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My partner 'was killed by a barbecue' | My partner 'was killed by a barbecue' |
(about 14 hours later) | |
When Roland Wessling looked over to his partner Hazel Woodhams he knew instantly that she was dead. What he didn't yet know was that her killer was still in their tent, and that his life was also in danger. | When Roland Wessling looked over to his partner Hazel Woodhams he knew instantly that she was dead. What he didn't yet know was that her killer was still in their tent, and that his life was also in danger. |
Carbon monoxide, a colourless, odourless gas, had leaked from their extinguished barbecue. Hazel and Roland had been poisoned as they slept. | Carbon monoxide, a colourless, odourless gas, had leaked from their extinguished barbecue. Hazel and Roland had been poisoned as they slept. |
Half of the world's population use basic carbon-based fuels such as coal, wood and dung to cook and heat their homes, often in poorly ventilated spaces. | Half of the world's population use basic carbon-based fuels such as coal, wood and dung to cook and heat their homes, often in poorly ventilated spaces. |
The dangers of being too close to an open fire are clear to most of us, but what many people don't know is the potentially fatal threat of a carbon fuel fire that is no longer burning. | The dangers of being too close to an open fire are clear to most of us, but what many people don't know is the potentially fatal threat of a carbon fuel fire that is no longer burning. |
Silent killer | Silent killer |
In 2011 Hazel and Roland took up camping and bought a new tent. Hazel turned 30 and they decided to take a short trip to the Norfolk Broads for a weekend of camping and canoeing. | In 2011 Hazel and Roland took up camping and bought a new tent. Hazel turned 30 and they decided to take a short trip to the Norfolk Broads for a weekend of camping and canoeing. |
Barbeque safety | Barbeque safety |
Source - Gas Safety Register | Source - Gas Safety Register |
She had seen the deadly effects of carbon monoxide in her job as a scenes-of-crime officer, and the couple had a carbon monoxide alarm in their home, but they had not thought to bring it with them on their trip. | |
"We were doing all the cooking, nice and safe, outside the tent," Roland explained. But several hours later they decided to bring the barbecue inside the tent to protect it from rain and passers-by. | "We were doing all the cooking, nice and safe, outside the tent," Roland explained. But several hours later they decided to bring the barbecue inside the tent to protect it from rain and passers-by. |
"The barbecue was cold to the touch. There was no smoke coming off it, no glowing, it seemed to be completely inactive." | "The barbecue was cold to the touch. There was no smoke coming off it, no glowing, it seemed to be completely inactive." |
"We put it into the porch area of our tent and simply went to sleep." | "We put it into the porch area of our tent and simply went to sleep." |
But the barbeque wasn't inactive at all. | But the barbeque wasn't inactive at all. |
When fuels are burning, the carbon monoxide being emitted is converted into relatively harmless carbon dioxide. But once the flame has gone out carbon monoxide continues to be produced and is no longer burnt off. | When fuels are burning, the carbon monoxide being emitted is converted into relatively harmless carbon dioxide. But once the flame has gone out carbon monoxide continues to be produced and is no longer burnt off. |
In a well-ventilated area this is no problem, but inside Roland and Hazel's air-tight tent the carbon monoxide accumulated to toxic levels and overwhelmed them. | In a well-ventilated area this is no problem, but inside Roland and Hazel's air-tight tent the carbon monoxide accumulated to toxic levels and overwhelmed them. |
"I remember waking up in the morning feeling extremely sick, extremely disorientated. I can honestly say I never felt worse in my life," recalls Roland. | "I remember waking up in the morning feeling extremely sick, extremely disorientated. I can honestly say I never felt worse in my life," recalls Roland. |
"I started screaming for help but we had picked a particular part of the campsite that was very secluded. Nobody heard me." | |
Eventually Roland did summon help and was rushed to hospital. It was only then that doctors realised that the levels of carbon monoxide in his blood were sky-high. | Eventually Roland did summon help and was rushed to hospital. It was only then that doctors realised that the levels of carbon monoxide in his blood were sky-high. |
As carbon monoxide is inhaled, it enters the bloodstream and binds to the haemoglobin in red blood cells, replacing and blocking the oxygen molecules which are normally attached. | As carbon monoxide is inhaled, it enters the bloodstream and binds to the haemoglobin in red blood cells, replacing and blocking the oxygen molecules which are normally attached. |
Carbon monoxide advice | Carbon monoxide advice |
Sources: NHS Choices | Sources: NHS Choices |
At extremely high levels, like in Roland and Hazel's cases, carbon monoxide can quickly replace nearly all of the oxygen. Victims are effectively suffocated and organs are quickly starved of the oxygen they need. | At extremely high levels, like in Roland and Hazel's cases, carbon monoxide can quickly replace nearly all of the oxygen. Victims are effectively suffocated and organs are quickly starved of the oxygen they need. |
The brain is particularly vulnerable and can be suffocated in as little as four minutes. Those who do survive may see the effects worsening over the coming days and weeks. | The brain is particularly vulnerable and can be suffocated in as little as four minutes. Those who do survive may see the effects worsening over the coming days and weeks. |
They can develop symptoms including difficulty with concentration, hearing and vision, and mood effects including anxiety and depression. | They can develop symptoms including difficulty with concentration, hearing and vision, and mood effects including anxiety and depression. |
High-pressure therapy | High-pressure therapy |
Administering pure oxygen displaces carbon monoxide from the haemoglobin and is necessary in the early minutes and hours after poisoning. This is normally done using a basic oxygen mask. | Administering pure oxygen displaces carbon monoxide from the haemoglobin and is necessary in the early minutes and hours after poisoning. This is normally done using a basic oxygen mask. |
But Roland was offered hyperbaric oxygen therapy - where oxygen is delivered at high pressure - which experts believe helps to reduce inflammation and prevent long-term brain damage. | But Roland was offered hyperbaric oxygen therapy - where oxygen is delivered at high pressure - which experts believe helps to reduce inflammation and prevent long-term brain damage. |
He was lucky to be close to a treatment centre and his neurological recovery has been good. | He was lucky to be close to a treatment centre and his neurological recovery has been good. |
During therapy, patients sit in a pressurised oxygen chamber, the kind originally used for scuba divers with decompression sickness. | During therapy, patients sit in a pressurised oxygen chamber, the kind originally used for scuba divers with decompression sickness. |
"It is a bit like being in a plane and going on a journey with yourself and your companions," explains Dr Pieter Bothma, medical director of the London Hyperbaric Unit at Whipps Cross Hospital. | "It is a bit like being in a plane and going on a journey with yourself and your companions," explains Dr Pieter Bothma, medical director of the London Hyperbaric Unit at Whipps Cross Hospital. |
"We give them oxygen under pressure for about 30 minutes, then they get an air break, and then they have a further session of oxygen." | "We give them oxygen under pressure for about 30 minutes, then they get an air break, and then they have a further session of oxygen." |
But the research on the use of hyperbaric oxygen in the treatment of carbon monoxide poisoning is conflicting. A 2011 review of the best studies found insufficient evidence to recommend it as a treatment. Experts agree further work is needed. | But the research on the use of hyperbaric oxygen in the treatment of carbon monoxide poisoning is conflicting. A 2011 review of the best studies found insufficient evidence to recommend it as a treatment. Experts agree further work is needed. |
But even hyperbaric treatment is not perfect. The best way to deal with carbon monoxide is not to be poisoned by it in the first place. | But even hyperbaric treatment is not perfect. The best way to deal with carbon monoxide is not to be poisoned by it in the first place. |
"It's like any other neurological injury", says Dr Bothma. We understand the brain, and how to lessen damage to it, very poorly. Prevention is absolutely the key." | "It's like any other neurological injury", says Dr Bothma. We understand the brain, and how to lessen damage to it, very poorly. Prevention is absolutely the key." |
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