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Carbon monoxide poisoning — DipIMC MCQ

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EasyEnvironmental MedicineCarbon monoxide poisoningDipIMC

A family is found confused in a house with a faulty boiler. A 30-year-old woman has headache, nausea and oxygen saturations of 99% on pulse oximetry. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ARemove from exposure and give high-flow oxygen for suspected carbon monoxide poisoning

Carbon monoxide poisoning can produce falsely normal pulse oximetry because standard oximeters cannot distinguish carboxyhaemoglobin reliably. The priority is scene safety, removal from exposure and high-flow oxygen. Keeping patients in the environment risks ongoing poisoning. The pearl is to suspect carbon monoxide when multiple people have headache or confusion in the same building.

Reference: JRCALC Guidelines 2025; UKHSA Carbon Monoxide guidance