After finishing work:
- Place in a well-ventilated area, such as a fume hood, to allow any remaining ice to sublime.
- Never throw dry ice in the trash or chemical waste container.
- Never put dry ice in a sink, toilet, or other fixture. The temperature difference can damage the plumbing.
- Returning the container to storage: Always store dry ice in a well-ventilated area.
- Do not store large amounts.
- Do not store containers inside the hood without ensuring proper airflow in the hood.
- Do not store/use dry ice in enclosed areas with limited ventilation. This includes cold rooms, walk-in coolers, environmental chambers, and refrigerators/freezers.
- Do not leave dry ice unattended in open areas.
- Store in original containers or other suitable containers.
- Store away from incompatible items.
- Wash hands and forearms thoroughly with soap and water before leaving the laboratory.
First aid
Emergency treatment in case of skin or eye contact with cryogenic liquid or vapor is as follows:
1. Frostbite
Symptoms: Skin tightness, paleness, numbness
- Actions:
- Immediately wash the area with lukewarm (not hot) water (38-42°C).
- Avoid rubbing or rapid heating.
- Place a sterile, dry bandage on the area.
- Never use dry heat.
- If clothing is soaked with liquid, you should remove it as soon as possible and rinse the affected area with cold water as above.
- Where clothing has frozen to the skin underneath, cold water should be poured over the area, but no attempt should be made to remove the clothing until it is completely free.
- Do not rub frostbitten skin as tissue damage may occur. Place in a warm bath no hotter than 105°F (40°C).
- Transport the injured person to a medical facility.
2. CO₂ poisoning (Hypercapnia)
Symptoms: Dizziness, rapid breathing, headache, confusion
- Actions:
- If cold vapors have been inhaled, move the person to warm, fresh air.
- If not breathing, begin CPR.
- Administer high-concentration supplemental oxygen.
- In case of anesthesia, maintain recovery status.
3. Eye injury
Symptoms: Redness, severe pain, swelling of the eyelid
- Actions:
- Rinse the eye with lukewarm water for 15 minutes.
- Keep the eyelid open until all particles are removed.
- Avoid rubbing your eyes.
- Cover with a sterile bandage and see an ophthalmologist.
4. Asphyxiation
Symptoms: Bluish lips, loss of consciousness
- Actions:
- The rescuer should first ensure the safety of the environment.
- Move the casualty to an area with oxygen.
- If not breathing, start CPR.
- Give oxygen until emergency services arrive.
5. Cold shock (Hypothermia)
Symptoms: shivering, decreased consciousness, weak pulse
- Actions:
- Move the casualty to a warm environment.
- Remove wet clothes.
- Warm with a blanket (not direct heat)
- Give warm (non-alcoholic) drinks slowly.
6. Respiratory damage
Symptoms: Cough, wheezing, shortness of breath
- Actions:
- Place the person in a sitting position.
- Loosen the collar of the dress.
- Use supplemental oxygen.
- If symptoms are severe, call emergency services immediately.
7. Dry ice cut
Symptoms: Bleeding, deep cut
- Actions:
- Apply direct pressure with sterile gauze.
- Keep the injured limb elevated.
- If the wound is deep, stitches may be used.
- Disinfect with betadine or saline solution
8. Allergic reaction
Symptoms: Hives, facial swelling, difficulty breathing
- Actions:
- Remove the trigger.
- Give an oral antihistamine.
- In severe cases, administer epinephrine.
- Monitor breathing status.
9. Drop in blood pressure
Symptoms: dizziness, pallor, sweating
- Actions:
- Lay the casualty on his back.
- Raise your legs 30 centimeters.
- Drink warm liquids.
- Avoid standing up suddenly.
10. Seizures caused by lack of oxygen
Symptoms: Muscle twitching, foaming at the mouth
- Actions:
- Move the casualty away from dangerous objects.
- Turn your head to the side.
- Record the time of the seizure.
- Maintain recovery after a seizure.
11. Chemical burns
- 20-minute rinse with running water
- Sterile and dry dressing
12. Swallowing dry ice
- Never vomit.
- Go to the emergency room immediately.
13. Corneal damage
- Washing the eyes with saline solution
- Covering both eyes
14. Syncope
- Raise your legs.
- Get some fresh air.
15. Anaphylactic shock
- Epinephrine injection
- Call emergency services immediately.
Essential dry ice first aid kit equipment:
- 1. Cold-insulated gloves
- 2. Eye wash solution
- 3. Sterile dressing
- 4. Triangle Band
- 5. Burn ointment
- 6. Oxygen mask
- 7. Hot water bottle
- 8. Medical thermometer
- 9. Safety scissors
- 10. Rescue blanket
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Sources:
- The book “Emergency Care for Hazardous Materials Exposure” (authored by A. Stutz et al.)
- “First Aid Manual” book
- Journal of Wilderness & Environmental Medicine
- ANSI/ISEA 107 standard
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