<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Carbon monoxide high affinity for haemoglobin and myoglobin resulting in a left-shift of the oxygen dissociation curve and tissue hypoxia. 50 deaths per year from accidental carbon monoxide poisoning in the UK Questions may hint at badly maintained housing e.g. student houses (2008 DoH guidelines) ''Features'' of carbon monoxide toxicity headache: 90% of cases nausea and vomiting: 50% vertigo: 50% confusion: 30% subjective weakness: 20% severe toxicity: 'pink' skin and mucosae, hyperpyrexia, arrhythmias, extrapyramidal features, coma, death ''Typical carboxyhaemoglobin levels'' < 3% non-smokers < 10% smokers 10 - 30% symptomatic: headache, vomiting > 30% severe toxicity ''Management'' 100% oxygen hyperbaric oxygen ''Indications for hyperbaric oxygen'' loss of consciousness at any point neurological signs other than headache myocardial ischaemia or arrhythmia pregnancy