Pitfalls in diagnosis and management of carbon monoxide poisoning

Five members of one family suffering from carbon monoxide poisoning are described. Three were initially diagnosed as food poisoning cases at another hospital. A high level of suspicion is required to ensure early diagnosis. Indications for hyperbaric oxygen include: loss of consciousness, neurological signs and symptoms other than mild headache, cardiac complications, carboxyhaemoglobin > 40%, and pregnancy.