Monday, October 6, 2008

Carbon Monoxide Poisoning

Monday is usually water aerobics day, but this morning I went to Cardiac Rehab, instead, because we'll travel tomorrow to the capital city, where I have a dental appointment.

The story from a 40-something Cardiac Rehab patient this morning: a few years ago, on Thanksgiving Day, when his grandparents failed to show up for dinner, and didn't answer their phone, he went to check on them at their house, and had the horrendous experience of finding them dead of carbon monoxide poisoning caused by a faulty heater. This man said that his grandparents had been complaining for a few days of having headaches, a classic sign that a home might have a carbon monoxide problem.

The Environmental Protection Agency has issued information at its website (http://www.epa.gov/) regarding carbon monoxide poisoning (see below):

Carbon Monoxide Can Be Deadly

You can’t see or smell carbon monoxide, but at high levels it can kill a person in minutes. Carbon monoxide (CO) is produced whenever any fuel such as gas, oil, kerosene, wood, or charcoal is burned. If appliances that burn fuel are maintained and used properly, the amount of CO produced is usually not hazardous. However, if appliances are not working properly or are used incorrectly, dangerous levels of CO can result. Hundreds of people die accidentally every year from CO poisoning caused by malfunctioning or improperly used fuel-burning appliances. Even more die from CO produced by idling cars. Fetuses, infants, elderly people, and people with anemia or with a history of heart or respiratory disease can be especially susceptible. Be safe. Practice the DO’s and DON’Ts of carbon monoxide.


CO Poisoning Symptoms

Know the symptoms of CO poisoning. At moderate levels, you or your family can get severe headaches, become dizzy, mentally confused, nauseated, or faint. You can even die if these levels persist for a long time. Low levels can cause shortness of breath, mild nausea, and mild headaches, and may have longer term effects on your health. Since many of these symptoms are similar to those of the flu, food poisoning, or other illnesses, you may not think that CO poisoning could be the cause.

Play it Safe

If you experience symptoms that you think could be from CO poisoning:
DO GET FRESH AIR IMMEDIATELY. Open doors and windows, turn off combustion appliances and leave the house.
DO GO TO AN EMERGENCY ROOM and tell the physician you suspect CO poisoning. If CO poisoning has occurred, it can often be diagnosed by a blood test done soon after exposure.
DO Be prepared to answer the following questions for the doctor:
Do your symptoms occur only in the house? Do they disappear or decrease when you leave home and reappear when you return?
Is anyone else in your household complaining of similar symptoms? Did everyone’s symptoms appear about the same time?
Are you using any fuel-burning appliances in the home?
Has anyone inspected your appliances lately? Are you certain they are working properly?

Prevention is the Key to Avoiding Carbon Monoxide Poisoning

DO have your fuel-burning appliances -- including oil and gas furnaces, gas water heaters, gas ranges and ovens, gas dryers, gas or kerosene space heaters, fireplaces, and wood stoves -- inspected by a trained professional at the beginning of every heating season. Make certain that the flues and chimneys are connected, in good condition, and not blocked.
DO choose appliances that vent their fumes to the outside whenever possible, have them properly installed, and maintain them according to manufacturers’ instructions.
DO read and follow all of the instructions that accompany any fuel-burning device. If you cannot avoid using an unvented gas or kerosene space heater, carefully follow the cautions that come with the device. Use the proper fuel and keep doors to the rest of the house open. Crack a window to ensure enough air for ventilation and proper fuel-burning.

DO call the Consumer Product Safety Commission (1-800-638-2772) at http://www.cpsc.gov/ for more information on how to reduce your risks from CO and other combustion gases and particles.
DON’T idle the car in a garage -- even if the garage door to the outside is open. Fumes can build up very quickly in the garage and living area of your home.
DON’T use a gas oven to heat your home, even for a short time.
DON’T ever use a charcoal grill indoors -- even in a fireplace.
DON'T sleep in any room with an unvented gas or kerosene space heater.
DON’T use any gasoline-powered engines (mowers, weed trimmers, snow blowers, chain saws, small engines or generators) in enclosed spaces.
DON’T ignore symptoms, particularly if more than one person is feeling them. You could lose consciousness and die if you do nothing.

We will be getting our central heating system checked in the next few days, since cooler weather is on the way. So far, we haven't needed to turn on the heat. Due to warmer winters in the past few years, we haven't used our fireplace since we had it cleaned last. But if we decide to use it, we'll still call the chimney sweep to inspect it. We have a carbon monoxide detector in our bedroom. More information about these detectors can be found at http://www.epa.gov/.

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