Smelling salts
Encyclopedia
Smelling salts, also known as spirit of hartshorn or sal volatile, are chemical compound
Chemical compound
A chemical compound is a pure chemical substance consisting of two or more different chemical elements that can be separated into simpler substances by chemical reactions. Chemical compounds have a unique and defined chemical structure; they consist of a fixed ratio of atoms that are held together...

s used for arousing consciousness. The usual active compound is ammonium carbonate
Ammonium carbonate
Ammonium carbonate is a commercial salt with the chemical formula 2CO3. It is used when crushed as a smelling salt. It can be crushed when needed in order to revive someone who has fainted...

, a colorless-to-white, crystalline solid
Solid
Solid is one of the three classical states of matter . It is characterized by structural rigidity and resistance to changes of shape or volume. Unlike a liquid, a solid object does not flow to take on the shape of its container, nor does it expand to fill the entire volume available to it like a...

 ((NH4)2CO3·H2O). Because most modern solutions are mixed with water, they should more 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 eucalyptus oil.

History

Smelling salts have been used since Roman times, and are mentioned in the writings of Pliny
Pliny the Elder
Gaius Plinius Secundus , better known as Pliny the Elder, was a Roman author, naturalist, and natural philosopher, as well as naval and army commander of the early Roman Empire, and personal friend of the emperor Vespasian...

 as 'Hammonicus sal',. Evidence exists of use in the 13th century by alchemists as 'sal ammoniac'.

In the 17th century, an ammonia
Ammonia
Ammonia is a compound of nitrogen and hydrogen with the formula . It is a colourless gas with a characteristic pungent odour. Ammonia contributes significantly to the nutritional needs of terrestrial organisms by serving as a precursor to food and fertilizers. Ammonia, either directly or...

 solution was distilled from shavings of harts' (deer
Deer
Deer are the ruminant mammals forming the family Cervidae. Species in the Cervidae family include white-tailed deer, elk, moose, red deer, reindeer, fallow deer, roe deer and chital. Male deer of all species and female reindeer grow and shed new antlers each year...

) horns and hooves, which led to the alternative name for smelling salts as spirit or salt of hartshorn.

Smelling salts have also been known as 'sal volatile', for their ability to produce a reaction
Chemical reaction
A chemical reaction is a process that leads to the transformation of one set of chemical substances to another. Chemical reactions can be either spontaneous, requiring no input of energy, or non-spontaneous, typically following the input of some type of energy, such as heat, light or electricity...

.

They were widely used in Victorian
Victorian era
The Victorian era of British history was the period of Queen Victoria's reign from 20 June 1837 until her death on 22 January 1901. It was a long period of peace, prosperity, refined sensibilities and national self-confidence...

 Britain to revive fainting
Syncope (medicine)
Syncope , the medical term for fainting, is precisely defined as a transient loss of consciousness and postural tone characterized by rapid onset, short duration, and spontaneous recovery due to global cerebral hypoperfusion that most often results from hypotension.Many forms of syncope are...

 women, and in some areas constables would carry a container of them for the purpose.

The use of smelling salts was widely recommended during the Second World War, with all workplaces advised by the British Red Cross
British Red Cross
The British Red Cross Society is the United Kingdom branch of the worldwide impartial humanitarian organisation the International Red Cross and Red Crescent Movement. The society was formed in 1870, and is a registered charity with over 31,000 volunteers and 2,600 staff. At the heart of their work...

 and St. John Ambulance
St. John Ambulance
St John Ambulance, branded as St John in some territories, is a common name used by a number of affiliated organisations in different countries dedicated to the teaching and practice of medical first aid and the provision of ambulance services, all of which derive their origins from the St John...

 to keep 'sal volatile' in their first aid
First aid
First aid is the provision of initial care for an illness or injury. It is usually performed by non-expert, but trained personnel to a sick or injured person until definitive medical treatment can be accessed. Certain self-limiting illnesses or minor injuries may not require further medical care...

 boxes.

Usage

Smelling salts are often used on athletes (such as boxers) when they are knocked unconscious or semi-conscious (although a number of sports governing bodies, such as the Football Association
The Football Association
The Football Association, also known as simply The FA, is the governing body of football in England, and the Crown Dependencies of Jersey, Guernsey and the Isle of Man. It was formed in 1863, and is the oldest national football association...

 in the UK recommend against their use).

They are also used in competitions (such as strong man
Strongman (strength athlete)
In the 19th century, the term strongman referred to an exhibitor of strength or circus performers of similar ilk who displayed feats of strength such as the bent press , supporting large amounts of...

 and Ice hockey
Ice hockey
Ice hockey, often referred to as hockey, is a team sport played on ice, in which skaters use wooden or composite sticks to shoot a hard rubber puck into their opponent's net. The game is played between two teams of six players each. Five members of each team skate up and down the ice trying to take...

) to "wake up" competitors to perform better.

They are also still used for people feeling faint, or who have fainted, either administered by others, or self administered, with some at risk groups, such as pregnant women, sometimes advised to keep them close to hand.

Physiological action

Smelling salts release ammonia
Ammonia
Ammonia is a compound of nitrogen and hydrogen with the formula . It is a colourless gas with a characteristic pungent odour. Ammonia contributes significantly to the nutritional needs of terrestrial organisms by serving as a precursor to food and fertilizers. Ammonia, either directly or...

 (NH3) gas, which irritates the mucous membrane
Mucous membrane
The mucous membranes are linings of mostly endodermal origin, covered in epithelium, which are involved in absorption and secretion. They line cavities that are exposed to the external environment and internal organs...

s of the nose and lungs, and thereby triggers an inhalation
Inhalation
Inhalation is the movement of air from the external environment, through the air ways, and into the alveoli....

 reflex (that is, it causes the muscles that control breathing to work faster).

Risks

Ammonia gas is toxic in large concentrations for prolonged periods, and can be fatal. Smelling salts produce only a small amount.

There is a limited possibility of direct burning of the nasal or oral mucosa from high concentration of inhaled ammonia.

The use of ammonia smelling salts to revive people injured during sport is not recommended as it may inhibit or delay a proper and thorough neurological assessment by a healthcare professional, and some governing bodies recommend specifically against it. There is also a risk that as an irritant, use of smelling salts could cause reflex withdrawal from the source, thereby exacerbating any pre-existing cervical spine injury.
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