Pilots: Carbon Monoxide Alert

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"Carbon Monoxide Alert" with a Gass Mask

“Most pilots are aware that carbon monoxide (CO) is a colorless, odorless and tasteless gas contained in exhaust fumes. It is also a common by-product of chemical reactions which can occur upon heating of many petroleum products and silicone-based synthetic lubricants used as aircraft oils and hydraulic fluids.

The carbon monoxide level in blood is measured through a specific blood-gas method and is reported as a percentage. The normal level of carbon monoxide produced by the body’s metabolism is from 0.4-0.7%, but heavy smokers can have much higher levels. Elevated levels of carbon monoxide in the bloodstream can create the effects of hypoxia (oxygen deficiency). Here is one air carrier crew’s experience with CO:

  • An electrical/hot plastic smell was noticed in the cabin, and the Flight Attendants reported feeling ill. Maintenance could not find any source of the odor. We started boarding passengers, but boarding was suspended when the odor returned. The Flight Attendants later went to the hospital…they had carbon monoxide levels of [up to] 1.2 [%]. Later that evening, the First Officer and I were tested for carbon monoxide and had levels of 0.5 [%] and 0.6 [%].

    Several hydraulic leaks were discovered in the engine thrust reversers and in the tail cone. The APU was contaminated with hydraulic fluid as well as the air conditioning system.

Headaches and nausea were the symptoms reported by another crew who suspected carbon monoxide exposure.

  • After climb we noticed an unusual, faint odor in the cockpit. We tried to determine what the source of the odor might be. In the logbook, we found a previous write-up of an undetermined “ozone” smell in the aircraft. There were also two previous write-ups in reference to unexplained smoke detector activation in the lavatories.

    The First Officer said he was not feeling well. I was also slightly nauseated, had a headache, and was extremely fatigued. Both Flight Attendants also complained of the same symptoms. After arrival, we all agreed we should seek medical attention. It was 3-1/2 hours after the flight arrived that we had blood drawn. The [carbon monoxide levels] ranged from 2.3 [%] to 2.5 [%]. I am aware that these values are above normal. I wonder what the values might have been if the tests were taken just after we landed.

The source of the odors was not identified, but carbon monoxide probably caused the crew’s symptoms. More information about hypoxia and carbon monoxide can be found in the Aeronautical Information Manual–Medical Facts for Pilots, Section 1, Para. 8-1-2 and 8-1-4.

Handy Detectors
A General Aviation pilot, thwarted by closed airport restaurants, initially thought that his nausea and dizziness during flight were due to skipping breakfast.

  • I remember not being able to find my approach plates, even though they were on the floor beside me. I tried three times to set my destination into the GPS. I was confused as to what to do and panic began to set in. Fortunately, I was able to acquire the airport and complete the approach visually. Upon landing, I discovered that my carbon monoxide detector was jet black! I now suspect my disorientation was a result of carbon monoxide exposure.

Aviation supply shops have no “missing breakfast detector” available at any price. However, small, lightweight carbon monoxide detectors are available…”

https://asrs.arc.nasa.gov/publications/callback/cb_228.htm

Issue Number 228
June 1998
A Monthly Safety Bulletin from The Office of the NASA Aviation Safety Reporting System
P.O. Box 189, Moffett Field, CA 94035-0189

Carbon Monoxide Poisoning Associated with Use of LPG-Powered (Propane) Forklifts in Industrial Settings

In 1998, the Iowa Department of Public Health (IDPH) and Iowa State University (ISU) Extension Department, with the assistance of local health departments, investigated a series of carbon monoxide (CO) poisonings associated with the use of liquified petroleum gas (LPG)-powered forklifts in light industry. In each episode, forklifts emitting high CO concentration levels were operated in inadequately ventilated warehouse and production facilities, which resulted in high CO accumulations. Employees at each site developed symptoms of CO poisoning, and some employees received inadequate or inappropriate medical care. This report summarizes the investigations and provides recommendations to prevent such incidents.

https://www.cdc.gov/mmwr/preview/mmwrhtml/mm4849a2.htm

Car wash deaths took little time, says expert

John Bayness and Christopher Adams probably died of carbon monoxide poisoning in not much more than 12 minutes inside a car wash here, an expert said.

And the two were probably “intoxicated” by the gas within minutes and couldn’t comprehend what was happening, said Tom Greiner, an Iowa State University Extension associate professor.

Greiner conducted tests at the Wonder Wash Car Wash Monday with the older-model sport utility vehicle the two victims were driving. The pair stopped at the car wash Friday on their way to Arizona for a vacation. Both of the bay’s doors were closed.

Because of the extremely high level of carbon monoxide produced by their vehicle, the pair probably didn’t experience any of the common symptoms associated with the poisoning — headache, drowsiness and nausea, Greiner said. They didn’t know they needed to get out, he said.

“It’s worse than being drunk on alcohol,” Greiner said.

Bayness, 23, and Adams, 20, were found by a car wash customer about 1:25 p.m. Friday. Officials found the ignition still in the on position.

Preliminary autopsy results showed they died of carbon monoxide poisoning, the leading cause of accidental poisoning deaths in America, according to The Journal of the American Medical Association.

Fifteen hundred people die annually because of accidental CO exposure, and an additional 10,000 seek medical attention, the association says.

A similar incident to Friday’s claimed the life of Nolan Reetz of Jesup last December.

Here’s some information on CO, according to the Consumer Products Safety Commission:

Breathing CO usually causes symptoms such as headaches, dizziness and weakness in healthy people. It also causes sleepiness, nausea, vomiting, confusion and disorientation. At very high levels, it causes loss of consciousness and death.

CO is colorless and odorless. This is particularly dangerous because people often don’t realize they are in trouble. Some of the symptoms are similar to the flu or other common illnesses.

Many CO problems occur in homes and businesses, but dangerous levels of CO can be prevented with proper appliance and equipment maintenance and installation.

Some common equipment that produces carbon monoxide includes automobiles, fuel-fired furnaces, gas water heaters, fireplaces and wood stoves, lawn mowers and snow blowers. Don’t run engines in the garage.

Detectors are available to help monitor levels of CO in buildings and should be installed on each floor, especially sleeping floors.

If a carbon monoxide problem is suspected, immediately open doors or windows to ventilate the house and get everyone outside for fresh air. Call the fire department of utility company.

To prevent carbon monoxide poisoning from vehicles, Greiner said:

Make certain all vehicles are tuned up and running clean.

Check and repair exhaust system leaks.

When starting a car and leaving from the garage:

Never run engine in a garage, even if the garage door is open, except for driving in and out.

Make certain everyone is in the car and ready to leave.

https://wcfcourier.com/car-wash-deaths-took-little-time-says-expert/article_30f92f7b-b35e-54a3-b60f-980751fad300.html

CO in indoor ice rinks: Evaluation of absorption by adult hockey players

“We suggest that an average environmental concentration of 20 ppm of CO for the duration of a hockey game (90 minutes) should be reference limit not to be exceeded in indoor skating rinks.”

Carbon monoxide in indoor ice skating rinks: Evaluation of absorption by adult hockey players (Journal Article) | OSTI.GOV

 

Carbon monoxide in indoor ice skating rinks: evaluation of absorption by adult hockey players – PubMed (nih.gov)

Carbon Monoxide In-Flight Incapacitation: An Occasional Toxic Problem in Aviation

Abstract:

Results from the toxicological study of samples from 4,072 pilots killed in general aviation accidents have revealed that carbon monoxide has been the cause of incapacitation in 21 0.5 percent of the cases. Two cases are presented that are typical of accidents caused by incapacitation from carbon monoxide, in that no cause was determined until after toxicological examination of the victims was made. Since no suitable system is available to warn pilots of elevated carbon monoxide levels in the cabin, education of pilots should be undertaken to make them aware of the hazards of exposure to and symptoms produced by this highly toxic gas.

https://apps.dtic.mil/sti/html/tr/ADA127235/index.html

 

Mass carbon monoxide poisoning: Clinical effects and results of treatment in 184 victims

“An epidemiologic and clinical investigation of 184 persons exposed to toxic levels of carbon monoxide (CO) in a public high school has been carried out. Exposure to 500 ppm of CO for periods up to 150 minutes resulted in carboxyhemoglobin (COHb) levels as high as 30% and symptomatic illness in 87% of persons exposed before the possibility of mass CO poisoning was recognized.”

Mass carbon monoxide poisoning: clinical effects and results of treatment in 184 victims – PubMed (nih.gov)