sexta-feira, 24 de fevereiro de 2012

Dr. Smith's ECG Blog: carbon monoxide poisoning

(sobre a intoxicação por Monóxido de Carbono)


Dr. Smith's ECG Blog: Anterior ST elevation: is it STEMI?: A 31 year old healthy auto mechanic had a prolonged exposure to Carbon Monoxide in his garage and presented with blunted level of consciousness and chest pain.  There were others who were also affected.

I requested a transfer so that he could undergo immediate hyperbaric oxygen therapy at our hospital.  After the ambulance left the other hospital, the physician called to state that the patient was having an anterior STEMI with "tombstones."

The CO level returned at 14, so I knew that any STEMI would be due to simultaneous and incidental acute coronary thrombosis, NOT due to the CO toxicity.  I asked him to immediately fax the ECG (...)

Sem comentários:

Enviar um comentário