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Smoke Inhalation

Smoke contains many particles and gases that irritate the eyes, nose, throat, and lungs. During a serious fire, they can be extremely hot and burn the inside of the mouth and lungs. One of the more common gases released is carbon dioxide. The combination of a decrease in oxygen and an increase in carbon dioxide makes it very difficult to breathe.

A household, vehicle, or industrial fire can also produce deadly cyanide. Another concern with most fires is carbon monoxide. Carbon monoxide poisoning keeps oxygen from getting to the vital organs of the body. Cyanide poisoning stops the body's cells from using oxygen. Carbon monoxide poisoning and cyanide poisoning can make it difficult to breathe even after being removed from the smoke and fire.

Symptoms of these poisonings may include:

  • Fatigue and sleepiness

  • Headache

  • Nausea

  • Dizziness

  • Fainting

  • Shortness of breath

  • Chest pain

  • Irritability

  • Confusion

  • Convulsions (seizures)

  • Death

In severe cases, there may be delayed effects. They can appear a few days to a few weeks after you are exposed. These may include:

  • Memory loss

  • Personality changes

  • Tremors

The best treatment for mild carbon monoxide exposure is to leave the affected area. Breathe plenty of fresh air. More severe cases need treatment with oxygen for several hours. In some cases, you may be placed in a hyperbaric oxygen chamber. This involves breathing 100% oxygen in a pressurized body chamber.

Cyanide poisoning requires an antidote given by IV (intravenously).

The irritant effects of other chemicals in the smoke usually go away within 1 to 24 hours. Sometimes a pneumonia-like illness can develop after smoke inhalation. If there are burns in the mouth, throat, or lungs, it may take several days or longer for them to heal.

Home care

  • Breathe fresh air for the next few hours. Stay out of closed spaces with poor airflow.

  • Rest until you are feeling fully back to normal again. This may take 24 hours.

  • During the next 24 hours, don't smoke cigarettes. Stay away from others who smoke. Cigarette smoke is a source of carbon monoxide.

  • Make sure that you have working smoke and carbon monoxide detectors in your home.

Follow-up care

Follow up with your healthcare provider, or as advised. 

When to seek medical advice

Call your healthcare provider right away for any of the following:

  • Not feeling back to normal within 24 hours

  • Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider

  • Cough with lots of sputum

Call 911

Call 911 for any of the following:

  • Shortness of breath that gets worse

  • Chest pain

  • Confusion or drowsiness

  • Convulsions (seizures)

  • Dizziness or fainting

  • Worsening headache

Online Medical Reviewer: Eric Perez MD
Online Medical Reviewer: Ronald Karlin MD
Online Medical Reviewer: Tara Novick BSN MSN
Date Last Reviewed: 12/1/2022
© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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