Oxygen Deficiency: The Silent Killer (2024)

Toxic gas often is to blame when workers unnecessarily die due to asphyxiation in environments where the oxygen actually is depleted by gases such as nitrogen. In particularly tragic cases, other workers or first responders have died trying to rescue workers trapped in oxygen-depleted environments.

To prevent these incidents, OSHA, the National Institute for Occupational Safety and Health (NIOSH) and other federal/state agencies have implemented numerous regulations, required procedures and permit processes. They also provide extensive preventative educational literature and announce major enforcement actions.

OSHA investigations into worker deaths caused by oxygen deficiency or toxic gas almost always reveal a failure to install safety systems or utilize personal protective equipment and to follow the proper safety procedures – especially in confined spaces. Today’s fixed oxygen-deficiency and toxic-gas monitoring systems are highly reliable, relatively easy to install and operate and offer simple maintenance. They provide excellent protection for employees, first responders and plant equipment.

Failing to provide a safe work environment can be costly in more than dollars and cents terms. First, there is a tragic loss of life that includes employees who are the primary victims as well as would-be rescuers. Then there is the cost of the investigation, corrective action, regulatory fines as well as major liability lawsuits that can completely drain a company both financially and in terms of staff business focus.

Oxygen Deficiency

Human beings normally breathe air that is 20.9 percent oxygen by volume under normal atmospheric pressure conditions. When the concentration of oxygen decreases even slightly by a little more than 1 percent to 2 percent, people immediately begin to feel the effects. Healthy individuals are unable to work strenuously and their coordination may be affected in oxygen environments of 15 percent to 19 percent. With the depletion of oxygen to a mix of only 10 percent to 12 percent, respiration increases, lips turn blue and judgment is impaired. Fainting and unconsciousness begin to occur at 8 percent to 10 percent oxygen. Death occurs in 8 minutes at 6 percent to 8 percent oxygen; recovery is possible after 4 to 5 minutes if oxygen is restored. These values are approximate and may vary greatly depending on an individual’s health, physical activity and the specific working environment that they encounter.

There are a variety of causes that lead to oxygen deficiency. Leaking materials from storage tanks, natural gas lines, process valves and more release gas that displaces oxygen in poorly ventilated areas or confined spaces. Decomposing organic matter, such as animal, human or plant waste, produces methane, carbon monoxide, carbon dioxide and hydrogen sulfide that displace or consume oxygen. Even corrosion, such as rust, or fermentation or other forms of oxidation will consume oxygen and pose a hazard.

Confined Spaces

Oxygen deficiency often occurs in confined spaces, which are defined as being large enough and configured so that a person can enter and perform assigned work. Confined spaces have restricted means for entry or exit, and they are not designed for continuous employee occupancy.

Some confined spaces are designated as “permit-required” areas. These areas have material with the potential for engulfment, and are configured so an employee or responder could be trapped or asphyxiated by inwardly converging walls. They have a floor that slopes or tapers to a smaller cross-section, or they may have any other recognized serious safety or health hazard.

Many confined spaces are easy to recognize, such as manholes, sewers, boilers, silos, vessels, vats, pipelines, tunnels, storage tanks, ship compartments and underground vaults. Other confined spaces are less obvious, including open-topped water and degreaser tanks, open pits and enclosures with bottom access. These confined spaces prohibit natural ventilation, are potential sources of gas generation and can prevent gases from escaping to cause a hazardous atmosphere.

Let’s face it: If a work area isn’t properly ventilated or hazardous materials are in use, then there is serious potential for oxygen-deficient or toxic gas conditions that could harm workers or rescuers. Explosive and toxic gases, including hydrogen sulfide and carbon monoxide, combined with a lack of oxygen, are the cause of most confined space accidents.

Heroic efforts by would-be rescuers who are overcome by oxygen deficiency or other toxic gases actually result in 60 percent of all fatalities. When an accident occurs, sound the alarm, get help and call the professionals. One accident victim is more than enough. Do not attempt a rescue without knowing the hazard, understanding the required response and using the proper safety equipment.

Edward Naranjo is a product manager for General Monitors (http://www.generalmonitors.com).

Sidebar: Simple Prevention Steps

You can prevent oxygen-deficiency, toxic or combustible gas and confined space accidents. There are many companies that specialize in assessing hazardous working environments - even insurance companies often are willing to help. Suppliers of fixed safety monitoring systems and personal protective devices will generally share their years of experience with their customers.

All it will take is a couple of emails or phone calls and you will have information coming your way on fixed or personal gas detectors and many other devices designed to improve the safety of your plant or facility. Better yet, go to the Internet, because the information resources available today are more extensive than ever.

Safety monitoring equipment manufacturers also have the advantage of regularly discussing potential hazards in multiple industries. They see the same or similar hazards, problems and concerns at multiple companies and in many different plant settings. They can apply their expertise and past lessons learned in ways that you might not initially consider. It can save you headaches, time, money and lives.

Sidebar: Government Regulations

When working in confined spaces that may have oxygen deficient or toxic gas environments, there are specific government regulations that apply to protect workers. These include, but are not limited to, the following:

  • 29 CFR 1910.146 - Permit-required Confined Spaces: This section of the Code of Federal Regulations contains requirements for practices and procedures to protect employees in general industry from the hazards of entry into permit-required confined spaces.
  • CPL 2.100 - Application of the Permit-Required Confined Spaces (PRCS) Standards, 29 CFR 1910.146: This compliance directive provides additional information and instruction for OSHA personnel for use in answering questions and to ensure uniform enforcement of 1910.146.
  • Part 1915 Subpart B - Confined and Enclosed Spaces and Other Dangerous Atmospheres in Shipyard Employment: This subpart of the Code of Federal Regulations applies to work in confined and enclosed spaces and other dangerous atmospheres in shipyard employment
Oxygen Deficiency: The Silent Killer (2024)

FAQs

Oxygen Deficiency: The Silent Killer? ›

Hypoxia is a "silent killer," meaning you will begin to be affected by a lack of oxygen long before you realize it. Couple that with the fact that there are over one thousand documented symptoms of hypoxia—nearly all are painless, and feel good to most people—and you could be in danger without knowing it.

Can silent hypoxia be cured? ›

If healthcare providers recognize silent hypoxia early enough, it can be treated with oxygen therapy (through nasal tubes, a face mask, or a tube placed in the windpipe).

At what level of oxygen does death occur? ›

Oxygen saturation values of 95% to 100% are generally considered normal. Values under 90% could quickly lead to a serious deterioration in status, and values under 70% are life-threatening.

What are three signs that a person has been deprived of oxygen? ›

Symptoms and Causes
  • Headache.
  • Difficulty breathing or shortness of breath (dyspnea).
  • Rapid heart rate (tachycardia).
  • Coughing.
  • Wheezing.
  • Confusion.
  • Bluish color in skin, fingernails and lips (cyanosis).
Jun 15, 2022

What is the most common cause of oxygen deficiency? ›

Classic causes of hypoxia include hypoventilation, ventilation-perfusion mismatch, the low oxygen content in the air, right to left shunting, or impaired diffusion.

How long can a person last with hypoxia? ›

The duration of hypoxia was typically <30 min and depended on the severity of hypoxic breathing; for instance, studies assessing ~25,000 ft (7,600 m) equivalent (i.e. ~7–8% oxygen) were ~5 min or less, whereas, studies assessing ~18,000 ft (5,486 m) equivalent (i.e. ~10–11% oxygen) were ~25–30 min.

What does silent hypoxia feel like? ›

Possible signs of silent hypoxia include mild COVID symptoms for a couple of days before a dramatic tightening of the chest, pain when trying to take deep breaths, profuse sweating for no reason, and blue lips or a change of color in the skin, ranging from cherry red to blue.

Does low oxygen mean death is near? ›

Consistent with our study, they found that decreased blood pressure and oxygen saturation were associated with impending death; however, they had higher PPVs (79% and 81%, respectively).

What are common symptoms in the last 48 hours of life? ›

Changes in the last hours and days of life
  • Becoming drowsy. You'll start to feel more tired and drowsy, and have less energy. ...
  • Not wanting to eat or drink. Not wanting to eat is common in people who are dying. ...
  • Changes in breathing. ...
  • Confusion and hallucinations. ...
  • Cold hands and feet. ...
  • More information.

At what oxygen level do your organs start shutting down? ›

Several studies indicate that low-oxygen conditions can induce apoptosis (76, 86). This occurs when oxygen levels decrease to at, or below, 0.5% (anoxia).

How does a person act with low oxygen? ›

Low oxygen concentrations can include giddiness, mental confusion, loss of judgment, loss of coordination, weakness, nausea, fainting, loss of consciousness, and death.

Can the brain heal itself after lack of oxygen? ›

A full recovery from severe anoxic or hypoxic brain injury is rare, but many patients with mild anoxic or hypoxic brain injuries are capable of making a full or partial recovery. Furthermore, symptoms and effects of the injury are dependent on the area(s) of the brain that was affected by the lack of oxygen.

How would you feel if your oxygen was low? ›

Shortness of breath. Rapid breathing. Fast or pounding heartbeat. Confusion.

How can I raise my oxygen level quickly? ›

Breathing in fresh air: Opening your windows or going outside for a walk can increase the amount of oxygen that your body brings in, which increases your overall blood oxygen level. Quitting smoking: Only two to three weeks after you quit smoking, your circulation will likely improve significantly.

What are the stages of lack of oxygen? ›

Between 30-180 seconds of oxygen deprivation, you may lose consciousness. At the one-minute mark, brain cells begin dying. At three minutes, neurons suffer more extensive damage, and lasting brain damage becomes more likely. At five minutes, death becomes imminent.

What does a low oxygen headache feel like? ›

Lack of oxygen in the brain results in a sudden and rapid increase in blood pressure inside the head, this is the bodies way of counteracting the hypoxia. This increase in pressure leads to the pounding/throbbing headache.

Can you recover fully from hypoxia? ›

A full recovery from severe anoxic or hypoxic brain injury is rare, but many patients with mild anoxic or hypoxic brain injuries are capable of making a full or partial recovery. Furthermore, symptoms and effects of the injury are dependent on the area(s) of the brain that was affected by the lack of oxygen.

Is there a chance to recover from hypoxia? ›

The answer depends–hypoxic (and anoxic) brain injuries often result in serious and permanent injury. However, proper treatment can help minimize the damage and manage symptoms caused by the brain injury. In this sense, a recovery is sometimes possible.

Is hypoxia damage permanent? ›

It is highly metabolically active and exquisitely sensitive to hypoxia and hypoperfusion. Cellular injury can begin within minutes, and permanent brain injury will follow if prompt intervention does not occur.

Can you reverse hypoxia? ›

Reversing hypoxia involves increasing your oxygen intake. A standard method for providing extra oxygen is oxygen therapy. Oxygen therapy is also called supplemental or prescribed oxygen. It consists of using a mechanical device that supplies oxygen to your lungs.

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