Phosgene

  • Phosgene is a major industrial chemical used to make plastics and pesticides.

  • At room temperature (70°F), phosgene is a poisonous gas.

  • With cooling and pressure, phosgene gas can be converted into a liquid so that it can be shipped and stored. When liquid phosgene is released, it quickly turns into a gas that stays close to the ground and spreads rapidly.

  • Phosgene gas may appear colorless or as a white to pale yellow cloud. At low concentrations, it has a pleasant odor of newly mown hay or green corn, but all people exposed may not notice its odor. At high concentrations, the odor may be strong and unpleasant.

  • Phosgene itself is nonflammable (not easily ignited and burned), but it can cause flammable substances around it to burn.

  • Phosgene is also known by its military designation, "CG."

HOW DOES IT WORK

  • Phosgene was used extensively during World War I as a choking (pulmonary) agent. Among the chemicals used in the war, phosgene was responsible for the large majority of deaths.

  • Phosgene gas is heavier than air, so it would be more likely found in low-lying areas.

HOW PEOPLE ARE EXPOSED TO PHOSGENE

  • People's risk for exposure depends on how close they are to the place where the phosgene was released.

  • If phosgene gas is released into the air, people may be exposed through skin contact or eye contact or by breathing air that contains phosgene.

  • If phosgene liquid is released into water, touching or drinking water that contains phosgene may expose people.

  • If phosgene liquid comes into contact with food, eating the contaminated food may expose people.

HOW PHOSGENE WORKS

  • Poisoning caused by phosgene depends on the amount of phosgene to which a person is exposed, the route of exposure, and the length of time that a person is exposed.

  • Phosgene gas and liquid are irritants that can damage the skin, eyes, nose, throat, and lungs.

IMMEDIATE SIGNS AND SYMPTOMS OF PHOSGENE EXPOSURE

  • During or immediately after exposure to dangerous concentrations of phosgene, the following signs and symptoms may develop:

  • Coughing

  • Burning sensation in the throat and eyes

  • Watery eyes

  • Blurred vision

  • Difficulty breathing or shortness of breath

  • Nausea and vomiting

  • Skin contact can result in lesions similar to those from frostbite or burns.

  • Following exposure to high concentrations of phosgene, a person may develop fluid in the lungs (pulmonary edema) within 2 to 6 hours.

DELAYED EFFECTS OF PHOSGENE

  • Difficulty breathing

  • Coughing up white to pink-tinged fluid (a sign of pulmonary edema)

  • Low blood pressure

  • Heart failure

  • Showing these signs or symptoms does not necessarily mean that a person has been exposed to phosgene.

LONG-TERM HEALTH EFFECTS OF PHOSGENE ARE

Most people who recover after an exposure to phosgene make a complete recovery. However, chronic bronchitis and emphysema have been reported as a result of phosgene exposure.

HOW TO PREPARE OR PROTECT YOURSELF

  • Leave the area where the phosgene was released and get to fresh air. Quickly moving to an area where fresh air is available is highly effective in reducing the possibility of death from exposure to phosgene.

  • If the phosgene release was outdoors, move away from the area where the phosgene was released. Go to the highest ground possible, because phosgene is heavier than air and will sink to low-lying areas.

  • If the phosgene release was indoors, get out of the building.

  • If you think you may have been exposed, remove your clothing, rapidly wash your entire body with soap and water, and get medical care as quickly as possible.

REMOVING AND DISPOSING OF CLOTHING:

  • Quickly take off clothing that has liquid phosgene on it. Any clothing that has to be pulled over the head should be cut off the body instead of pulled over the head. If possible, seal the clothing in a plastic bag. Then seal the first plastic bag in a second plastic bag. Removing and sealing the clothing in this way will help protect you and other people from any chemicals that might be on your clothes.

  • If you placed your clothes in plastic bags, inform either the local or state health department or emergency personnel upon their arrival. Do not handle the plastic bags.

  • If you are helping other people remove their clothing, try to avoid touching any contaminated areas, and remove the clothing as quickly as possible.

WASHING THE BODY

  • As quickly as possible, wash your entire body with large amounts of soap and water. Washing with soap and water will help protect people from any chemicals on their bodies.

  • If your eyes are burning or your vision is blurred, rinse your eyes with plain water for 10 to 15 minutes. If you wear contacts, remove them and place them in the bags with the contaminated clothing. Do not put the contacts back in your eyes. If you wear eyeglasses, wash them with soap and water. You can put the eyeglasses back on after you wash them.

  • If you have ingested (swallowed) phosgene, do not induce vomiting or drink fluids.

  • Seek medical attention right away. Dial 911 and explain what has happened.

HOW PHOSGENE EXPOSURE IS TREATED

Treatment for phosgene exposure consists of removing phosgene from the body as soon as possible and providing supportive medical care in a hospital setting. No antidote exists for phosgene. Exposed people should be observed for up to 48 hours, because it may take that long for symptoms to develop or reoccur.

Most of this information is courtesy of US Government CDC. In times of an emergency much of this material may not apply when it comes to specialized care and testing. These are guidelines to help you when that care is not available. Some of this information is very technical and difficult to understand, but hopefully someone will be available for help in treatment and understanding.