[Hyperbaric Oxygen Therapy and Acute Carbon Monoxide Poisoning].

Carbon monoxide poisoning is the most commonly seen cause of poisoning in the emergency room (ER). The high affinity between carbon monoxide and hemoglobin and their complex biological characteristics greatly increase the risks of cardiac, nervous, muscular, and kidney diseases. In severe cases, patients may lose consciousness or die in just a few minutes. In recent years, hyperbaric oxygen therapy has been applied extensively in patients with severe conditions such as carbon monoxide poisoning and cerebral hypoxia. Hyperbaric oxygen accelerates the decomposition of carbon monoxide in hemoprotein. Therefore, treating patients with similar conditions in the ER with hyperbaric oxygen as soon as possible will improve their cognitive disorder and postpone their neuropsychological sequelae. ER nurses typically play a decisive role in saving patients with carbon monoxide poisoning. This research scrutinizes a case analysis of using hyperbaric oxygen to treat carbon monoxide poisoning and offers general rules for the use of hyperbaric oxygen. Further, the research elaborates from the perspective of ER nursing staffs the management and care of acute carbon monoxide poisoning and hyperbaric oxygen therapy nursing care. The aim of this research is to offer references for members of the ER nursing team and to enable this team to provide accurate and effective medical measures to patients during the "golden hours" of nursing care. Achieving this will help ensure that patients receive comprehensive nursing and care, thus reducing the harm suffered by patients and increasing the rate of survival.

[Carbon monoxide poisoning, treatment and orientation]. / Intoxication au monoxyde de carbone, prise en charge et orientation.

Colourless and odourless, each year carbon monoxide is responsible for several thousand cases of poisoning. Often collective, their symptoms are non specific and can result in serious neurological sequelae or even death, if they are not detected in time. The (pre-) hospital emergency nurse plays an important role in the management of these patients, in terms of assessment, treatment and monitoring as well as the organisation of the admittance of victims, categorisation and medical triage. As part of a team, the nurse ensures that the patient enters an adapted, regulated pathway, with the most serious cases being directed towards a hospital equipped with a hyperbaric medicine facility.

Study highlights CO poisoning.

Emergency department (ED) nurses at Frimley Park Hospital in Surrey are taking part in a study into how staff can detect and treat carbon monoxide (CO) poisoning.

Assessing carbon monoxide poisoning.

Carbon monoxide (CO) is a toxic gas usually formed during the incomplete combustion of carbon-based fuels. Poisoning by CO can be fatal or lead to long-term debilitating cardiovascular, respiratory and neuropsychological conditions. Despite the reinforcement of government policies on CO poisoning over the past decade, emergency practitioners should become more aware of CO toxicity to reduce mortality and morbidity, and an unnecessary financial burden on health services. This article alerts emergency nurses to the signs and symptoms of CO poisoning and discusses the use of non-invasive CO-monitoring devices to confirm levels of CO in patients' blood and exhaled air. It also considers the case for early CO monitoring in emergency care settings.

Screening and management of unintentional low-level carbon monoxide exposure in the emergency department.

Unintentional carbon monoxide (CO) exposure, sometimes referred to as CO poisoning, is a serious threat to health and can have long-term effects on the neurological and respiratory systems. Patients who have been exposed can present to emergency departments (ED) with non-specific signs and symptoms, which makes it challenging to diagnose. This article describes the pathophysiology, signs and symptoms, and ED management of patients with possible or confirmed low-level CO exposure. It is important for emergency nurses to recognise patients with unintentional CO exposure so that treatment is provided and measures taken to prevent further exposure.

Carbon Monoxide Poisoning.

Carbon monoxide poisoning is a serious and life-threatening event. Educating workers and communities on exposure sources, symptoms, and prevention is an important role for occupational health nurses.

Assessing physiological changes from hyperbaric therapy.

This article, the first of two on hyperbaric oxygen therapy (HBOT) describes the detailed nursing assessment required for these patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Carbon monoxide poisoning: nursing priorities and treatment.

A man in his mid 30s arrived for admission by ambulance to the psychiatric unit of a private hospital after transfer from a small rural hospital. His voluntary admission was the result of a suicide attempt by carbon monoxide (CO) poisoning. On arrival the patient was receiving oxygen via nasal prongs at 3 liters per minute, appeared to be extremely distressed, and complained of severe headache. The nurses became extremely concerned after reading the transfer notes--the poisoning incident had occurred 4 hours prior to arrival at the unit. Furthermore, the patient was discovered unconscious and resuscitated by paramedics. The nursing staff immediately notified the supervisor and requested that the medical registrar examine the patient. The psychiatrist was notified of the concerns of the nursing staff. Eventually, after many tests, phone calls and arrangements, the patient was transferred to a large city hospital for hyperbaric oxygen therapy.

Carbon monoxide poisoning: an A&E perspective.

Carbon monoxide (CO) is a colourless, odourless, tasteless and non-irritating gas and may therefore be inhaled in large quantities by the victim without his realizing it. The toxic effect of CO is not exclusively the result of the binding of haemoglobin; the primary mechanism appears to be inhibition of cellular respiration. Carboxyhaemoglobin (COHb) is excreted fairly rapidly from the body, therefore blood levels do not necessarily reflect the severity of CO poisoning. Airway support and adequate ventilation are the primary objectives of the nursing and medical team. Oxygen is the only antidote to CO. Continuous monitoring of the patient's neurological state is necessary; conscious level is the most important guide to the patient's progress. Nurses must be aware of the clinical indications and contraindications for HBO therapy to ensure that their patients receive optimal treatment.

Carbon monoxide poisoning: case studies and review.

This article describes carbon monoxide poisoning. Using a case study approach, the article covers pathophysiology, epidemiology, clinical presentation, and complications. A nursing care plan is presented to guide the critical care nurse in the care of patients in this type of condition.