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Protect You and Your Family
from Carbon Monoxide Poisoning
Fatigue; carbon monoxide; CO detectors

    November 2001

Winter is upon us, and that means heating systems are running—creating a potentially life-threatening condition that many people ignore until it’s too late. The condition is carbon monoxide poisoning, which injures more than 10,000 people a year and kills more than 5,000 a year.

What is carbon monoxide?

Carbon monoxide (CO) is a colorless, odorless gas that is produced when a fuel—such as gas, oil, kerosene, charcoal, or wood—is burned. Carbon monoxide can be found all around you—in cellars, sewers, industrial plants and fires. Carbon monoxide poisoning can occur from exposure to burning coal, oil, wood, gas stoves and ovens, kerosene or propane heaters and furnaces, water heaters, automobiles, construction tools, gasoline generators, fire and more.

How does carbon monoxide enter the body?

Carbon monoxide is released into the air we breathe and can reach dangerously high levels. When it is inhaled, it enters the bloodstream and attaches to a blood cell protein called hemoglobin. Hemoglobin carries oxygen from the lungs to where it is needed. When carbon monoxide attaches to the blood cells, they are unable to carry oxygen to the rest of the body.

What are the possible effects of carbon monoxide poisoning?

Carbon monoxide in your body can be deadly. This can happen when the gas is absorbed over a short time in a closed setting, such as a garage or automobile. It can also be fatal if small amounts of carbon monoxide are inhaled over a long time, which can cause permanent organ and brain damage, particularly in children, the elderly and persons with heart disease.

What are the symptoms of carbon monoxide poisoning?

Symptoms of possible carbon monoxide poisoning can include:

  • fatigue
  • nausea and vomiting
  • shortness of breath
  • headache, confusion
  • dizziness
  • chest pain, irregular heartbeat
  • muscle weakness
  • convulsions
  • unconsciousness, coma.

How can I protect myself from carbon monoxide poisoning?

"The best protection against carbon monoxide poisoning is to have a working CO detector in your home, and to know the symptoms of CO poisoning," says Laurie Gesell, M.D., director of The Center for Hyperbaric Medicine at The University Hospital. Dr. Gesell also recommends the following: 

  • Use appliances correctly and have them inspected periodically.
  • Maintain good ventilation before using gas-powered engines (such as snow-blowers) or chemicals (such as paint remover).
  • Have chimneys checked to be sure the flue is open and connected properly.
  • Don’t leave a car idling inside a garage.
  • Don’t sleep in a room with a gas or kerosene space heater if it is not properly vented.

How is severe carbon monoxide poisoning treated?

"People with severe carbon monoxide poisoning should be treated in a hyperbaric chamber," says Dr. Gesell. "Hyperbaric oxygen therapy can save your life and prevent permanent injury from the poisoning. During treatment, patients are placed in an airtight chamber and exposed to a pressurized atmosphere filled with 100 percent oxygen, which can increase oxygen levels more than 20 times the normal amount." The Center for Hyperbaric Medicine at The University Hospital is the only center of its kind in the Greater Cincinnati Tristate area.

If you ever suspect a carbon monoxide problem in your home, get everyone outside for fresh air, and call 911. Prompt medical treatment is needed for anyone suspected of having carbon monoxide poisoning.

Sources:  Drug and Poison Information Center of the Children’s Hospital Medical Center, Cincinnati and Chimney Safety Institute of America

Emergency Services
at the Health Alliance of Greater Cincinnati

When seconds count . . . Count on us

The Health Alliance hospitals, Christ, University, St. Luke, Jewish and Fort Hamilton, are dedicated to providing our community with emergency services of the highest quality. We offer many of the most experienced and most trusted emergency care specialists—doctors, trauma surgeons, paramedics, nurses, social workers and other staff. Our experienced staff members are experts in every type of urgent care, from minor cuts to severe trauma.

The Christ Hospital in Mt. Auburn is a Level II emergency facility, handling most medical, obstetric and traumatic emergencies. The emergency room specializes in adult cardiac and complex internal medicine care.

The University Hospital in Clifton is the only verified Level I trauma center in the area that treats adult patients. To receive trauma verification, hospitals must meet rigorous national standards and have the capability of handling complex multi-system trauma. The University Hospital is also home to the area’s only center for hyperbaric oxygen therapy. The Center for Hyperbaric Medicine is available 24 hours a day for the treatment of many conditions, including carbon monoxide poisoning. Additional services include a Rapid Diagnosis and Treatment Center for patients who require extended emergency care; a Heart ER program; and a multidisciplinary team of professionals who evaluate psychiatric emergencies.

The University Hospital also offers Air Care, the area’s only dedicated helicopter ambulance service. Our Air Care helicopters deliver superior care while saving precious seconds that often mean the difference between life and death. Since 1984, Air Care has provided more than 17,000 life-saving transports to patients within a 150-mile radius of Cincinnati and beyond.

St. Luke Hospital East in Fort Thomas and St. Luke Hospital West in Florence are full service emergency facilities dedicated to serving the communities of Northern Kentucky. At St. Luke West, the Pediatric Urgent Care Center provides immediate medical care to children when their doctors’ offices are closed. The center is open daily between 4 and 11 p.m.

Serving Cincinnati’s Northeast suburbs, The Jewish Hospital in Kenwood offers a full service emergency department that treats patients of all ages.

The Fort Hamilton Hospital in Hamilton is a full-service facility that is expanding to accommodate additional patients. It includes a fast track area that treats most minor injuries within one hour.

The University Hospital, The St. Luke Hospitals and The Fort Hamilton Hospital also offer a special program called SANE (Sexual Assault Nurse Examiner) for survivors of sexual assault. Specially trained nurses in these emergency departments provide comprehensive, compassionate care for victims of sexual assault. In addition, they provide evidence to prosecutors and law enforcement officials to assist in the arrest and prosecution of sexual assault criminals.

 For more information about the Health Alliance’s emergency services, please call one of our hospitals:

The Christ Hospital
2139 Auburn Avenue
Cincinnati, OH 45219
513-585-2235
The University Hospital
234 Goodman Street
Cincinnati, OH 45219
513-584-1000
St. Luke Hospital East
85 North Grand Avenue
Ft. Thomas, KY 41075
859-572-3151
St. Luke Hospital West
7380 Turfway Rd.
Florence, KY 41042
859- 962-5482
The Jewish Hospital
4777 E. Galbraith Rd.
Cincinnati, OH 45236
513-686-3204
The Fort Hamilton Hospital
630 Eaton Avenue
Hamilton, OH 45013
513-867-2266
FYI Links:

More on carbon monoxide poisoning

This site provides even more information.
 

Careful when camping

This from the Consumer Products Safety Commission.
 
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Prevention checklist

The CDC can help you eliminate the risk of carbon monoxide poisoning.
 

Find A Physician  1-888-749-DRDR

Alliance Laboratory Services

 


 

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Updated 12/06/05
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