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; John Gallagher; Dario Gonzales; Robert W. Hamilton; Mary Ann Howland; Julius H. Jacobson; Alexander E. Kuehl

doi:10.3109/15563658809038559

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, John Gallagher, Dario Gonzales, Robert W. Hamilton, Mary Ann Howland, Julius H. Jacobson, Alexander E. Kuehl

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

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 language	English (US)
Pages (from-to)	419-441
Number of pages	23
Journal	Clinical Toxicology
Volume	26
Issue number	7
DOIs	https://doi.org/10.3109/15563658809038559
State	Published - 1988
Externally published	Yes

ASJC Scopus subject areas

Toxicology

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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 John Gallagher 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)",

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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, 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.

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A registry for carbon monoxide poisoning in New york city

Abstract

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