First aid and care of carbon monoxide poisoning.docVIP

 PAGE \* MERGEFORMAT 6 First aid and care of carbon monoxide poisoning [Keywords] carbon monoxide Carbon monoxide (CO into the body through the respiratory tract, and hemoglobin as carboxyhemoglobin, loss of oxygen-carrying capacity. CO and hemoglobin oxygen affinity of hemoglobin affinity than the big 250 to 300 times, and the dissociation rate of oxygen and hemoglobin of 1 / 3 600, which allows tissue hypoxia, the oxygen away from the curve to the left, severe hypoxia, central nervous first of all involved, severe cases of cerebral edema, secondary to cerebral vascular disease, hypoxic encephalopathy and the formation of CO poisoning or sequelae delayed encephalopathy, myocardial damage and various types of arrhythmia [1]. mild CO poisoning may present with headache, dizziness, insomnia, blurred vision, tinnitus, nausea, vomiting, malaise, tachycardia, syncope short ; moderate symptoms of CO poisoning were heavier than the above, the lips, nails, skin, mucosa of cherry red, sweating, blood pressure first and then decreased, heart rate acceleration, cardiac arrhythmia, irritable, and quick access to a coma. now I Division from October 2005 to November 2007 were 80 cases of CO poisoning rescue and care are summarized below. 1 Guidelines for First Aid 80 patients 30 patients in the conscious, unconscious, 50 patients underwent head CT HbCO determination and diagnosis. 1.1 The admissions process will put patients to fresh air, good ventilation consulting room, loosen clothes. Poisoning occurred in the winter to keep warm, to prevent exposure to cold causes a cold, and pneumonia. Heart rate, respiratory arrest and cardiopulmonary resuscitation to immediately (CPR). 1.2 to correct hypoxia to maintain airway patency, the timely removal of oral and nasal secretions and vomitus, to spontaneous breathing. For those with artificial respiration to stop breathing until spontaneous respiration until the patient can be. Conditions should be early (4 hour