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Carbon monoxide poisioning in pregnancy
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11/4/2013 at 7:20:24 PM GMT
Posts: 1
Carbon monoxide poisioning in pregnancy

Does anyone know of any consensus guidelines or other data that supports treating pregnant patients with CMP? I had a young woman at 18 weeks, non-smoker, with intermittent exposure over 2 days, headache, dizziness, nausea but resolved shortly before my eval in the ED, COHb 2.9%, BE -3.8, normal pH, normal PE, labs, EKG.  Any thoughts?

Pat Tibbles, MD



1/23/2014 at 3:34:17 PM GMT
Posts: 17

In a situation like this it best to give the treatment.  A concern is that a pregnant woman exposed to CO usually has a 10 to 15% lower level of COHb than does her fetus.  If your faciltiy doesn't have it already buy "HYPERBARIC MEDICINE PRACTICE" 3rd Edition by Eric Kinwall, MD & Harry Whelan, MD. This book is an abundance of information. 

 

Frank Steffich, CHT/Safety Director

Central Jersey Wound & Hyperbaric Treatment Center

901 West Main St

Freehold, NJ, 07728



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