Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning

Publication Date: October 1, 2016

Recommendations

Do not use noninvasive COHb measurement (pulse CO oximetry) to diagnose CO toxicity in patients with suspected acute CO poisoning. (B)
334012

Emergency physicians should usehyperbaric oxygen (HBO2) therapy or high-flow normobaric therapy for acute CO-poisoned patients. It remains unclear whether HBO2 therapy is superior to normobaric oxygen therapy for improving long-term neurocognitive outcomes. (B)
334012

In ED patients with moderate to severe CO poisoning, obtain an ECG and cardiac biomarker levels to identify acute myocardial injury, which can predict poor outcome. (B)
334012

Recommendation Grading

Disclaimer

Overview

Title

Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning

Authoring Organization

Publication Month/Year

October 1, 2016

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

This clinical policy from the American College of Emergency Physicians addresses key issues in the evaluation and management of adult patients presenting to the emergency department with acute carbon monoxide poisoning.

Target Patient Population

Patients with acute carbon monoxide poisoning

Inclusion Criteria

Female, Male, Adolescent, Adult, Older adult

Health Care Settings

Emergency care

Intended Users

Paramedic emt, nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Management, Treatment

Diseases/Conditions (MeSH)

D004635 - Emergency Medicine, D002248 - Carbon Monoxide, D002249 - Carbon Monoxide Poisoning, D005739 - Gas Poisoning, D011041 - Poisoning

Keywords

emergency medicine, poisoning, carbon monooxide

Source Citation

Ann Emerg Med. 2017;69:98-107

Methodology

Number of Source Documents
108
Literature Search Start Date
January 1, 2006
Literature Search End Date
July 21, 2015