smelling salts

{{Short description|Ammonium carbonate used in the past to restore consciousness after fainting}}

{{For|the record by Trailer Bride|Smelling Salts (album){{!}}Smelling Salts (album)}}

File:First aid ammonia inhalant capsules.jpg

Smelling salts, also known as ammonia inhalants, spirit of hartshorn, or sal volatile, are chemical compounds used as stimulants to restore consciousness after fainting.

Usage

The usual active compound is ammonium carbonate—a colorless-to-white, crystalline solid ((NH4)2CO3). Because most modern solutions are mixed with water, they should properly be called "aromatic spirits of ammonia". Modern solutions may also contain other products to perfume or act in conjunction with the ammonia, such as lavender oil or eucalyptus oil.{{cite web |date=March 2007 |title=Mackenzies Smelling Salts |url=http://emc.medicines.org.uk/emc/assets/c/html/DisplayDoc.asp?DocumentID=4379 |archive-url=https://archive.today/20120716024342/http://emc.medicines.org.uk/emc/assets/c/html/DisplayDoc.asp?DocumentID=4379 |url-status=dead |archive-date=July 16, 2012 |access-date=2009-01-03 |publisher=Electronic Medicines Compendium}}

Historically, smelling salts have been used on people feeling faint,{{cite web |url=http://weddings.usabride.com/wedding-planning-advice/how-not-to-faint-at-the-altar/ |title=How not to faint at the altar |last=Colburn |first=Dareth |publisher=USA Bride |access-date=2016-06-17 |archive-date=2016-08-12 |archive-url=https://web.archive.org/web/20160812202354/http://weddings.usabride.com/wedding-planning-advice/how-not-to-faint-at-the-altar/ |url-status=dead }}{{cite web |publisher=Oxford University Press |work=Compact Oxford English Dictionary |title=Smelling Salts |url=http://www.oxforddictionaries.com/us/definition/english/smelling-salts|archive-url=https://web.archive.org/web/20151201014418/http://www.oxforddictionaries.com/us/definition/english/smelling-salts|url-status=dead|archive-date=December 1, 2015}}{{cite web |last=Shakhashiri |title=Chemical of the week – Ammonia |url=http://www.scifun.org/chemweek/PDF/Ammonia.pdf |publisher=University of Wisconsin-Madison |access-date=2010-05-24 |date=2008-02-01 |archive-date=2011-07-21 |archive-url=https://web.archive.org/web/20110721174430/http://www.scifun.org/chemweek/PDF/Ammonia.pdf |url-status=dead }} or who have fainted. They are usually administered by others but may be self-administered.

Smelling salts are often used on athletes who have been dazed or knocked unconscious to restore consciousness and mental alertness. Smelling salts are now banned in most boxing competitions because of the concern that their effect could mask a more serious injury.{{cite journal|last1=Goodchild|first1=Jason H. |last2=Donaldson |first2=Mark |title=Is it time to omit ammonia inhalants from dental emergency kits?|journal=General Dentistry|year=2022|issue=July/August|pages=6–9|url=https://www.researchgate.net/publication/361673446}}

They are also used as a form of stimulant in athletic competitions (such as powerlifting, strong man, rugby and ice hockey) to "wake up" competitors to perform better. In 2005, Michael Strahan estimated that 70–80% of National Football League players were using smelling salts as stimulants.{{cite news |title=Investigation: Ammonia sniffing popular in NFL |url=http://jacksonville.com/tu-online/stories/020305/sup_17863663.shtml |access-date=29 September 2016 |work=Florida Times-Union |date=February 3, 2005 |archive-url=https://web.archive.org/web/20160502192805if_/http://jacksonville.com/tu-online/stories/020305/sup_17863663.shtml#.VyeqV9zLeSA |url-status=dead |archive-date=2016-05-02}}

History

File:M0354 1951-23-102 2.jpg

Smelling salts have been used since Roman times and are mentioned in the writings of Pliny as Hammoniacus sal.{{cite journal|last=McCrory|first=P|title=Smelling Salts|journal=British Journal of Sports Medicine|year=2006|volume=40|pages=659–660|url= |pmid=16864561|doi=10.1136/bjsm.2006.029710|issue=8|pmc=2579444}} Evidence exists of use in the 13th century by alchemists as sal ammoniac. In the 14th-century "The Canon's Yeoman's Tale", one of Chaucer's The Canterbury Tales, an alchemist purports to use sal armonyak.{{cite magazine |last1=Prewitt |first1=Alex |title=Smelling salts jolt of choice in NHL |url=https://www.si.com/nhl/2016/03/17/smelling-salts-nhl-players |access-date=29 September 2016 |magazine=Sports Illustrated |date=March 17, 2016}} In the 17th century, the distillation of an ammonia solution from shavings of harts' (deer) horns and hooves led to the alternative name for smelling salts as spirit or salt of hartshorn.

They were widely used in Victorian Britain to revive fainting women, and in some areas, constables would carry a container of them for that purpose.{{cite news|publisher=BBC News|title=Antique gadgets|url=http://news.bbc.co.uk/1/shared/spl/hi/pop_ups/06/uk_antique_gadgets/html/7.stm|access-date=2009-01-03}} At that time, smelling salts were commonly dissolved with perfume in vinegar or alcohol and soaked onto a sponge, which was then carried on the person in a decorative container called a vinaigrette.{{cite web | url=https://www.antiquesinoxford.co.uk/sampson-mordan | title=Vinaigrettes by Sampson Mordan | publisher=Antiques in Oxford | access-date=2020-10-05}}{{cite web|publisher=Jane Austen Society of North America|title="Bad Smells" and "Fragrance": Reading Mansfield Park through the Eighteenth-Century Nose|url=http://www.jasna.org/persuasions/on-line/vol35no1/friedman.html}} The sal volatile appears several times in Dickens' novel Nicholas Nickleby.

The use of smelling salts was widely recommended during the Second World War, with all workplaces advised by the British Red Cross and St. John Ambulance to keep smelling salts in their first aid boxes.{{cite web|publisher=Caring on the home front |title=Air Raids fact sheet: First aid kits |url=http://www.caringonthehomefront.org.uk/factsheets/firstAidKits.htm |url-status=dead |archive-url=https://web.archive.org/web/20081120102118/http://www.caringonthehomefront.org.uk/factsheets/firstAidKits.htm |archive-date=2008-11-20 }}

Physiological action

File:Rembrandt van Rijn - Unconscious Patient (Allegory of Smell) - RR-111 - Leiden Collection.jpg's Unconscious Patient (Allegory of Smell) shows a woman using smelling salts to revive a man who has fainted at the hands of a barber-surgeon.]]

Solid ammonium carbonate and ammonium bicarbonate salts partly dissociate to form {{chem|link=ammonia|NH|3}}, {{chem|link=carbon dioxide|CO|2}} and {{chem|link=water vapour|H|2|O}} vapour as follows:

{{block indent|{{chem2 | (NH4)2CO3 -> 2 NH3 + CO2 + H2O }}}}

{{block indent|{{chem2 | NH4HCO3 -> NH3 + CO2 + H2O }}}}

The smelling salts release ammonia ({{chem|NH|3}}) gas, which triggers an inhalation reflex. It causes the muscles that control breathing to work faster by irritating the mucous membranes of the nose and lungs.{{cite news|work=BBC News|title=Henman's smelling salt solution|date=2002-07-02|url=http://news.bbc.co.uk/1/hi/health/2082231.stm|access-date=2009-01-03}}

Fainting can be caused by excessive parasympathetic and vagal activity that slows the heart and decreases perfusion of the brain.{{cite web| url= http://www.webmd.com/heart-disease/tc/fainting-topic-overview | title= Fainting | website= WebMD| date= January 2, 2013 |access-date= April 22, 2014}} The sympathetic irritant effect is exploited to counteract these vagal parasympathetic effects and thereby reverse the faint.{{cite web| url= http://smellingsalts.org/why-do-smelling-salts-wake-you-up/|title=Why do smelling salts wake you up? |website= smellingsalts.org |date=7 July 2015|access-date=7 July 2015}}

Risks

Exposure to ammonia gas in large concentrations for prolonged periods is toxic and can be fatal. If a high concentration of ammonia is inhaled too close to the nostril, it might burn the nasal or oral mucosa. The suggested distance is {{convert|10–15|cm|in|0}}.

The use of ammonia smelling salts to revive people injured during sport is not recommended because it may inhibit or delay a proper and thorough neurological assessment by a healthcare professional, such as after concussions when hospitalization may be advisable, and some governing bodies recommend specifically against it.{{cite web |publisher=The Football Association |title=Pitchside medical care |url=http://www.thefa.com/GrassrootsNew/Coach/Postings/2004/06/MedicalKitBag |archive-url=https://archive.today/20071029051823/http://www.thefa.com/GrassrootsNew/Coach/Postings/2004/06/MedicalKitBag |url-status=dead |archive-date=2007-10-29 }} The irritant nature of smelling salts means that they can exacerbate any pre-existing cervical spine injury by causing reflex withdrawal away from them, although this has been found to be a result of holding the smelling salts closer to the nose than recommended.

References