TY  - JOUR
PY  - 2016//
TI  - Managing a mass CO poisoning: critical issues and solutions from the field to the hyperbaric chamber
JO  - Disaster medicine and public health preparedness
A1  - Valerio, Adriano
A1  - Verzè, Matteo
A1  - Marchiori, Francesco
A1  - Rucci, Igor
A1  - De Santis, Lucia
A1  - Aprili, Irene
A1  - Antolini, Lucia
A1  - Sannino, Anna
A1  - Canello, Alessia
A1  - Checchin, Enrico
A1  - Mazzola, Francesca
A1  - Ferrari, Sara
A1  - Garon, Marta
A1  - Schonsberg, Alberto
A1  - Tardivo, Stefano
SP  - 251
EP  - 255
VL  - 11
IS  - 2
N2  - Carbon monoxide acute intoxication is a common cause of accidental poisoning in industrialized countries and sometimes it produces a real mass casualty incident. The incident described here occurred in a church in the province of Verona, when a group of people was exposed to carbon monoxide due to a heating system malfunction. Fifty-seven people went to the Emergency Department. The mean carboxyhemoglobin (COHb) level was 10.1±5.7% (range: 3-25%). The clinicians, after medical examination, decided to move 37 patients to hyperbaric chambers for hyperbaric oxygen (HBO) therapy. This is the first case report that highlights and analyses the logistic difficulties of managing a mass carbon monoxide poisoning in different health care settings, with a high influx of patients in an Emergency Department and a complex liaison between emergency services. This article shows how it is possible to manage a complex situation with good outcome. (Disaster Med Public Health Preparedness. 2016;page 1 of 5).<p />  <p>Language: en</p>
LA  - en
SN  - 1935-7893
UR  - http://dx.doi.org/10.1017/dmp.2016.112
ID  - ref1
ER  -