Abstract
Introduction/Aim Carbon monoxide (CO) is a gas produced by incomplete combustion of carbon compounds and is a leading cause of poising throughout the world. The objective of this paper is to analyze 5 cases of acute carbon monoxide poisoning in petroleum industry workers, occupying a shared accommodation and to present diagnostic, therapeutic and preventive measures. Case report the workers had to be treated by the emergency medical service during the night for health problems arising from carbon monoxide inhalation from a faulty installation. Venous blood samples were collected to measure the concentration of carboxyhemoglobin (COHb) and gas analyses were done upon admission and 120 minutes later. They were treated with parenteral therapy and oxygen by mask, and they made a complete recovery. Conclusion Faulty installation of a gas-powered heating system caused acute carbon monoxide poisoning in 5 people occupying the space. After 120 minutes in a closed environment, the carbon monoxide concentration was high enough to cause a significant increase of COHb in the venous blood. Prompt diagnosis and adequate therapy are crucial to ensure a favorable treatment outcome. Preventive measures, such as educating workers and introducing health and safety measures into the work environment are extremely important in preventing accidents such as these.
Highlights
a gas produced by incomplete combustion of carbon compounds
Case report The workers had to be treated by the emergency medical service during the night
for health problems arising from carbon monoxide inhalation from a faulty installation
Summary
Sonja PERIČEVIĆ MEDIĆ1,2, Jovana LJUJIĆ3, Ivan MIKOV1,4, Milorad ŠPANOVIĆ1,2, Slađana SAKAČ4. Uvod/cilj Ugljen monoksid (CO) je gas koji nastaje nepotpunim sagorevanjem ugljenikovih jedinjenja, i vodeći je uzrok trovanja u svetu. Zaključak: Neispravne instalacije gasnog sistema za grejanje su dovele do akutnog trovanja radnika ugljen monoksidom. Nakon 120 minuta boravka u zatvorenom prostoru, koncentracija CO bila je dovoljno visoka da dovede do značajnog nivoa COHb u venskoj krvi. Ugljen monoksid (CO) je gas bez boje, mirisa i ukusa, koji nastaje nepotpunim sagorevanjem goriva koja sadrže ugljenik u nekim industrijskim, i biološkim procesima [1]. Toksičnost CO se manifestuje kao rezultat tkivne i ćelijske hipoksije, i izaziva klinički vidljive znakove i simptome, ukoliko je COHb veći od 10-20% [4]. Poremećaji su isti bez obzira na izvor CO (izloženost u zatvorenom ili otvorenom prostoru, kao i kod opekotina nakon udisanja dima)
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