Incidence of carbon monoxide (CO) poisoning in Nepal has not been studied. The objective this study was to evaluate baseline carboxyhemoglobin (COHb) concentrations, population risk factors, and incidence CO at a single hospital Nepal. This prospective, observational patients presenting Patan Hospital Emergency Department from April 2019 March 2020. Demographics, factors for poisoning, symptoms...

Much is known about the causes, symptoms and detection of exogenous carbon monoxide (CO) poisoning and the treatment of the resultant carboxyhemoglobinemia seen in patients after CO exposure. However, it may be surprising to learn that CO poisoning can occur in the hospital and not just outside the hospital. In most cases, these patients present in the emergency department (ED) with equivocal, ...

AIM Carbon monoxide (CO) poisoning often manifests delayed neuropsychological sequelae. The risks and preventive factors for the development of delayed neuropsychological sequelae are controversial at present. The purpose of this retrospective study was to assess the risk factors for this condition. METHOD We studied 81 patients with CO poisoning admitted to the Critical Care and Emergency Me...

OBJECTIVES We investigated an outbreak of carbon monoxide (CO) poisoning after a power outage to determine its extent, identify risk factors, and develop prevention measures. METHODS We reviewed medical records and medical examiner reports of patients with CO poisoning or related symptoms during December 15 to 24, 2006. We grouped patients into households exposed concurrently to a single sour...

Carbon monoxide (CO) poisoning is a leading cause of toxicological morbidity and mortality. We recently reported 37% of patients with moderate to severe CO poisoning suffered myocardial injury.1 In follow-up, 24% of patients died at a median of 7.6 years, a mortality rate 3 times higher than expected compared with ageand sex-specific US mortality rates. Myocardial injury was the major predictor...

This clinical policy focuses on critical issues concerning the management of adult patients presenting to the emergency poisoning. The subcommittee reviewed the medical literature relevant to the questions posed. The critical questions are: Should hyperbaric oxygen (HBO2) therapy be used for the treatment of patients with acute CO poisoning; and Can clinical or laboratory criteria identify CO-p...

STUDY OBJECTIVE We sought to examine the outcome of a subgroup of patients with extreme carbon monoxide (CO) poisoning, specifically those discovered in cardiac arrest, resuscitated, and subsequently treated with hyperbaric oxygen (HBO(2)). Opinions of hyperbaric medicine physicians regarding the treatment of such patients were also sought. METHODS Records of patients treated with HBO(2) for ...

In the previous studies, carbon monoxide (CO) poisoning showed an imbalance between cerebral perfusion and metabolism in the acute phase and the brain temperature (BT) in these patients remained abnormally high from the acute to the subacute phase. As observed in chronic ischemic patients, BT can continuously remain high depending on impairments of cerebral blood flow and metabolism; this is be...

OBJECTIVES Carbon monoxide (CO) poisoning leads to cardiac dysrhythmia. Increased heterogeneity in ventricular repolarisation on electrocardiogram (ECG) shows an increased risk of arrhythmia. A number of parameters are used to evaluate ventricular repolarisation heterogeneity on ECG. The aim of our study is to investigate the effect of acute CO poisoning on indirect parameters of ventricular re...

The focus of this article is the application of CO-oximetry in the analysis of blood samples after death. This is largely confined to confirming or excluding carbon monoxide poisoning as a contributory or prime cause of death, by measurement of COHb. Issues addressed will include: the toxicity of carbon monoxide; the causes of lethal carbon monoxide poisoning; and the particular difficulties su...