A registry for carbon monoxide poisoning in New york city

E. Converse Peirce, Henry Kaufmann, William H. Bensky, Boguslav Fischer, Lewis Goldfrank, Mark C. Henry, Cyril J. Jones, Rolando Sanchez, E. John Gallagher, Dario Gonzales, Robert W. Hamilton, Mary Ann Howland, Julius H. Jacobson, Alexander E. Kuehl

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

In 1983 the North American Hyperbaric Center (affiliated with Bronx Municipal Hospital Center) was designated to provide Hyperbaric oxygen (HBO) for carbon monoxide (CO) patients meeting Emergency Medical System (EMS) criteria: 1. Unconscious or CNS derangement, any carboxyhemoglobin level ([COHb]); 2. [COHb] 25% or more; 3. Pregnant, any [COHb]. Through 1984, 39 CO patients received HBO; in 1985 81 were treated including 8 pregnant and 16 pediatric. CO sources were: fire, 43; heater, 21; engine, 17. 42 of 59 acute patients were initially in coma; 16 required CPR. Time to HBO averaged 4.5 hrs. Mean hospital [COHb] was 31% for acute, 28% for subacute/chronic, 15% for pregnant; mean maximum [COHb] was estimated: 51% for acute, 40% for subacute/chronic patients. Mean half life for [COHb] was 2.1 hrs. HBO typically was 46 min at 3ATA (2 [COHb] half lives), presented few problems, and gave rapid clinical improvement. 13 of 19 patients comatose before HBO were responsive after HBO (mean [COHb] was 1.8% Four pediatric deaths occurred; brain damage was noted in two other patients. EMS efforts to make HBO available for CO is a success.

Original languageEnglish (US)
Pages (from-to)419-441
Number of pages23
JournalClinical Toxicology
Volume26
Issue number7
DOIs
StatePublished - 1988

Fingerprint

Carboxyhemoglobin
Carbon Monoxide Poisoning
Carbon Monoxide
Registries
Oxygen
Pediatrics
Coma
Emergencies
Municipal Hospitals
Cardiopulmonary Resuscitation
Half-Life
Brain
Fires
Engines

ASJC Scopus subject areas

  • Toxicology
  • Health, Toxicology and Mutagenesis

Cite this

Converse Peirce, E., Kaufmann, H., Bensky, W. H., Fischer, B., Goldfrank, L., Henry, M. C., ... Kuehl, A. E. (1988). A registry for carbon monoxide poisoning in New york city. Clinical Toxicology, 26(7), 419-441. https://doi.org/10.3109/15563658809038559

A registry for carbon monoxide poisoning in New york city. / Converse Peirce, E.; Kaufmann, Henry; Bensky, William H.; Fischer, Boguslav; Goldfrank, Lewis; Henry, Mark C.; Jones, Cyril J.; Sanchez, Rolando; Gallagher, E. John; Gonzales, Dario; Hamilton, Robert W.; Howland, Mary Ann; Jacobson, Julius H.; Kuehl, Alexander E.

In: Clinical Toxicology, Vol. 26, No. 7, 1988, p. 419-441.

Research output: Contribution to journalArticle

Converse Peirce, E, Kaufmann, H, Bensky, WH, Fischer, B, Goldfrank, L, Henry, MC, Jones, CJ, Sanchez, R, Gallagher, EJ, Gonzales, D, Hamilton, RW, Howland, MA, Jacobson, JH & Kuehl, AE 1988, 'A registry for carbon monoxide poisoning in New york city', Clinical Toxicology, vol. 26, no. 7, pp. 419-441. https://doi.org/10.3109/15563658809038559
Converse Peirce E, Kaufmann H, Bensky WH, Fischer B, Goldfrank L, Henry MC et al. A registry for carbon monoxide poisoning in New york city. Clinical Toxicology. 1988;26(7):419-441. https://doi.org/10.3109/15563658809038559
Converse Peirce, E. ; Kaufmann, Henry ; Bensky, William H. ; Fischer, Boguslav ; Goldfrank, Lewis ; Henry, Mark C. ; Jones, Cyril J. ; Sanchez, Rolando ; Gallagher, E. John ; Gonzales, Dario ; Hamilton, Robert W. ; Howland, Mary Ann ; Jacobson, Julius H. ; Kuehl, Alexander E. / A registry for carbon monoxide poisoning in New york city. In: Clinical Toxicology. 1988 ; Vol. 26, No. 7. pp. 419-441.
@article{7517326919d04f6ba9fbbf86b5d1c48d,
title = "A registry for carbon monoxide poisoning in New york city",
abstract = "In 1983 the North American Hyperbaric Center (affiliated with Bronx Municipal Hospital Center) was designated to provide Hyperbaric oxygen (HBO) for carbon monoxide (CO) patients meeting Emergency Medical System (EMS) criteria: 1. Unconscious or CNS derangement, any carboxyhemoglobin level ([COHb]); 2. [COHb] 25{\%} or more; 3. Pregnant, any [COHb]. Through 1984, 39 CO patients received HBO; in 1985 81 were treated including 8 pregnant and 16 pediatric. CO sources were: fire, 43; heater, 21; engine, 17. 42 of 59 acute patients were initially in coma; 16 required CPR. Time to HBO averaged 4.5 hrs. Mean hospital [COHb] was 31{\%} for acute, 28{\%} for subacute/chronic, 15{\%} for pregnant; mean maximum [COHb] was estimated: 51{\%} for acute, 40{\%} for subacute/chronic patients. Mean half life for [COHb] was 2.1 hrs. HBO typically was 46 min at 3ATA (2 [COHb] half lives), presented few problems, and gave rapid clinical improvement. 13 of 19 patients comatose before HBO were responsive after HBO (mean [COHb] was 1.8{\%} Four pediatric deaths occurred; brain damage was noted in two other patients. EMS efforts to make HBO available for CO is a success.",
author = "{Converse Peirce}, E. and Henry Kaufmann and Bensky, {William H.} and Boguslav Fischer and Lewis Goldfrank and Henry, {Mark C.} and Jones, {Cyril J.} and Rolando Sanchez and Gallagher, {E. John} and Dario Gonzales and Hamilton, {Robert W.} and Howland, {Mary Ann} and Jacobson, {Julius H.} and Kuehl, {Alexander E.}",
year = "1988",
doi = "10.3109/15563658809038559",
language = "English (US)",
volume = "26",
pages = "419--441",
journal = "Clinical Toxicology",
issn = "1556-3650",
publisher = "Informa Healthcare",
number = "7",

}

TY - JOUR

T1 - A registry for carbon monoxide poisoning in New york city

AU - Converse Peirce, E.

AU - Kaufmann, Henry

AU - Bensky, William H.

AU - Fischer, Boguslav

AU - Goldfrank, Lewis

AU - Henry, Mark C.

AU - Jones, Cyril J.

AU - Sanchez, Rolando

AU - Gallagher, E. John

AU - Gonzales, Dario

AU - Hamilton, Robert W.

AU - Howland, Mary Ann

AU - Jacobson, Julius H.

AU - Kuehl, Alexander E.

PY - 1988

Y1 - 1988

N2 - In 1983 the North American Hyperbaric Center (affiliated with Bronx Municipal Hospital Center) was designated to provide Hyperbaric oxygen (HBO) for carbon monoxide (CO) patients meeting Emergency Medical System (EMS) criteria: 1. Unconscious or CNS derangement, any carboxyhemoglobin level ([COHb]); 2. [COHb] 25% or more; 3. Pregnant, any [COHb]. Through 1984, 39 CO patients received HBO; in 1985 81 were treated including 8 pregnant and 16 pediatric. CO sources were: fire, 43; heater, 21; engine, 17. 42 of 59 acute patients were initially in coma; 16 required CPR. Time to HBO averaged 4.5 hrs. Mean hospital [COHb] was 31% for acute, 28% for subacute/chronic, 15% for pregnant; mean maximum [COHb] was estimated: 51% for acute, 40% for subacute/chronic patients. Mean half life for [COHb] was 2.1 hrs. HBO typically was 46 min at 3ATA (2 [COHb] half lives), presented few problems, and gave rapid clinical improvement. 13 of 19 patients comatose before HBO were responsive after HBO (mean [COHb] was 1.8% Four pediatric deaths occurred; brain damage was noted in two other patients. EMS efforts to make HBO available for CO is a success.

AB - In 1983 the North American Hyperbaric Center (affiliated with Bronx Municipal Hospital Center) was designated to provide Hyperbaric oxygen (HBO) for carbon monoxide (CO) patients meeting Emergency Medical System (EMS) criteria: 1. Unconscious or CNS derangement, any carboxyhemoglobin level ([COHb]); 2. [COHb] 25% or more; 3. Pregnant, any [COHb]. Through 1984, 39 CO patients received HBO; in 1985 81 were treated including 8 pregnant and 16 pediatric. CO sources were: fire, 43; heater, 21; engine, 17. 42 of 59 acute patients were initially in coma; 16 required CPR. Time to HBO averaged 4.5 hrs. Mean hospital [COHb] was 31% for acute, 28% for subacute/chronic, 15% for pregnant; mean maximum [COHb] was estimated: 51% for acute, 40% for subacute/chronic patients. Mean half life for [COHb] was 2.1 hrs. HBO typically was 46 min at 3ATA (2 [COHb] half lives), presented few problems, and gave rapid clinical improvement. 13 of 19 patients comatose before HBO were responsive after HBO (mean [COHb] was 1.8% Four pediatric deaths occurred; brain damage was noted in two other patients. EMS efforts to make HBO available for CO is a success.

UR - http://www.scopus.com/inward/record.url?scp=0024259298&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024259298&partnerID=8YFLogxK

U2 - 10.3109/15563658809038559

DO - 10.3109/15563658809038559

M3 - Article

C2 - 3230596

AN - SCOPUS:0024259298

VL - 26

SP - 419

EP - 441

JO - Clinical Toxicology

JF - Clinical Toxicology

SN - 1556-3650

IS - 7

ER -