Emergency carbon monoxide poisoning therapy for petroleum industry workers

Abstract

Introduction/Aim Carbon monoxide (CO) is a gas produced by incomplete combustion of carbon compounds and is a leading cause of poising throughout the world. The objective of this paper is to analyze 5 cases of acute carbon monoxide poisoning in petroleum industry workers, occupying a shared accommodation and to present diagnostic, therapeutic and preventive measures. Case report the workers had to be treated by the emergency medical service during the night for health problems arising from carbon monoxide inhalation from a faulty installation. Venous blood samples were collected to measure the concentration of carboxyhemoglobin (COHb) and gas analyses were done upon admission and 120 minutes later. They were treated with parenteral therapy and oxygen by mask, and they made a complete recovery. Conclusion Faulty installation of a gas-powered heating system caused acute carbon monoxide poisoning in 5 people occupying the space. After 120 minutes in a closed environment, the carbon monoxide concentration was high enough to cause a significant increase of COHb in the venous blood. Prompt diagnosis and adequate therapy are crucial to ensure a favorable treatment outcome. Preventive measures, such as educating workers and introducing health and safety measures into the work environment are extremely important in preventing accidents such as these.

General principals of emergency poisoning treatment in the general practice office: Challenges and obstacles

“…U istim slučajevima se može primeniti i ispiranje želuca. Trovanje gasovima 7 podrazumeva primenu aktivnog kiseonika, bronhodilatora i kortikosteroida. Sedativno-hipnotički, antiholinergički, holinergički, simpatomimetski i opijatni sindrom kod trovanja lekovima 8 je neophodno prepoznati na primarnom nivou zdravstvene zaštite kako bi se pravilno zbrinuo pacijent i primenio odgovarajući protivotrov.…”

“…In the same cases, stomach lavage may be performed. Gas poisoning treatment 7 includes the application of active oxygen, brochodilators, and corticosteroids. Sedative-hypnotic, anticholinergic, cholinergic, sympathomimetic, and opiate syndrome in medication poisoning 8 is necessary to identify at the primary healthcare level to take care of the patient properly and use an adequate antidote.…”