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Multiple Victims of Carbon Monoxide Poisoning in the Aftermath of a Wildfire: A Case Series

2018-04-07Journal article Open access
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dc.contributor.authorSantos, Luís Ramos dos
dc.contributor.authorAlves-Correia, Magna
dc.contributor.authorCâmara, Margarida
dc.contributor.authorLélis, Manuela
dc.contributor.authorCaldeira, Carmo
dc.contributor.authorBrazão, Maria da Luz
dc.contributor.authorNóbrega, José Júlio
dc.date.accessioned2018-08-01T11:10:11Z
dc.date.available2018-08-01T11:10:11Z
dc.date.issued2018-04-07
dc.description.abstractIntroduction: Carbon monoxide poisoning may occur in several contexts. Material and Methods: Retrospective of 37 carbon monoxide poisoning cases that underwent hyperbaric oxygen during wildfires in Funchal in August 2016. Results: The studied sample included 37 patients, mean age of 38 years, 78% males. Ten were firefighters, four children and two pregnant victims. Neurological symptoms were the most reported. Median carboxyhemoglobin level was 3.7% (IQR 2.7). All received high-flow oxygen from admission to delivery of hyperbaric oxygen. Persistence of symptoms was the main indication for hyperbaric oxygen. Median time to hyperbaric oxygen was 4.8 hours (IQR 9.5), at 2.5 ATA for 90 minutes, without major complications. Discharge in less than 24 hours occurred in 92% of the cases. Thirty days follow-up: five patients presented clinical symptoms of late neurological syndrome; twelve patients were lost to follow-up. Carboxyhemoglobin levels on admission and mean time to hyperbaric oxygen were no different between those who did and did not develop the syndrome at 30 days (p = 0.44 and p = 0.58, respectively). Discussion: Late neurological syndrome at 30 days occurred in 20% and no new cases were reported at 12 months. Conclusion: Use of hyperbaric oxygen appears to have reduced the incidence of the syndrome. This seems to be the first Portuguese series reporting use of hyperbaric oxygen in carbon monoxide poisoning due to wildfires. The authors intend to alert to the importance of referral of these patients because the indications and benefits of this treatment are well documented. This is especially important given the ever-growing issue of wildfires in Portugal.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSantos, L. R., Alves-Correia, M., Câmara, M., Lélis, M., Caldeira, C., da Luz Brazão, M., & Nóbrega, J. J. (2018). Multiple victims of carbon monoxide poisoning in the aftermath of a wildfire: a case series. Acta medica portuguesa, 31(3), 146-151.pt_PT
dc.identifier.doi10.20344/amp.9811pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/23531
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.subjectBrain Diseasespt_PT
dc.subjectCarbon Monoxide Poisoning
dc.subjectHyperbaric Oxygenation
dc.subjectHypoxia
dc.subjectBrain
dc.subjectPortugal
dc.subjectWildfires
dc.subjectEncefalopatias
dc.subjectHipóxia Cerebral
dc.subjectIncêndios Florestais
dc.subjectIntoxicação por Monóxido de carbono
dc.subjectOxigenação Hiperbárica
dc.titleMultiple Victims of Carbon Monoxide Poisoning in the Aftermath of a Wildfire: A Case Seriespt_PT
dc.title.alternativeCenário Multivitimas de Intoxicação por Monoxido de Carbono num incêndio Florestal: série de casospt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboapt_PT
oaire.citation.endPage151
oaire.citation.issue3pt_PT
oaire.citation.startPage146
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume31pt_PT
oaire.citation.volume31(3)
person.familyNameCorreia
person.givenNameMagna
person.identifier.ciencia-id8818-F868-CF51
person.identifier.orcid0000-0002-7676-5558
person.identifier.ridG-1136-2018
person.identifier.scopus-author-id57194440850
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4b4da492-e878-4c82-9114-05e6e78081d2
relation.isAuthorOfPublication.latestForDiscovery4b4da492-e878-4c82-9114-05e6e78081d2

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