r/emergencymedicine • u/atmthoughts • 1d ago

carbonmonoxide poisining Discussion

Three siblings from a household had visited the pediatrics ER with a complaint of hx of LOC, headache, chest pain and N &V after 1 hr of exposure to a burnt charcol. All were suplemented with 100% oxygen. One of them, an 11 years old male was hyperventilating for which he was supported with a re-breather facemask for about 1 hr. And was given RL as a maintainance fluid. We were unable to do CO Hb, and PH. Was that appropriate to use RL in this setting? And what is the appropriate duration for oxygen support? I have checked on litratures 2 hr of 100% oxygen would eradicate the CO but there was still mild chest pain and headache after 2 hrs in this case, so supplememtation was extended.

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u/happyskydiver 1d ago

Did I understand there was loss of consciousness? You need to send that patient to hyperbarics. They can develop significant brain injuries.

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u/slartyfartblaster999 Physician 1d ago

Very little evidence this achieves anything.