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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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. 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. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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