For suspected carbon monoxide poisoning, what transport consideration is noted?

• A. Consider transport to a facility with a hyperbaric chamber, especially if unconscious or pregnant
• B. Avoid hyperbaric treatment
• C. Transport to any nearby clinic
• D. Do not transport

Answer: (A)

Suspected carbon monoxide poisoning is best managed by getting the patient to a facility equipped for hyperbaric oxygen therapy as soon as possible, especially when the patient is unconscious or pregnant. Hyperbaric oxygen speeds up the removal of carbon monoxide from hemoglobin and increases oxygen delivery to tissues, which lowers the risk of serious neurologic injury and fetal hypoxia. That’s why transport to a hyperbaric-capable center is the correct course. Administer 100% oxygen now and arrange rapid transfer; if a hyperbaric facility isn’t immediately reachable, proceed to the nearest capable center and continue rapid transfer. Transport to a clinic without hyperbaric capability or not transporting at all does not provide the needed therapy and can worsen outcomes.