Carbon Monoxide Poisoning.

A 5-year-old boy is brought to the ED by paramedics after being rescued from an apartment fire. The boy was found unconscious in his bed. His room was filled with thick smoke. He will need to be treated as a trauma patient, including intubation for airway protection, treated for potential cyanide poisoning and severe CO toxicity with transfer to HBO chamber.

Goals and Objectives

Objectives (Medical and CRM):

• To understand the unique aspects of CO poisoning in children.
• To consider co-morbidities associated with CO poisoning including rhabdomyolysis, multi-system trauma, and cyanide poisoning.
• To discuss priorities in management of CO poisoning including oxygen therapy and reducing oxygen consumption.
• To understand indications of HBO treatment in children.