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carbon monoxide poisoning (CO)

see also:

introduction

  • carbon monoxide is an odourless gas which can cause insidious poisoning resulting in death
  • this is particularly likely in enclosed rooms or in cars (car exhaust fumes piped back into cars are a common mode of suicidality)
  • even room exhaust fans can contribute by drawing gas heater exhaust gases back down the flue and into the room
  • it is a significant issue also for those inside a house which is burning, including rescuers

clinical features

  • Symptoms of carbon monoxide poisoning include:
    • tiredness
    • shortness of breath
    • dizziness
    • nausea
    • weakness
    • confusion
    • chest pain
  • NB. patients do not become cyanosed as CoHb levels in blood cause patient to remain pink!

diagnosis

  • arterial or venous blood gas measurement with COHb levels

management

  • usual supportive care
  • supplemental oxygen

signs of faulty gas heaters

  • heaters needs to be routinely checked at least every 2 years, and also if:
    • There is a yellow or sooty flame (unless it is a decorative gas log fire)
    • The pilot light goes out unexpectedly, or ‘pops’ or ‘bangs’ when lighting.
    • There are signs of heat damage such as discoloration of the walls or heater panels.
    • The walls become too hot to touch while the heater is on.
    • There are soot stains around the heater.
    • Missing cowl on flue

consumer gas heater testing

co.txt · Last modified: 2013/05/19 07:58 by 127.0.0.1

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