Climate change in Washington related emissions are the dominant source of GHG emissions and have increased from 61.2 MMT CO-equivalent (CO-e) in 1990 (excluding residual fuel for transportation) to 74.6 MMT CO-e in 2004, while their share has increased from 79% of total emissions to 85% over the past fourteen years. Carbon dioxide is the dominant GHG followed by methane, nitrous oxide, perfluorocarbon and sulfur hexafluoride. Non-energy industrial global greenhouse gas emissions have lowered from 14% to 9%, mainly due to reduced emissions from aluminum production. This has been the result of two key elements: process changes that reduced CO and PFC emissions per
Nitrous oxide and retains adequate mental faculties to respond to questions and instructions from the dentist. Inhalation of nitrous oxide is used frequently to relieve pain associated with childbirth, trauma, oral surgery, and acute coronary syndrome (includes heart attacks). Its use during labour has been shown to be a safe and effective aid for birthing women. Its use for acute coronary syndrome is of unknown benefit. In Britain and Canada, Entonox and Nitronox are used commonly by ambulance crews (including unregistered practitioners) as a rapid and highly effective analgesic gas. 50% nitrous oxide can be considered for use by trained non-professional first