[abstract] FIRE AND ICE: DIAGNOSIS OF CARBON MONOXIDE POISONING IN A REMOTE ENVIRONMENT.

Rubicon Research Repository/Manakin Repository

[abstract] FIRE AND ICE: DIAGNOSIS OF CARBON MONOXIDE POISONING IN A REMOTE ENVIRONMENT.

Show full item record


Title: [abstract] FIRE AND ICE: DIAGNOSIS OF CARBON MONOXIDE POISONING IN A REMOTE ENVIRONMENT.
Author: Crawford, DM; Hampson, NB
Abstract: BACKGROUND: When carbon monoxide (CO) poisoning is suspected clinically, measurement of blood carboxyhemoglobin (COHb) is typically performed. An elevated COHb level supports the clinical diagnosis. In some situations, the environment may be so remote that laboratory CO-oximetry is unavailable and even sending a blood sample to a laboratory is impractical. This report describes the utility of pulse CO-oximetry for measuring COHb and confirming the clinical diagnosis of CO poisoning in an extreme environment. MATERIALS AND METHODS: Following an explosion on board a British Navy submarine operating under the Polar ice cap, a 38 year old sailor fought a fire without protective breathing apparatus. He was found confused, with soot about his nares. A suspected diagnosis of carbon monoxide (CO) poisoning was rapidly confirmed on site through the use of a noninvasive pulse CO-oximeter (Rad-57c; Masimo, Inc.). RESULTS: Initial carboxyhemoglobin (COHb) level was 28%. He was treated with high flow oxygen and evacuated to a medical facility with hyperbaric oxygen treatment capability. Time 0 min 15 min 25 min 45 min 420 min; SpCO 28% 25% 17% 12% 3% Fifteen other crew members potentially exposed to smoke in the enclosed space were screened in less than 10 minutes, demonstrating normal COHb levels of 1-2%. CONCLUSIONS: This is the first case demonstrating the utility of pulse CO-oximetry for diagnosing CO poisoning in remote environments. The information obtained allowed immediate delivery of appropriate on-site therapy and directed subsequent triage. Furthermore, the device was demonstrated to be effective for the rapid screening of numerous individuals. Not only does it have the potential to provide information that would otherwise be unobtainable in such a situation, but it could play an important role in mass casualty screening.
Description: Abstract of the Undersea & Hyperbaric Medical Society 2008 Annual Scientific Meeting June 26-28, 2008 Salt Lake City Marriott Downtown, Salt Lake City, Utah.
URI: http://archive.rubicon-foundation.org/7830
Date: 2008

Files in this item

Files Size Format View
abstract.txt 193bytes Text file View/Open

This item appears in the following Collection(s)

  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

Show full item record

Browse

My Account