Journal of toxicology. Clinical toxicology
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J. Toxicol. Clin. Toxicol. · Jan 1988
Case ReportsTreatment of aniline poisoning with exchange transfusion.
A case of aniline poisoning with methemoglobinemia unresponsive to methylene blue is described. Exchange transfusion proved successful. A rationale for the failure of methylene blue under these circumstances is described.
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J. Toxicol. Clin. Toxicol. · Jan 1988
A registry for carbon monoxide poisoning in New York City. Hyperbaric Center Advisory Committee Emergency Medical Service, City of New York.
In 1983 the North American Hyperbaric Center (affiliated with Bronx Municipal Hospital Center) was designated to provide Hyperbaric oxygen (HBO) for carbon monoxide (CO) patients meeting Emergency Medical System (EMS) criteria: 1. Unconscious or CNS derangement, any carboxyhemoglobin level [( COHb]); 2. [COHb] 25% or more; 3. Pregnant, any [COHb]. ⋯ HBO typically was 46 min at 3ATA (2 [COHb] half lives), presented few problems, and gave rapid clinical improvement. 13 of 19 patients comatose before HBO were responsive after HBO (mean [COHb] was 1.8%). Four pediatric deaths occurred; brain damage was noted in two other patients. EMS efforts to make HBO available for CO is a success.