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Hazards

Inhaling helium can be dangerous if done to excess, since helium is a simple asphyxiant and so displaces oxygen needed for normal respiration. Fatalities have been recorded, including a youth who suffocated in Vancouver in 2003 and two adults who suffocated in South Florida in 2006. In 1998, an Australian girl from Victoria fell unconscious and temporarily turned blue after inhaling the entire contents of a party balloon. Inhaling helium directly from pressurized cylinders or even balloon filling valves is extremely dangerous, as high flow rate and pressure can result in barotrauma, fatally rupturing lung tissue.

Death caused by helium is rare. The first media-recorded case was that of a 15-year-old girl from Texas who died in 1998 from helium inhalation at a friend's party; the exact type of helium death is unidentified.

In the United States, only two fatalities were reported between 2000 and 2004, including a man who died in North Carolina of barotrauma in 2002. A youth asphyxiated in Vancouver during 2003, and a 27-year-old man in Australia had an embolism after breathing from a cylinder in 2000. Since then, two adults asphyxiated in South Florida in 2006, and there were cases in 2009 and 2010, one of whom was a Californian youth who was found with a bag over his head, attached to a helium tank, and another teenager in Northern Ireland died of asphyxiation. At Eagle Point, Oregon a teenage girl died in 2012 from barotrauma at a party. A girl from Michigan died from hypoxia later in the year.

On February 4, 2015, it was revealed that, during the recording of their main TV show on January 28, a 12-year-old member (name withheld) of Japanese all-girl singing group 3B Junior suffered from air embolism, losing consciousness and falling into a coma as a result of air bubbles blocking the flow of blood to the brain after inhaling huge quantities of helium as part of a game. The incident was not made public until a week later. The staff of TV Asahi held an emergency press conference to communicate that the member had been taken to the hospital and is showing signs of rehabilitation such as moving eyes and limbs, but her consciousness has not yet been sufficiently recovered. Police have launched an investigation due to a neglect of safety measures.

The safety issues for cryogenic helium are similar to those of liquid nitrogen; its extremely low temperatures can result in cold burns, and the liquid-to-gas expansion ratio can cause explosions if no pressure-relief devices are installed. Containers of helium gas at 5 to 10 K should be handled as if they contain liquid helium due to the rapid and significant thermal expansion that occurs when helium gas at less than 10 K is warmed to room temperature.

At high pressures (more than about 20 atm or two MPa), a mixture of helium and oxygen (heliox) can lead to high-pressure nervous syndrome, a sort of reverse-anesthetic effect; adding a small amount of nitrogen to the mixture can alleviate the problem.