Indications for Hyperbaric O2 therapy in CO poisoning - NEPAL 40
Neurological toxicity (the most indicative being cerebellar symptoms)
ECG changes (the need for DCCV or Defib is a relative C/I to hyperbaric O2)
PregnAncy
Loss of consciousness
>40% CO-Hb
Symptoms of Lead Toxicity - LEAD (kudos to Esben Vogelius)
Lines across gums (Burton's Lines - poor dentition is usually a prerequisite for this sign, so rarer in children)
Erythrocyte stippling (also Sideroblastic anemia)
Abdominal pain
Drop, foot or wrist (Lead neuropathy is largely motor)
also, don't forget to look for neurodevelopmental symptoms
Tuesday, December 15, 2009
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