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This SpCO Triage Algorithm is designed for use in Clark County District 6, providing clear guidelines for evaluating patients with suspected carbon monoxide (CO) exposure. Patients with SpCO levels above 3% require prompt medical evaluation. Those with loss of consciousness, neuro impairment, or SpCO levels above 25% may necessitate direct transport to a hyperbaric unit, while others may not require further evaluation. This protocol emphasizes the importance of assessing symptoms and determining the source of CO exposure for non-smokers.
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Measure SpCO Clark County District 6 SpCO Triage Algorithm 0 – 3% > 3% No further medical evaluation needed Loss of consciousness Neuro impairment Or SpCO > 25% YES NO Transport on 100% O2 for ED evaluation. Consider direct transport to hyperbaric unit. SpCO> 12 SpCO < 12 Transport on 100% O2 For ED evaluation Symptoms of CO exposure? NO YES Transport on 100% O2 For ED evaluation No further evaluation needed. Determine source of CO if non smoker