ICU SAQs · Toxicology
Smoke-inhalation poisoning — CO and cyanide
A CICM Second-Part SAQ on the smoke-inhalation — the CO (the pulse ox falsely normal) + the cyanide; the 100 per cent oxygen, the hydroxocobalamin, the hyperbaric referral.
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Prompt
A patient is pulled from a house fire, unconscious, with soot in the mouth, a severe metabolic acidosis and an SpO2 of 99 per cent. Outline the management.
Question
A patient is pulled from a house fire, unconscious, with soot in the mouth, a severe metabolic acidosis and an SpO2 of 99 per cent. Outline the management.
References4ShowHide
- [1]Rose JJ, et al. Carbon Monoxide Poisoning: Pathogenesis, Management, and Future Directions. American Journal of Respiratory and Critical Care Medicine, 2017.PMID 27753502
- [3]Foncerrada G, Culnan DM, Capek KD, et al. Inhalation Injury in the Burned Patient. Annals of Plastic Surgery, 2018.PMID 29461292
- [4]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
- [5]Borron SW, Baud FJ, Barriot P, et al. Prospective study of hydroxocobalamin for acute cyanide poisoning in smoke inhalation Ann Emerg Med, 2007.PMID 17481777