Carbon monoxide poisoning associated with water pipe smoking

@article{Trkmen2011CarbonMP,
  title={Carbon monoxide poisoning associated with water pipe smoking},
  author={S{\"u}ha T{\"u}rkmen and Umut Eryigit and Aynur Şahin and Selman Yeniocak and Suleyman Turedi},
  journal={Clinical Toxicology},
  year={2011},
  volume={49},
  pages={697 - 698}
}
The water pipe is a means of tobacco consumption widespread in Turkey and Arab countries. We present two patients brought to our emergency department due to a syncopal attack secondary to carbon monoxide toxicity following water pipe use. This rare form of poisoning should be borne in mind by emergency physicians as a differential diagnosis in water pipe smokers. Water pipes should be used where there is adequate ventilation. 
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A patient presenting to the emergency department with syncope as a result of water pipe use is described, with tests revealing toxically high CO levels.
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TLDR
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TLDR
Shisha use must be suspected in cases of CO poisoning, especially in adolescents and young adults, and Practitioners must help shisha users to stop their consumption.
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TLDR
Evidence of significant negative health effects from waterpipe tobacco smoking represents both an individual health issue for clients attending stop smoking services, and a potential public health concern.
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TLDR
The chronic effects of CO may not be completely understood and future work could explore chronic CO toxicity and its effects on strength and exercise tolerance in military personnel and provide education to service members, veterans, and health care providers.
Waterpipe tobacco smoking.
Using a waterpipe to smoke tobacco is not a safe alternative to cigarette smoking. Studies suggest that smoking waterpipes may carry similar health risks to smoking cigarettes. Waterpipe smoking
The growing epidemic of water pipe smoking: health effects and future needs.
TLDR
World wide awareness among the public, smokers, and policymakers about the potential health effects of WPS is urgently required and stringent policies and laws that control and ban WPS in public places, similar to those applied on cigarettes smoking need to be implemented.
Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk: A Scientific Statement From the American Heart Association.
TLDR
The design and operation of water pipes and their use patterns are described, to identify harmful and potentially harmful constituents in water pipe smoke, to document the cardiovascular risks of water pipe use, to review current approaches to water pipe smoking cessation, and to offer guidance to healthcare providers for the identification and treatment of individuals who smoke tobacco using water pipes.
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