ACEP ID:
Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Carbon Monoxide Poisoning (2016)
Scope of Application
This guideline is intended for physicians working in emergency departments.
Inclusion Criteria
This guideline is intended for adult patients presenting to the emergency department with suspected or diagnosed acute carbon monoxide poisoning.
Exclusion Criteria
This guideline is not intended to be used for out-of-hospital emergency care patients, pediatric populations, pregnant patients and fetal exposures, those with chronic carbon monoxide poisoning, or patients with delayed presentations (more than 24 hours after cessation of exposure) of carbon monoxide poisoning.
Recommendations offered in this policy are not intended to represent the only diagnostic and management options that the emergency physician should consider. ACEP recognizes the importance of the individual physician’s judgment and patient preferences.
In emergency department patients diagnosed with acute carbon monoxide (CO) poisoning, does hyperbaric oxygen (HBO2) therapy, compared with normobaric oxygen therapy, improve long-term neurocognitive outcomes?
None specified.
In symptomatic CO poisoning, selected patients may benefit from HBO2 treatment based on severity of symptoms and availability (distance and time).
None specified.
In symptomatic CO poisoning, selected patients may benefit from HBO2 treatment based on severity of symptoms and availability (distance and time).