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A Neuropsychological Screening Battery for emergency assessment of carbon‐monoxide‐poisoned patients
Author(s) -
Messier Lawrence D.,
Myers Roy A. M.
Publication year - 1991
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/1097-4679(199109)47:5<675::aid-jclp2270470508>3.0.co;2-h
Subject(s) - carbon monoxide poisoning , carboxyhemoglobin , co poisoning , hyperbaric oxygen , neuropsychology , emergency department , medicine , anesthesia , poison control , emergency medicine , carbon monoxide , psychiatry , cognition , biochemistry , chemistry , catalysis
The Carbon Monoxide Neuropsychological Screening Battery (CONSB) was developed to improve the neurological assessment of CO‐poisoned patients in an emergency setting. Traditional assessment methods (clinical examination and carboxyhemoglobin [CoHb] levels) readily can identify unconscious, severely involved patients; however, many CO‐intoxicated patients with cerebral impairment who also require aggressive hyperbaric oxygen therapy are assessed inadequately by such methods. Administration of the CONSB to 66 CO‐poisoned: patients and 66 volunteer controls revealed significant differences in performance between the two groups. It was concluded that the CONSB enhanced the accuracy of the evaluation of cerebrally impaired CO‐poisoned patients. Failure to assess the cerebral functioning of patients exposed to CO and to identify those who require aggressive oxygen therapy could have neurological sequelae.