Carbon Monoxide Poisoning Clinical Findings, Common Errors, And Early diagnose A prospective analysis of 2900 cases

摘要

Carbon Monoxide Poisoning (CMP) is one of the best documented indications for HBO, where many research has been done, and important experience has been cumulated from all the world. In spite of that,the general opinion of the medical community is not unanimous and it remains confused. Results are really encouraging, but some sceptical attitude about the role of hyperbaric oxygen (HBO) still remains among some hospitals in the area. Many of these attitudes can be explained by a lack of knowledge of the toxicology, pathophysiology and clinical pattern of this frequent inhaled intoxication. The majority of the cases in Catalonia happened within the domestic environment, so the role of primary assistance teams can be essential. However we have observed a large series of common errors, both in the primary assistance medical centres as well in the most important general hospitals, which being so repetitive can not be considered as casual. We have analyzed our series of near to 3000 cases of CMP received in our unit, and we are pointing out the most frequent and relevant errors.