A 40-year-old male is found unresponsive in a house with an open wood-burning stove in a poorly ventilated room. His COHb level (measured by a pre-hos...

Question

A 40-year-old male is found unresponsive in a house with an open wood-burning stove in a poorly ventilated room. His COHb level (measured by a pre-hospital co-oximeter) is 35%. He has had a seizure and is now GCS 8. Per guidelines, what level of care should this patient receive?

Accepted Answer

Emergency transfer to a hyperbaric oxygen facility - COHb >25% with neurological symptoms (seizure, coma) is an indication for hyperbaric oxygen therapy

Answer

No specific treatment - COHb of 35% is within normal limits

Answer

Administer hydroxocobalamin as a specific CO antidote

Answer

Transfer to the nearest hospital for standard oxygen therapy only

Answer

High-flow oxygen at the scene for 1 hour then discharge if improved

uk-dipimc MCQ (SBA): Severe CO Poisoning - HBO Therapy

A 40-year-old male is found unresponsive in a house with an open wood-burning stove in a poorly ventilated room. His COHb level (measured by a pre-hospital co-oximeter) is 35%. He has had a seizure and is now GCS 8. Per guidelines, what level of care should this patient receive?