0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Death Caused by Fermenting Manure

Dale L. Morse, MD; Mary A. Woodbury, MPH; Kenneth Rentmeester, MPH; Darryll Farmer, MPH
JAMA. 1981;245(1):63-64. doi:10.1001/jama.1981.03310260041027.
Text Size: A A A
Published online

FARM workers are at risk of contracting a unique set of occupationally related illnesses.2,3 Chemical toxicity is usually pesticide related but is also seen in settings like silage storage where toxic gases can be released. In contrast, manure handling has involved little chemical exposure except for that experienced through the nasal route. We present information to document how conversion of waste management units to more efficient liquid-manure systems can result in an increased risk of toxic chemical exposure.

Report of a Case  A 16-year-old farm worker began using high-pressure hot water to clean manure from gutters inside a recently emptied calf barn in Wisconsin. He was 10 m from a 378,500-L underground liquid-manure storage tank, the contents of which had been agitating for 30 to 60 minutes (Figure). After ten minutes he began to cough, vomited, collapsed, and died. A co-worker who was working close to an exhaust fan

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();