PhD Consultant Nurse for Emergency Care, Emergency Department, King's College Hospital, NHS Foundation Trust.
Br J Community Nurs. 2024 Nov 2;29(11):540-544. doi: 10.12968/bjcn.2024.0045.
Carbon monoxide is a colourless, tasteless and odourless gas that is a by-product of incomplete combustion of hydrocarbons such as gas or coal. Carbon monoxide poisoning is associated with high levels of mortality and morbidity, although the symptoms of exposure are non-specific and difficult to diagnose. Historically, healthcare professionals who work directly in service users' homes have faced a higher risk of exposure to environments contaminated with carbon monoxide. Despite improved heating engineering and greater protective legislation, there still remains a tangible risk for community nurses and service users, particularly in homes still using open fires, old heating systems and poorly maintained heating appliances. This article provides a scientific summary of carbon monoxide poisoning for nurses working in the community setting. It outlines evidence-based guidance on prevention and initial treatment actions, along with safety instructions to follow in the event of exposure to carbon monoxide.
一氧化碳是一种无色、无味、无臭的气体,是碳氢化合物(如天然气或煤)不完全燃烧的副产品。一氧化碳中毒与高死亡率和高发病率有关,尽管暴露的症状是非特异性的,难以诊断。从历史上看,直接在服务用户家中工作的医疗保健专业人员面临着更高的暴露于被一氧化碳污染的环境的风险。尽管供暖工程有所改善,保护立法也有所增加,但社区护士和服务用户仍然面临着切实的风险,特别是在仍使用明火、旧供暖系统和维护不善的供暖设备的家庭中。本文为在社区环境中工作的护士提供了关于一氧化碳中毒的科学总结。它概述了基于证据的预防和初始治疗措施的指导,以及在接触一氧化碳时应遵循的安全说明。