Carbon Monoxide Poisoning
Courtney Carter
/ Categories: WELLNESS, 2024

Carbon Monoxide Poisoning

You can’t see it, you can’t smell it, but you can prevent it

An odorless, tasteless, colorless gas, carbon monoxide (CO) is a potentially deadly danger that may be in your home right now.

A byproduct of burning fossil fuels, CO can quickly build up in poorly ventilated spaces. Common sources of CO in the home include:

  • Furnaces and gas heaters

  • Kerosene heaters

  • Fireplaces and wood stoves

  • Gas stoves and ovens

  • Portable generators

With the increased use of heating sources in winter and the sealing of doors and windows to keep out winter’s chill, the risk of increased CO levels in the home increases.

When breathed in by people or animals, CO builds up in the blood replacing oxygen in red blood cells. This can lead to serious tissue damage and, as noted, death.

Symptoms of CO poisoning vary based on the level and length of exposure.

Mild symptoms are commonly mistaken for the flu and include:

  • Headache

  • Fatigue

  • Shortness of breath

  • Nausea

  • Dizziness

  • Chest pain

High-level exposure can cause:

  • Mental confusion

  • Vomiting

  • Loss of coordination

  • Loss of consciousness

  • Death

While CO is undetectable to humans, CO detectors can alert you to dangerous levels.

Available online and at most hardware stores, detectors range from $15 to $50 and last up to 10 years.

The International Association of Fire Chiefs recommends installing at least one carbon monoxide detector on every floor of your home, including the basement. Detectors should be positioned within 10 feet of each bedroom and near or over any attached garage. Much like a smoke alarm, a CO detector will emit a loud noise when the gas is detected. Never ignore a CO alarm or attempt to find the source.

If you hear the alarm or even just suspect poisoning:

  • Immediately move outside to fresh air

  • Call the gas company, fire department or 9-1-1

  • Make sure every person and/or pet in your home is accounted for

  • Do not re-enter the home until emergency responders tell you it’s safe to do so

Be sure to test or change the batteries in your CO detector every six months. 

Other steps you can take to prevent CO poisoning include:

  • Have your heating system, water heater, and any other gas, oil, or coal-burning appliances serviced by a qualified technician every year.

  • Keep vents and flues free of debris

  • Never leave the engine running in a vehicle parked in an attached garage or carport

  • Never run a gasoline-powered engine (motor vehicle, generator, pressure washer) less than 20 feet from an open window, door, or vent

  • Never use a charcoal grill, hibachi, lantern, or portable camping stove inside a home, tent, or camper

  • Never run a generator, pressure washer, or any gasoline-powered engine inside an enclosed structure or basement, even if the doors or windows are open

 

CO poisoning is entirely preventable.  Visit the Centers for Disease Control and Prevention’s CO Poisoning webpage to learn more.

 

Sean Burns, MD, is the SVMC EMS Medical Director/District 12 Medical Advisor. 

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How to Become a Mask Wearer

Long before COVID-19, online chat groups for people with pulmonary fibrosis (PF) were filled with posts about how uncomfortable it is to wear a mask in public: not physically uncomfortable, a fact that was barely mentioned, but psychologically uncomfortable. For people with this condition or the lung transplant used to cure it, catching a cold or the flu could be deadly. They need to wear masks in public to help protect themselves from getting ill.

The participants discussed how awkward it is riding the bus in a mask, going to the grocery store in a mask, or boarding a plane while wearing one. They were mostly self-conscious that others would think they were ill or weak. Many would rather suffer the risk of getting fatally sick than put a mask on in a department store.

Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. This—along with distancing and handwashing—are crucial parts of returning to a more normal way of life. Suddenly, we are all feeling the psychological discomfort PF patients have felt for many years.

People usually have an interest in blending in. And, just like doing anything out of the ordinary, wearing a mask for the first time definitely feels like putting yourself out there. If we want to return to a somewhat normal way of life, masks are crucially important, along with frequent, thorough handwashing and keeping a distance from others.

Here are a few tips for making the leap from being someone nervous about wearing a mask to being a person who wears one regularly.

Do it for others. We know that people can spread COVID-19 as many as a few days before they get sick. Even if you feel fine, you could have COVID-19 right now without knowing it. At the same time, masks are far better at keeping sick people from spreading germs than they are at keeping people from getting sick. So wearing a mask isn't a sign of weakness; it's a sign of altruism. It's like saying, "I am not certain that I am not sick, so I want to pay those around me the consideration of limiting the likelihood I will infect them." Think of it as a badge of kindness.

Get a mask that fits. We know that masks are not completely comfortable physically. Getting the right fit makes a big difference in their "wearability." Cloth masks are readily available online and from local groups. The Green Mountain Mask Makers have excellent information and resources. If you can, purchase a few types in a few sizes to see which you like best. Buy enough of that type to allow washing between trips out in public.

Get a mask that you like. Once you have found a mask source and as long as you have a choice, pick one that you like. You can choose colors that match your wardrobe or that represent your interests, like camouflage. There are even masks that look like fashionable scarves when they hang around your neck. The sooner we start thinking of masks as part of our outfits, as essential and unremarkable as shoes or a belt, the healthier we will all be.

Try to quit caring about what others think. This one is hard. But one wise PF patient wrote, "I just don't give a darn!" Essentially, he shared that if people want to judge him for wearing a mask, so be it. Their opinions don't have a single thing to do with him. Many in the chat group applauded his confidence and vowed to adopt his attitude.

If we all do our best, soon the cultural scale will tip. Wearing a mask or not wearing one will cease to be a political statement. It will be normal. And thankfully, if wearing a mask in public, handwashing and sanitizing, and keeping our distance are all normal, going out into public again can be safe and normal too.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

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