A pregnant 30-year-old woman is found unconscious after using a charcoal grill indoors. She has headache, vomiting, carboxyhaemoglobin 24%, lactate

Question

A pregnant 30-year-old woman is found unconscious after using a charcoal grill indoors. She has headache, vomiting, carboxyhaemoglobin 24%, lactate 3.8 mmol/L, and fetal heart rate decelerations. What is the most appropriate next step?

Accepted Answer

High-flow oxygen and urgent hyperbaric oxygen consultation

Answer

No treatment because carboxyhaemoglobin is below 30%

Answer

Pulse oximetry monitoring as the definitive test

Answer

Discharge when headache improves

Answer

Oral antiemetic and fetal clinic follow-up

Carbon monoxide poisoning in pregnancy — RCPSC EM MCQ

A pregnant 30-year-old woman is found unconscious after using a charcoal grill indoors. She has headache, vomiting, carboxyhaemoglobin 24%, lactate 3.8 mmol/L, and fetal heart rate decelerations. What is the most appropriate next step?