@article{ref1,
title="Carbon monoxide poisoning and pulmonary injury from the mixture of formic and sulfuric acids",
journal="Clinical toxicology (Philadelphia, Pa.)",
year="2016",
author="Schneir, Aaron and Rentmeester, Landen",
volume="54",
number="5",
pages="450-453",
abstract="CONTEXT: The inhalation of carbon monoxide produced by the incomplete combustion of carbon remains a popular method of suicide. A much less common method of producing carbon monoxide for suicide is by mixing formic and sulfuric acids. CASE DETAILS: We describe a patient who attempted suicide by mixing formic and sulfuric acids. He presented with a depressed level of consciousness, chemical burns of his airway and skin, and respiratory distress. He was found to have a metabolic acidosis, a carboxyhemoglobin of 36.8%, hyperkalemia, and rhabdomyolysis. His hospital course was notable for copious pulmonary secretions and hypoxia, but he ultimately recovered with supportive care. <br><br>DISCUSSION: The case highlights the potential toxicity, particularly from inhaled carbon monoxide and formic acid, with this method of suicide.<p /> <p>Language: en</p>",
language="en",
issn="1556-3650",
doi="10.3109/15563650.2016.1157723",
url="http://dx.doi.org/10.3109/15563650.2016.1157723"
}