A Case of Carbon Monoxide Poisoning Leading to NSTEMI
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Carbon monoxide exposure is one of the most frequent poisonings in the world. Its symptoms may be as subtle as headache and nausea in mild cases to rapidly lethal in a significant exposure. Additionally, the diagnosis can be difficult to make, especially in mild cases, as the carboxyhemoglobin level may be normal by the time the patient is evaluated in the emergency department (ED). ACEP recently changed its guidelines on diagnosing and treating carbon monoxide poisoning. Notably, the guidelines recommend adding an EKG and troponin levels to identify acute myocardial injury, which can predict poor outcome (level B evidence). This modification may help to more accurately capture severe poisonings in need of hyperbaric oxygen therapy. In this review, I present a case of carbon monoxide poisoning which exemplifies important markers of severity.
Upcoming Events in Undersea and Hyperbaric Medicine!!
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There is a lot going on. Don’t forget to attend the ACEP UHM Section Meeting on Thursday, June 29th, at 11:00 am in Mangrove E, if you are at the Undersea and Hyperbaric Medical Society’s Annual Scientific Meeting this June. Additionally, there are many regional, national, and international meetings that might pique your interest. Below are just a few:
Undersea and Hyperbaric Medical Society (UHMS) Annual Scientific Meeting
June 29–July 1, 2017
UHMS 2017 Gulf Coast Chapter Meeting
August 25-26, 2017
UHMS 2017 Midwest Chapter Meeting
September 16–17, 2017
St. Louis, Missouri
Please Submit Articles to the ACEP UHM Section Newsletter
The newsletter is accepting submissions for interesting case reports, editorials, updates, and news in the world of diving and hyperbaric medicine. Please send all submissions to Stephen Hendriksen.Read More »