A Novel Method for Continuous Environmental Surveillance for Carbon Monoxide Exposure to Protect Emergency Medical Service Providers and Patients

作者: Brian L. Risavi , Richard J. Wadas , Cecil Thomas , Douglas F. Kupas

DOI: 10.1016/J.JEMERMED.2012.02.034

关键词:

摘要: Abstract Background Carbon monoxide exposure is an important, but frequently undiagnosed, cause for Emergency Medical Services (EMS) response. Its elusive characteristics and non-specific symptoms make detection difficult without monitoring devices. Consequently, both patients EMS providers are at increased risk of harm from such exposures. Case Series We report a series five cases carbon encounters, in which was not suspected, whereby portable (pager-sized) environmental detectors, that provide continuous surveillance the ambient air, were utilized. These devices carried within, or attached to, first-in medical jump bags, alerting crews to potentially harmful levels monoxide. Conclusion This case highlights importance by providers, particularly where its presence suspected. was, fact, all encounters presented herein.

参考文章(12)
Brian Tencza, John F Risher, Larry O Lockwood, Dennis Jones, Jewell Crawford, Mario Citra, Fernando Llados, Sharon Wilbur, Gary L Diamond, Mark R Osier, REGULATIONS, ADVISORIES, AND GUIDELINES Agency for Toxic Substances and Disease Registry (US). ,(2012)
Armin Ernst, Joseph D Zibrak, None, Carbon Monoxide Poisoning The New England Journal of Medicine. ,vol. 339, pp. 1603- 1608 ,(1998) , 10.1056/NEJM199811263392206
edited by Ann L. Harwood-Nuss, The clinical practice of emergency medicine Lippincott Williams & Wilkins. ,(1991)
Louise W. Kao, Kristine A. Nañagas, Carbon monoxide poisoning. Emergency Medicine Clinics of North America. ,vol. 22, pp. 985- 1018 ,(2004) , 10.1016/J.EMC.2004.05.003
Neil B. Hampson, Pulse Oximetry in Severe Carbon Monoxide Poisoning Chest. ,vol. 114, pp. 1036- 1041 ,(1998) , 10.1378/CHEST.114.4.1036
Des Gorman, Alison Drewry, Yi Lin Huang, Chris Sames, The clinical toxicology of carbon monoxide Toxicology. ,vol. 187, pp. 25- 38 ,(2003) , 10.1016/S0300-483X(03)00005-2
Michael Touger, Adrienne Birnbaum, Jessica Wang, Katherine Chou, Darion Pearson, Polly Bijur, Performance of the RAD-57 pulse CO-oximeter compared with standard laboratory carboxyhemoglobin measurement. Annals of Emergency Medicine. ,vol. 56, pp. 382- 388 ,(2010) , 10.1016/J.ANNEMERGMED.2010.03.041
Chen-Chang Yang, Jiin Ger, Chun-Fang Li, Formic acid : A rare but deadly source of carbon monoxide poisoning Clinical Toxicology. ,vol. 46, pp. 287- 289 ,(2008) , 10.1080/15563650701378746