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EMR
EMT
AEMT
Paramedic
Extended
Carbon Monoxide Poisoning
Carbon Monoxide Poisoning
Universal Patient Assessment
Remove from environment
Remove contaminated clothing
COHb > 14%
or bystanders level >14%
Supportive Care
Follow appropriate protocol
Determine CO
RAD 57, LP15,
MicroCO
Helicopter to facility with
hyperbaric chamber
COHb > 40%?
Adult Airway Protocol
Cardiac Monitor
Adult IV/IO
If CO from fire exposure
Go to
Smoke Inhalation /
Cyanide Protocol
Yes
Yes
No
No
Known or suspected pregnancy?
Yes
Yes
No
Local Hyperbaric
Chambers for CO
Not all hyperbaric
chambers are appropriate
Consider:
SEMC
UPMC