Title

Carbon Monoxide Poisoning In Children: Diagnosis And Management In The Emergency Department

UMMS Affiliation

Department of Pediatrics, Division of Emergency Medicine

Date

9-1-2016

Document Type

Article

Disciplines

Emergency Medicine | Medical Toxicology | Pediatrics

Abstract

Approximately 5000 children present to the emergency department annually with unintentional carbon monoxide poisoning. Children may be more vulnerable to carbon monoxide poisoning because of their increased metabolic demand and their inability to vocalize symptoms or recognize a dangerous exposure, and newborn infants are more vulnerable to carbon monoxide poisoning because of the persistence of fetal hemoglobin. Mild carbon monoxide poisoning may present as viral symptoms in the absence of fever. While headache, nausea, and vomiting are the most common presenting symptoms in children, the most common symptom in infants is consciousness disturbance. This review discusses the limitations of routine pulse oximetry and carboxyhemoglobin measurement in determining carbon monoxide exposure, and notes effects of co-ingestions and comorbidities. Although the mainstay of treatment is 100% oxygen, the current evidence and controversies in the use of hyperbaric oxygen therapy in pediatric patients is reviewed, along with its possible benefit in preventing delayed neurologic sequelae.

Rights and Permissions

Citation: Macnow TE, Waltzman ML. Carbon Monoxide Poisoning In Children: Diagnosis And Management In The Emergency Department. Pediatr Emerg Med Pract. 2016 Sep;13(9):1-24. PubMed PMID: 27547917.

Related Resources

Link to article in PubMed

PubMed ID

27547917