[abstract] EARLY EXPERIENCE WITH A NATIONAL CARBON MONOXIDE AND SMOKE INHALATION ADVISORY SERVICE

Rubicon Research Repository/Manakin Repository

[abstract] EARLY EXPERIENCE WITH A NATIONAL CARBON MONOXIDE AND SMOKE INHALATION ADVISORY SERVICE

Show full item record


Title: [abstract] EARLY EXPERIENCE WITH A NATIONAL CARBON MONOXIDE AND SMOKE INHALATION ADVISORY SERVICE
Author: Pimlott, J; Rogers, M; Shephard, JA; Cross, M
Abstract: INTRODUCTION: In January 1996, we decided to establish a 24 hour help-line to enable physicians in Accident and Emergency Departments in England to call and obtain advice about cases of CO poisoning and Smoke Inhalation Injury. Wales who referred cases. Calls are taken by a 'first responder' who may be a science graduate, registered nurse or physician and questions asked according to a set protocol. The duty physician is then contacted to continue the advice. In some circumstances, non-medically qualified first responders may give initial advice according to a fixed protocol which is then reviewed by the duty physician. When hyperbaric treatment is considered appropriate it is recommended and the admission arranged to the nearest appropriate unit by the Advisory Service thus relieving the referring doctor of the problem of finding a chamber. RESULTS: In the first 20 months of operation, the service received 376 calls. An formal analysis of the first 12 months experience shows that of the 205 calls received in this time period, we advised on the management of 296 patients, 56 of whom were paediatric cases. Analysis of the circumstances of the poisoning show that in 103/376 instances it was a suicide attempt, in 154/376 calls the cause of the poisoning was accidental and in 108 instances the CO poisoning was associated with smoke inhalation. Most calls are received in the winter months when the peaks are associated with accidental poisoning by heating systems. The peak has so far been 36 calls in one month (January). Hyperbaric treatment has been arranged for 114/376 calls and about half of the casses were transferred to our own unit reflecting the local nature of the service. In addition to advising on the management of CO poisoning, the staff training and in providing guidance and encouragement in the aggressive treatment of syanide poisoning in association with CO poisoning in smoke inhalation victims. CONCLUSIONS: If the unit has the resources available to provide a 24hr/365 day service then the establishment of such an advisory help-line is a valuable contribution to the medical services of a community and helps to ensure that hyperbaric units get appropriate referrals.
Description: Undersea and Hyperbaric Medical Society, Inc. (http://www.uhms.org )
URI: http://archive.rubicon-foundation.org/642
Date: 1998

Files in this item

Files Size Format View
abstract.txt 259bytes 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