Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning
Publication Date: October 1, 2016
Last Updated: March 14, 2022
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
Overview
Title
Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning
Authoring Organization
American College of Emergency Physicians
Publication Month/Year
October 1, 2016
Last Updated Month/Year
January 16, 2024
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
37
Literature Search Start Date
January 1, 2006
Literature Search End Date
July 21, 2015