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Carbon monoxide poisoning at a Florida Hospital following Hurricane Irma

Published:March 08, 2019DOI:https://doi.org/10.1016/j.ajem.2019.03.009
      Carbon monoxide (CO) poisoning following natural disasters has proven to be a significant source of morbidity and mortality [
      • Henretig F.
      • Calello D.
      • Burns M.
      • et al.
      Predictable, preventable, and deadly: epidemic carbon monoxide poisoning after storms.
      ]. Hurricanes precipitate disruptions to the power grid and gas-powered generators are implicated as a common source of CO exposure [
      • Henretig F.
      • Calello D.
      • Burns M.
      • et al.
      Predictable, preventable, and deadly: epidemic carbon monoxide poisoning after storms.
      ]. CO toxicity itself can result in nonspecific symptoms, requiring heightened suspicion in the emergency department [
      • Wolf S.
      • Maloney G.
      • Shih R.
      • et al.
      Clinical policy for critical issues in the evaluation and management of adult patients presenting to the emergency department with acute carbon monoxide poisoning.
      ].
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      References

        • Henretig F.
        • Calello D.
        • Burns M.
        • et al.
        Predictable, preventable, and deadly: epidemic carbon monoxide poisoning after storms.
        Am J Public Health. 2018; 108: 1320-1321https://doi.org/10.2105/AJPH.2018.304619
        • Wolf S.
        • Maloney G.
        • Shih R.
        • et al.
        Clinical policy for critical issues in the evaluation and management of adult patients presenting to the emergency department with acute carbon monoxide poisoning.
        Ann Emerg Med. 2017; 69: 98-107https://doi.org/10.1016/j.annemergmed.2016.11.003
        • Centers for Disease Control and Prevention
        Carbon monoxide exposures after Hurricane Ike-Texas.
        September 2008 MMWR Morb Mortal Wkly Rep. 2009; 58: 845-849https://doi.org/10.1001/dmp.2011.8
        • Centers for Disease Control and Prevention
        Carbon monoxide poisoning after Hurricane Katrina-Alabama, Louisiana, and Mississippi, august–September 2005.
        MMWR Morb Mortal Wkly Rep. 2005; 54: 996-998
        • Centers for Disease Control and Prevention
        Carbon monoxide poisonings after two major hurricanes - Alabama and Texas, August-October 2005.
        MMWR Morb Mortal Wkly Rep. 2006; 55: 236-239
        • Centers for Disease Control and Prevention
        Carbon monoxide poisoning from hurricane-associated use of portable generators - Florida.
        2004 MMWR Morb Mortal Wkly Rep. 2005; 54: 697-700https://doi.org/10.1001/jama.294.12.1482
        • Center for Disease Control and Prevention
        Notes from the field: carbon monoxide exposures reported to poison centers and related to Hurricane Sandy. Northeastern United States, 2012.
        JAMA. 2012; 308: 2560https://doi.org/10.1001/jama.2012.114538
        • Becker A.
        • Dark T.
        Mason T et al. 2005 hurricane surveillance: measures to reduce carbon monoxide poisoning in all Floridians.
        J Environ Health. 2012; 74: 16-21
        • Chen B.C.
        • Shawn L.K.
        • Connors N.J.
        • et al.
        Carbon monoxide exposures in new York City following Hurricane Sandy in 2012.
        Clin Toxicol. 2013; 51: 879-885https://doi.org/10.3109/15563650.2013.839030
        • Sickle D.V.
        • Chertow D.S.
        • Schulte J.M.
        • et al.
        Carbon monoxide poisoning in Florida during the 2004 Hurricane Season.
        Am J Prev Med. 2007; 32: 340-346https://doi.org/10.1016/j.amepre.2006.12.013
        • Schnall A.
        • Law R.
        • Heinzerling A.
        Characterization of carbon monoxide exposure during Hurricane Sandy and subsequent Nor'easter.
        Disaster Med Public Health Prep. 2017; 11: 562-567https://doi.org/10.1017/dmp.2016.203
        • Fife C.E.
        • Smith L.A.
        • Maus E.A.
        • et al.
        Dying to play video games: carbon monoxide poisoning from electrical generators used after Hurricane Ike.
        Pediatrics. 2019; 123: 1035-1038https://doi.org/10.1542/peds.2008-3273
      1. Centers for Disease Control and Prevention. Carbon monoxide poisoning 2014 case definition. https://wwwn.cdc.gov/nndss/conditions/carbon-monoxide-poisoning/case-definition/2014/http://www.jstor.org/stable/23319120. [Accessed December 07, 2017].

        • Hampson N.B.
        US mortality from carbon monoxide poisoning 1999-2014: accidental and intentional deaths.
        Ann Am Thorac Soc. 2016; 13: 1768-1774https://doi.org/10.1513/annalsats.201604-318oc