title: Carbon monoxide poisoning and death in a large enclosed ventilated area.
abstract: A 55-year-old man with a medical history of tobacco use suddenly collapsed while power washing an empty indoor pool in a hotel. The decedent was transported to the local hospital where he was pronounced. A postmortem examination revealed atherosclerotic heart disease and bilateral pulmonary edema and congestion. A postmortem blood carbon monoxide (CO) level was 27% saturation, and a CO performed on hospital admission blood was 49% saturation. CO poisoning is a common cause of toxicological morbidity and mortality in the United States. The circumstances most often occur in an enclosed environment and may be intentional or unintentional. CO poisoning has been reported in open, well-ventilated spaces, but rarely results in death. A warning label was present on the engine clearly stating the dangers of CO emission. However, there was a false sense of security due to the large size of the pool room and the presence of industrial blowers that were being used for ventilation.
authors.affiliation: Ramsey County Medical Examiner's Office, 300 University Avenue, St. Paul, MN, 55101.
authors.forename: Butch
authors.initials: B
authors.lastname: Huston
authors.forename: Victor
authors.initials: V
authors.lastname: Froloff
authors.forename: Kelly
authors.initials: K
authors.lastname: Mills
authors.forename: Michael
authors.initials: M
authors.lastname: McGee
mesh_terms: D002248:Carbon Monoxide / Q000097:blood; D002249:Carbon Monoxide Poisoning / Q000175:diagnosis*; D003324:Coronary Artery Disease / Q000473:pathology; D023921:Coronary Stenosis / Q000473:pathology; D049429:Forensic Pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014691:Ventilation
chemical_list: D002248:Carbon Monoxide
keywords: autopsy; carbon monoxide; forensic science; heart disease; postmortem