RT Journal A1 Bass M T1 SUdden sniffing death JF JAMA JO JAMA YR 1970 FD June 22 VO 212 IS 12 SP 2075 OP 2079 DO 10.1001/jama.1970.03170250031004 UL http://dx.doi.org/10.1001/jama.1970.03170250031004 AB An epidemic of 110 sudden sniffing deaths without plastic bag suffocation which occurred in American youths during the 1960's, appears to have originated on the West Coast. The incidence rate showed a sharp rise during the late 1960's. Volatile hydrocarbons most frequently involved were trichloroethane and fluorinated refrigerants. Sudden sniffing death occurred in all socioeconomic groups, with a preponderance in the suburban middle-income white family. Severe cardiac arrhythmia, resulting from light plane anesthesia, and intensified by hypercapnia or stress or activity or a combination of these, is the most likely explanation for sniffing death.