If clinically indicated, perform cricothyroidotomy, or place 14 gauge intracath in the cricothryroid membrane. Patients who are in cardiorespiratory failure or have seizures should be treated according to advanced life support (ALS) protocols.

Treat patients who have bronchospasm with aerosolized bronchodilators. The use of bronchial sensitizing agents in situations of multiple chemical exposures may pose additional risks. Consider the health of the myocardium before choosing which type of bronchodilator should be administered.

Consider racemic epinephrine aerosol for children who develop stridor. Dose 0.25 - 0.75 mL of 2.25% racemic epinephrine solution in 2.5 cc water, repeat every 20 minutes as needed, cautioning for myocardial variability.

Patients who are comatose, hypotensive, or are having seizures or cardiac arrhythmias should be treated according to advanced life support (ALS) protocols.

If chlorine was swallowed, immediately give the person water or milk, unless instructed otherwise by the Emergency Department or Poison Control. DO NOT give water or milk if the patient is having symptoms (such as vomiting, convulsions, or a decreased level of alertness) that make it hard to swallow. The addition of water or milk following the ingestion of a large amount of industrial strength chlorine will have no therapeutic benefit. DO NOT place a nasogastric tube.

Frostbite - Always handle frostbitten skin and eyes with caution. Place frostbitten skin in warm water (102-108 degrees) for 20 to 30 minutes and continue until a flush has returned to the affected area. Do not allow the skin to touch the sides of the container. If hot water is not available wrap the affected area gently in warm blankets. Encourage exercise of the affected part while it is being warmed.

Antidotes

Antidotes - there are no specific antidotes for chlorine.


Not FDA approved for this indication/Off-label use

Find more information on this substance at: PubChem, PubMed