RI 2486 The Pyrotannic Acid Method for the Quantitative Determination of Carbon Monoxide in Blood and Air

In the treatment of any illness the early diagnosis is of very great importance . This is especially true in cases of carbon monoxide poisoning , whether acute or sub-acute in character. A diagnosis of CO poisoning is usually made from a correlation of the history , the possible place of exposure , and the symptoms produced . This , however, is not positive evidence because CO often is present in unsuspected places and can be absent in suspected places . Also , the symptoms of this type of poisoning are common to other causes . In many such cases the correct diagnosis may be very difficult , if not impossible by this method and as a result little or no treatment is given . Sub- acute cases , those in which the subject is exposed to concentration sufficient to cause only headaches , malaise , feeling of weakness and dizziness , may be incorrectly diagnosed and as a result , improperly treated . Probably the best method of diagnosis is by examination of the subject's blood . Many methods for the detection of CO in the blood have been developed , but owing to their various individual disadvantages have never come into common usage . Some of the quantitative methods are satisfactory with regard to accuracy but require elaborate and expensive apparatus , special technique and training, or are too delicate and cumbersome for field use . It is of vital importance in all industrial and domestic accidents occuring at places where CO might be suspected or where the symptoms are typical of CO poisoning that a qualitative and preferably a quantitative determination be made the extent of poisoning being of importance in deciding whether CO was the direct or contributary cause) to show the presence or absence of 0. This is indeed essential from a medical standpoint as it aids in prescribing treatment and from a legal standpoint to insure justice in the claims that are often unjustly decided for want of positive evidence.