Carbon Monoxide Poisoning

Carbon Monoxide Poisoning

Topic Overview

What is carbon monoxide poisoning?

Carbon monoxide poisoning happens when you breathe too much carbon monoxide. Carbon monoxide is a gas produced by burning any type of fuel—gas, oil, kerosene, wood, or charcoal. What makes this gas so dangerous is that when you breathe it, it replaces the oxygen in your blood . Without oxygen, cells throughout the body die, and the organs stop working.

You can't see, smell, or taste carbon monoxide. But if you breathe too much of it, it can become deadly within minutes. So be sure you know the signs of carbon monoxide poisoning, what to do if you have the symptoms, and how to keep it from happening.

What causes carbon monoxide poisoning?

Carbon monoxide can come from any source that burns fuel. Common sources are cars, fireplaces, powerboats, woodstoves, kerosene space heaters, charcoal grills, and gas appliances such as water heaters, ovens, and dryers. Usually they cause no problems. Trouble comes when:

  • Cars, trucks, or other engines are left running in enclosed spaces, such as garages. Carbon monoxide can build up in a garage and leak back into the house. Even sitting in an idling car in an open garage or swimming behind an idling boat can be dangerous.
  • Fuel-burning appliances are not installed or used properly. Dangerous levels of carbon monoxide can build up inside houses and other buildings.
  • Fuel-burning heating systems and appliances are used during cold weather, when doors and windows are closed. Chimneys in older buildings become blocked and release fumes into the homes or offices. Newer houses that are well insulated and tightly sealed can trap carbon monoxide inside.

What are the symptoms?

Early symptoms of carbon monoxide poisoning include:

  • Headache.
  • Dizziness.
  • Nausea.

As carbon monoxide builds up in your blood , symptoms get worse and may include:

  • Confusion and drowsiness.
  • Fast breathing, fast heartbeat, or chest pain..
  • Vision problems.
  • Seizures.

If you have symptoms that you think could be caused by carbon monoxide poisoning, leave the area right away, and call 911 or go to the emergency room. If you keep breathing the fumes, you may pass out and die.

Carbon monoxide poisoning can occur suddenly or over a long period of time. Breathing low levels of carbon monoxide over a long period can cause severe heart problems and brain damage. See a doctor if:

  • You often are short of breath and have mild nausea and headaches when you are indoors.
  • You feel better when you leave the building and worse when you return.
  • Other people you work or live with have the same symptoms you do.

How is carbon monoxide poisoning diagnosed?

It can be hard to know if you have carbon monoxide poisoning. The same symptoms can be caused by flu or other problems. In the winter months, doctors may suspect carbon monoxide poisoning in people who complain of severe headache, nausea, or dizziness. This is especially true if other household members or coworkers have the same symptoms. Even pets in the home may get sick.

If your doctor suspects carbon monoxide poisoning, he or she can order a blood test that measures the amount of carbon monoxide in your blood. You may have other blood tests to check your overall health and to look for problems caused by carbon monoxide.

How is it treated?

The best treatment is oxygen therapy. Breathing pure oxygen can bring the oxygen level in the blood back to normal. There are two kinds of oxygen therapy:

  • 100% oxygen therapy. For this treatment, you breathe oxygen through a mask. This is the most common treatment.
  • Hyperbaric oxygen therapy. For this treatment, you lie inside a chamber that delivers oxygen under high pressure. This quickly reduces carbon monoxide levels in the blood.

With quick treatment, most people recover within a few days. But long-term problems can show up later. Be sure to tell your doctor about any changes in vision, coordination, or behavior that occur in the weeks after treatment.

How can you prevent carbon monoxide poisoning?

Many people die every year from accidental carbon monoxide poisoning. There are some easy steps you can take to reduce your risk. One of the most important is to see a doctor right away if you think you have symptoms.

Safe use of vehicles
  • Do not leave your car running in the garage, even if the garage door is open.
  • Do not ride in the back of a pickup truck with a camper shell.
  • Do not swim behind an idling boat.
Safe use of fuel-burning tools and appliances
  • Have all fuel-burning appliances (such as oil or gas heaters, stoves, water heaters, and space heaters, fireplaces, and woodstoves) inspected each year.
  • Check chimneys, flues, and vents regularly to make sure they are in good shape, properly connected, and not blocked.
  • Never use a kerosene or propane heater in an enclosed area, such as a camper, motor home, trailer, or tent.
  • Never use a gas or charcoal grill indoors.
  • Never use a gas oven to heat your home.
  • Do not close a fireplace or stove damper before the fire is completely out.
  • Do not use gas-powered generators, lawn equipment, or engines in enclosed areas.
Carbon monoxide detectors
  • Consider putting carbon monoxide detectors in your home near sleeping areas. Look for ones endorsed by Underwriters Laboratory (UL).
  • If you install a detector, follow the directions closely. Know what to do if the alarm sounds.
  • Understand that carbon monoxide detectors are a backup safety measure. They do not replace the need to check appliances regularly and use them safely.

Frequently Asked Questions

Learning about carbon monoxide poisoning:

Being diagnosed:

Getting treatment:

Preventing carbon monoxide poisoning:

Other Places To Get Help

Organizations

KidsHealth for Parents, Children, and Teens
Nemours Home Office
10140 Centurion Parkway
Jacksonville, FL 32256
Phone: (904) 697-4100
Web Address: www.kidshealth.org
 

This website is sponsored by the Nemours Foundation. It has a wide range of information about children's health—from allergies and diseases to normal growth and development (birth to adolescence). This website offers separate areas for kids, teens, and parents, each providing age-appropriate information that the child or parent can understand. You can sign up to get weekly emails about your area of interest.



National Library of Medicine: ToxTown
8600 Rockville Pike
Bethesda, MD  20894
Phone: 1-888-FIND-NLM (1-888-346-3656)
Email: tehip@teh.nlm.nih.gov
Web Address: http://toxtown.nlm.nih.gov
 

The ToxTown website gives you information about toxic chemicals and environmental health risks that you might encounter in everyday life. It provides facts on everyday places where toxic chemicals may be found, and it gives information about how the environment can affect health. ToxTown includes common environmental hazards in towns, cities, farms, and U.S.-Mexico border communities. The site is interactive and very user-friendly. You click on simple graphics to be directed to specific information that you are interested in learning about.



U.S. Consumer Product Safety Commission
4330 East West Highway
Bethesda, MD 20814
Phone: 1-800-638-2772 consumer hotline

(301) 504-7923
TDD: (301) 595-7054
Web Address: www.cpsc.gov
 

The Consumer Product Safety Commission (CPSC) is an independent federal regulatory agency. CPSC seeks to protect consumers and families from dangerous products that can injure people, especially children. CPSC develops safety standards and informs the public about product hazards and recalls. You can call their toll-free number or email them to report unsafe products.



U.S. Environmental Protection Agency (EPA)
Ariel Rios Building
1200 Pennsylvania Avenue NW
Washington, DC  20460
Phone: (202) 272-0167
Email: library-hq@epa.gov
Web Address: www.epa.gov
 

The EPA's mission is to protect human health and safeguard the natural environment—air, water, and land—upon which life depends. It provides educational tools about environmental issues affecting health including pesticides, radon, water quality, mold, asbestos, and hazardous waste. The EPA website also provides contact information for hotlines and clearinghouses, and it contains a special section (www.epa.gov/epawaste/education/teens) with resources and games for teenagers.



U.S. National Center for Environmental Health (NCEH)
Phone: 1-888-422-8737
Web Address: www.cdc.gov/nceh
 

The National Center for Environmental Health is sponsored by the U.S. Centers for Disease Control and Prevention (CDC). The Center works to maintain and improve the health of the American people by promoting a healthy environment and by preventing premature death and avoidable illness and disability caused by environmental and related factors.



References

Other Works Consulted

  • Olsen KR (2012). Poisoning. In SJ McPhee, MA Papadakis, eds., 2012 Current Medical Diagnosis and Treatment, 51st ed., pp. 1518–1547. New York: McGraw-Hill Medical.
  • Smollin C, Olson K (2010). Carbon monoxide poisoning (acute), search date June 2010. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.
  • Wiegand TJ, et al. (2008). Carbon monoxide section of Management of poisoning and drug overdose. In EG Nabel, ed., ACP Medicine, section 8, chap. 1. Hamilton, ON: BC Decker.

Credits

ByHealthwise Staff
Primary Medical ReviewerAnne C. Poinier, MD - Internal Medicine
Specialist Medical ReviewerR. Steven Tharratt, MD, MPVM, FACP, FCCP - Pulmonology, Critical Care Medicine, Medical Toxicology
Last RevisedMarch 1, 2012

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