Mass Casualty Triage in the Case of Carbon Monoxide Poisoning: Lessons Learned.

Details

Serval ID
serval:BIB_B610A0AC3C8E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Mass Casualty Triage in the Case of Carbon Monoxide Poisoning: Lessons Learned.
Journal
Disaster medicine and public health preparedness
Author(s)
Pasquier M., Dami F., Carron P.N., Yersin B., Pignel R., Hugli O.
ISSN
1938-744X (Electronic)
ISSN-L
1935-7893
Publication state
Published
Issued date
06/2018
Peer-reviewed
Oui
Volume
12
Number
3
Pages
373-378
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
ABSTRACTCarbon monoxide (CO) can cause mass intoxication, but no standard triage algorithm specifically addresses CO poisoning. The roles of some recent diagnostic tools in triage as well as treatment with hyperbaric oxygen are controversial. We describe a mass casualty case of CO poisoning involving 77 patients, with a focus on the triage and treatment options decided on-site. The reasons for choosing these options are reviewed, and the pitfalls that occurred and the lessons learned from this major incident are described. We discuss the potential to improve the management of such an event and strategies to accomplish this, including simplifying triage and administering oxygen to all exposed persons for 6 h. (Disaster Med Public Health Preparedness. 2018; 12: 373-378).
Keywords
Academic Medical Centers, Adolescent, Adult, Aged, Breath Tests/instrumentation, Breath Tests/methods, Carbon Monoxide/analysis, Carbon Monoxide Poisoning/diagnosis, Carbon Monoxide Poisoning/therapy, Child, Exhalation/physiology, Female, Humans, Hyperbaric Oxygenation/methods, Hyperbaric Oxygenation/statistics & numerical data, Male, Mass Casualty Incidents/statistics & numerical data, Middle Aged, Triage/methods, Triage/trends, carbon monoxide, hyperbaric chamber, intoxication, oxygen treatment, triage
Pubmed
Web of science
Create date
19/10/2017 8:44
Last modification date
20/08/2019 16:24
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