All right, so welcome back to the Internet Book of Critical Care podcast.

I'm here with Adam Thomas.

We haven't had a controversial talks cast in a couple weeks, so we're going to hit you up

with carbon monoxide poisoning.

I don't think Josh can live without stirring a little controversy.

It just gets too bored.

So now that we're heading into the winter, Josh,

let's stir it up and let's get to carbon monoxide, which is really important because now is the

time we're going to see it. Today we'll give you epidemiology, what kind of patients to think about

this and then a general treatment approach for what you can do in your hyperbaric or maybe

controversially your non-hyperbaric centers.

So Josh, let's get right into it. Epidemiology. When and where and how and what and in whom do

I need to think this is going on in. Yeah. So this is challenging. Any hydrocarbon fuel which is

burns with insufficient oxygen will generate carbon monoxide. So this can be furnaces, stoves, zambonies

at an ice-cating ring. That's a Canadian reference, right? That's her zamboni. Sweet. Propane

generators, people during hurricanes, if you turn on a generator, especially inside or gas stoves,

anything that burns fuel without enough oxygen will generate carbon dioxide. And this is also

problematic because the carbon

dioxide can diffuse through walls. So if someone in your apartment building or, you know, your boiler

room is dysfunctioning, that can even cause this. So I think especially during the winter, you need to

have a super high index of suspicion for this. And then there are other situations, which I think are

somewhat more obvious. So suicide attempts using automobile exhaust, burn victims, and then this weird

...