Emergency department visits for carbon monoxide poisoning in the Pacific Northwest

1998 ◽  
Vol 16 (5) ◽  
pp. 695-698 ◽  
Author(s):  
Neil B Hampson
Keyword(s):  
Emergency Department ◽  
Carbon Monoxide ◽  
Pacific Northwest ◽  
Carbon Monoxide Poisoning ◽  
Emergency Department Visits ◽  
The Pacific

Carbon Monoxide Poisoning: Implications for Patient and Family Care in the Emergency Department

2008 ◽  
Vol 1 (1) ◽  
pp. 46-49 ◽  
Author(s):  
Courtney E. Reinisch
Keyword(s):  
Emergency Department ◽  
Carbon Monoxide ◽  
Practice Nurse ◽  
Early Recognition ◽  
Carbon Monoxide Poisoning ◽  
Family Care ◽  
The United States ◽  
Emergency Department Visits ◽  
Advanced Practice ◽  
Co Poisoning

Carbon monoxide (CO) is a colorless, odorless gas that can produce a constellation of noxious symptoms and potentially death when it reaches certain levels. Exposure to CO can be intentional (suicidal) or unintentional (accidental). CO poisoning is responsible for up to 40,000 to 50,000 emergency department visits and 5,000 to 6,000 deaths per year, making it one of the leading causes of poisoning death in the United States. When patients present to the emergency department with a constellation of symptoms, the advanced practice nurse should include environmental exposure in the differential diagnosis. This is especially important when family members present with similar complaints, such as headache or euphoria. Early recognition of CO poisoning is vital to identify individuals in need of prompt treatment and to prevent harmful and potential deadly exposure to others. Since patients often present with constitutional symptoms, including headache (most common), malaise, nausea, and dizziness, providers need to be cautious not to misdiagnose patients as having acute viral syndromes where CO poisoning could be the cause. Vigilance is needed during the winter months in cold climates when unintended poisoning is most common.

Managing a Mass CO Poisoning: Critical Issues and Solutions From the Field to the Hyperbaric Chamber

2016 ◽  
Vol 11 (2) ◽  
pp. 251-255 ◽  
Author(s):  
Adriano Valerio ◽  
Matteo Verzè ◽  
Francesco Marchiori ◽  
Igor Rucci ◽  
Lucia De Santis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Carbon Monoxide ◽  
Emergency Services ◽  
Carbon Monoxide Poisoning ◽  
Heating System ◽  
Mass Casualty Incident ◽  
Mass Casualty ◽  
Accidental Poisoning ◽  
Complex Situation ◽  
First Case

AbstractCarbon monoxide acute intoxication is a common cause of accidental poisoning in industrialized countries and sometimes it produces a real mass casualty incident. The incident described here occurred in a church in the province of Verona, when a group of people was exposed to carbon monoxide due to a heating system malfunction. Fifty-seven people went to the Emergency Department. The mean carboxyhemoglobin (COHb) level was 10.1±5.7% (range: 3-25%). The clinicians, after medical examination, decided to move 37 patients to hyperbaric chambers for hyperbaric oxygen (HBO) therapy. This is the first case report that highlights and analyses the logistic difficulties of managing a mass carbon monoxide poisoning in different health care settings, with a high influx of patients in an Emergency Department and a complex liaison between emergency services. This article shows how it is possible to manage a complex situation with good outcome. (Disaster Med Public Health Preparedness. 2017;11:251–255)

Finding needles in a haystack: A case series of carbon monoxide poisoning detected using new technology in the emergency department

2008 ◽  
Vol 46 (5) ◽  
pp. 461-469 ◽  
Author(s):  
Kerlen J. Chee ◽  
Douglas Nilson ◽  
Robert Partridge ◽  
Ashley Hughes ◽  
Selim Suner ◽  
...  
Keyword(s):  
Emergency Department ◽  
Carbon Monoxide ◽  
New Technology ◽  
Carbon Monoxide Poisoning ◽  
Case Series

Case Report of Carbon Monoxide Poisoning in a Pregnant Patient: Mother Died, Baby Survived

2009 ◽  
Vol 16 (3) ◽  
pp. 176-178 ◽  
Author(s):  
Z Cakir ◽  
M Emet ◽  
I Caner ◽  
S Aslan ◽  
A Saritas
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Carbon Monoxide ◽  
Cerebral Palsy ◽  
Case Report ◽  
Carbon Monoxide Poisoning ◽  
Rare Condition ◽  
Pregnant Patient ◽  
Spontaneous Respiration ◽  
Foetal Distress

Carbon monoxide poisoning in pregnant women is a relatively rare condition. We report a 32-year-old woman in her 32nd week of pregnancy found unconscious in the bathroom. On arrival, her pulse and blood pressure were undetectable. Cardiopulmonary resuscitation was applied. The mother's carboxyhaemoglobin level was 57%. Due to foetal distress, Caesarean section was performed in the emergency department. The baby was intubated due to the absence of spontaneous respiration. The level of carboxyhaemoglobin in the cord blood was 32%. After staying in the newborn unit for 47 days, the baby was discharged with a sequela of cerebral palsy.

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