What to do if you inhale pepper spray

You carry pepper spray for safety, but there are a number of situations that can result in you being unintentionally exposed to its effects. Whether a strong wind blows the spray in your direction, you have contact with a person you’ve sprayed, you’re an innocent bystander when someone else uses pepper spray or you unintentionally discharge your own pepper spray, if you come in contact with pepper spray, you need to take immediate action to decontaminate yourself.

• Get out of the contaminated area. If a can has discharged nearby, remove yourself from the area to avoid further contamination.
• Immediately apply water to the affected area. If the spray is in your eyes, flush them thoroughly with a stream of clean water. Do not rub your eyes, as doing so can intensify the effects of the spray.
• Remove contact lenses immediately. Hard lenses should be cleaned and soaked in lens solution for 24 hours before reinserting. Soft, disposable lenses should be discarded.
• Use a decontamination spray. Once you’ve thoroughly flushed the affected area with clean water, a decontamination spray can help remove the remaining spray. If you don’t have decontamination spray, alternate the application of wet and dry towels. Blot, don’t rub, to dilute and remove the pepper spray.
• Do not use lotions or creams to soothe the external area. This can trap the spray’s resins against the skin, prolonging discomfort. Shampoos and non-oil-based soaps can help to remove the last of the spray from external areas. Once you’ve washed the area, pat it dry.
• Be patient. Pepper spray is an irritant, and irritated tissue takes a while to calm down, even after the irritant is removed. It could be up to 40 minutes before the effects subside.

Above all, take every step you can to avoid accidental contact with pepper spray. Don’t store it in a car on a hot day, and don’t put it where the can could be crushed or punctured. Even though pepper spray is non-lethal, it’s still a self-defense weapon and should be treated as such.

Emergencies don’t wait for you, so you shouldn’t have to wait to call for help. Get the Missouri Poison Center app with poison information and a link to the Poison Help Line. It is just a click away during the most stressful moments. Our registered nurses and pharmacists are here 24/7/365 days a year to help guide you through poison exposures and overdose emergencies.

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There have been numerous accounts of law enforcement using tear gas and pepper spray on protesters participating in demonstrations against the murder of George Floyd.

Crowds in Orlando, Dallas, Philadelphia, Virginia Beach, and Columbus have been hit with tear gas.

In Washington, D.C., a crowd of protesters was exposed to tear gas outside the White House.

Protesters in other areas, like Seattle, New York City, and Kansas City, Missouri, have been showered with pepper spray.

Both of these chemical agents have long been used by police officers to disperse demonstrators and suppress protests.

They’re less lethal than live bullets, but they’re not harmless.

Tear gas and pepper spray can create serious, even life threatening complications in people who are more vulnerable to the chemicals — particularly those with underlying heart or lung conditions, like asthma or chronic obstructive pulmonary disease (COPD).

Here’s what to know about the health effects of tear gas and pepper spray if you’re planning on attending a protest this week.

What to know about tear gas 

Tear gas — a mix of chemicals that cause skin, eye, and respiratory irritation — was first developed in the late 1920s and used as a chemical weapon during World War I.

It’s since been banned from wartime use, and is now predominantly used by law enforcement to control crowds and riots.

Tear gas causes the eyes to burn and water. It can also create a burning sensation in the nose and acute mucosal swelling.

If inhaled, tear gas can irritate and inflame the lining of the lungs and upper airway, causing wheezing, coughing, and choking. It can be hard to catch your breath.

Ingestion of the gas may cause diarrhea, nausea, and vomiting.

The effects typically begin within seconds of exposure and can last up to an hour.

Research shows the vast majority of people exposed to tear gas have mild, short-lived symptoms, but 1 in 15 people may experience serious symptoms.

The severity of one’s symptoms depends on the amount of gas a person is exposed to along with the location — indoors or outdoors — and the duration of exposure.

“The respiratory symptoms correlate with concentration and extent of exposure. High concentrations and prolonged exposure can cause prolonged symptoms,” said Dr. Naftali Kaminski, the chief of pulmonary, critical care, and sleep medicine at Yale School of Medicine.

Past evidence shows people exposed to high amounts of tear gas in enclosed spaces are more at risk for severe respiratory tract injuries and death.

Additionally, people who have asthma are more at risk.

“Tear gas activates pathways in the body that relate to pain sensation, cough, and airway function. Some of these pathways are active in asthma. This is why the most severe complications happen in asthmatics,” Kaminski said.

People with asthma may experience severe bronchospasm, making it difficult to breathe.

Tear gas may also trigger an asthma attack and lead to respiratory failure and death, according to Dr. Robert Glatter, an emergency physician based in New York.

People with heart conditions — like high blood pressure or cardiovascular disease, or people who take neuroleptic medications — may have a greater risk, too.

Evidenceon the long-term health effects is limited, but some evidence suggests certain people may experience long-term respiratory effects several months after exposure.

What to know about pepper spray

Pepper spray is a chemical irritant made up of an oil called oleoresin capsicum — the same stuff that gives chili peppers that heat sensation, says Glatter.

It’s also a lachrymatory agent, and is known to create a burning sensation in the eyes and skin.

It may also cause temporary blindness.

The health effects of pepper spray are typically mild and will clear on their own within an hour.

The effects could be dangerous among people who have chronic lung conditions, like asthma or COPD.

A report from 2003 published by the U.S. Department of Justice found that pepper spray contributed to the death of multiple people (2 out of the 63 analyzed) who had asthma.

Past research also shows that inhalation of pepper spray can cause a sudden spike in blood pressure, increasing a person’s risk for stroke or heart attack.

What to do if you’re exposed to the chemicals

If exposed to either chemical, you’ll first want to get away from the affected area. Symptoms worsen the longer you’re exposed to the chemicals.

“Quick avoidance is key,” Kaminski said.

Tear gas is heavier than air, so it sinks to the ground. The higher up you are, the more protected you’ll be.

Avoid touching your eyes. If you’re wearing contact lenses, remove them safely. (Try to avoid wearing contacts altogether at protests, and opt for glasses or goggles, if you can. Contacts increase your risk for corneal ulcers and infection, says Glatter.)

Wash your hands with soap and water, and flush any irritated areas with water. Remove any clothes that may be contaminated. Instead of pulling the clothing over your head, cut it off, Glatter advises.

For pepper spray, blinking a lot will produce tears that’ll help flush away the irritating oils.

You can also use baby shampoo andwater mixed with saline solutionto remove oils and irritants from the eyes. Milk might also help with any burning sensations, according to Glatter.

It’s important to listen to your body.

Take note of any eye pain, tearing, blurring, or vision issues, and difficulty breathing.

Symptoms should clear in about 45 minutes. If they persist or worsen, go to a hospital and have them checked out immediately.

“If your symptoms continue, or worsen beyond this time frame, then it’s important to seek medical attention in the emergency department,” Glatter said.

The bottom line 

Across the nation, law enforcement has deployed tear gas and pepper spray on people protesting against the murder of George Floyd.

These chemical agents — though less lethal than other weapons — can inflict serious injury and harm on some people, especially those who have underlying lung and heart conditions.

Quick avoidance of tear gas and pepper spray is key, health experts say. If you’re exposed to either, get out of the affected area, flush any irritated body parts with water, and monitor symptoms.

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