Research report: Charcoal type used for hookah smoking influences CO production.

dc.contributor.author

Medford, Marlon A

dc.contributor.author

Gasier, Heath G

dc.contributor.author

Hexdall, Eric

dc.contributor.author

Moffat, Andrew D

dc.contributor.author

Freiberger, John J

dc.contributor.author

Moon, Richard E

dc.date.accessioned

2021-12-21T21:04:51Z

dc.date.available

2021-12-21T21:04:51Z

dc.date.issued

2015-07

dc.date.updated

2021-12-21T21:04:51Z

dc.description.abstract

A hookah smoker who was treated for severe carbon monoxide poisoning with hyperbaric oxygen reported using a different type of charcoal prior to hospital admission, i.e., quick-light charcoal. This finding led to a study aimed at determining whether CO production differs between charcoals commonly used for hookah smoking, natural and quick-light. Our hypothesis was that quick-light charcoal produces significantly more CO than natural charcoal. A medium-sized hookah, activated charcoal filter, calibrated syringe, CO gas analyzer and infrared thermometer were assembled in series. A single 9-10 g briquette of either natural or quick-light charcoal was placed atop the hookah bowl and ignited. CO output (ppm) and temperature (degrees C) were measured in three-minute intervals over 90 minutes. The mean CO levels produced by quick-light charcoal over 90 minutes was significantly higher (3728 ± 2028) compared to natural charcoal (1730 ± 501 ppm, p = 0.016). However, the temperature was significantly greater when burning natural charcoal (292 ± 87) compared to quick-light charcoal (247 ± 92 degrees C, p = 0.013). The high levels of CO produced when using quick-light charcoals may be contributing to the increase in reported hospital admissions for severe CO poisoning.

dc.identifier.issn

1066-2936

dc.identifier.uri

https://hdl.handle.net/10161/24107

dc.language

eng

dc.publisher

UNDERSEA & HYPERBARIC MEDICAL SOC INC

dc.relation.ispartof

Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc

dc.subject

Humans

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Carbon Monoxide Poisoning

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Carbon Monoxide

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Charcoal

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Equipment Design

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Smoking

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Middle Aged

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Male

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Hot Temperature

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Chemical Phenomena

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Research Report

dc.title

Research report: Charcoal type used for hookah smoking influences CO production.

dc.type

Journal article

duke.contributor.orcid

Gasier, Heath G|0000-0001-5895-4542

duke.contributor.orcid

Moon, Richard E|0000-0003-4432-0332

pubs.begin-page

375

pubs.end-page

380

pubs.issue

4

pubs.organisational-group

School of Medicine

pubs.organisational-group

Anesthesiology

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Duke

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Medicine, Pulmonary, Allergy, and Critical Care Medicine

pubs.organisational-group

Anesthesiology, General, Vascular, High Risk Transplant & Critical Care

pubs.organisational-group

Medicine

pubs.publication-status

Published

pubs.volume

42

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