At the Laboratory after exposure to toxic cabin air:
After an incident with suspected cabin air contamination it is in your own best interest to compile a complete medical documentation, including diagnosis in case of subsequent medical problems that may require a work related injury record. Therefore:
1. have a complete blood count (CBC), white blood count (WBC) and differential, liver transaminases, creatine kinase with isoenzymes (AChE determination) performed. Also ask for a CO-Hb (Carboxyhemoglobine) determination for forensic purposes and a blood gas analysis/earlobe blood gas analysis including CO-Hb and/or oxygen saturation. Warning: Smoking may impact the measurements.
2. have all symptoms such as of heart rhythm disorders, ECG recording, shortness of breath, lung function disorders examined by specialized medical personal and documented. Make sure to tell them it is in connection with a 'poisoning' by inhalation. (and possibly dermal).
Body fluid tests should be done straight after, or within 48 hours of exposure to toxic aircraft air. At least get the blood drawn and save some samples of blood and urine and store them in the deep-freeze compartment of your fridge. We suggest you take 2x5ml samples of blood and 3 samples of urine. Please see further down advise on details!
BIOMONITORING after exposure on board aircraft, following smell and/ or visible fume events.
Determination of Organophosphate exposure and injury to the nervous system by Professor M. Abou-Donia:
Advice how to have blood and urine samples taken and stored:
The 'Fume Events Clinic' of the University Göttingen recommends to:
1) Take samples for human biomonitoring in the urine:
2) Take samples for human biomonitoring in the blood –
Documentation of details:
> Time (if necessary with time zone)
> Type and extent of the fume event (smell?)
> Complaints/ symptoms
> Record the time of sampling of urine, blood, etc.
Send samples to a trusted laboratory in frozen condition (e.g. on an dry ice pack in a styrofoam box).
Samples for the Auto Antibodies Test must be taken and stored in a specific way. Information via email .