Multiple patients with carbon monoxide toxicity from water-pipe smoking

Prehosp Disaster Med. 2012 Dec;27(6):612-4. doi: 10.1017/S1049023X12001227.


This case report describes carbon monoxide toxicity from prolonged shisha (water-pipe) smoking. The evidence base for the source and pathway of toxicity is discussed. This practice has been increasing in the UK in recent years, and emergency physicians need to be aware of the high levels of CO, with the consequent risk of clinical poisoning from water-pipe smoking.

MeSH terms

  • Adolescent
  • Adult
  • Carbon Monoxide Poisoning / etiology*
  • Female
  • Humans
  • Male
  • Smoking / adverse effects*
  • Young Adult