{"pk":759,"title":"An Unusual Case of Carbon Monoxide Poisoning from Formic and Sulfuric Acid Mixture","subtitle":null,"abstract":"Formic acid, when combined with sulfuric acid, gets dehydrated to form carbon monoxide (CO). A 27-year-old female was found unconscious inside a car, next to a container with a mixture of sulfuric acid and formic acid. Concentrations of up to 400 parts per million of CO were measured inside the car post ventilation. Serum carboxyhemoglobin level was 15% after receiving 100% oxygen for two hours. The patient received hyperbaric oxygen therapy after which she was extubated with normal mental status. On follow-up after three months, she demonstrated neurocognitive abnormalities suggestive of delayed neurological sequelae from CO exposure.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7wv3645b","frozenauthors":[{"first_name":"Muhammed","middle_name":"","last_name":"Ershad","name_suffix":"","institution":"Drexel University College of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Athanasios","middle_name":"","last_name":"Melislotis","name_suffix":"","institution":"Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Matthew","middle_name":"","last_name":"Kelly","name_suffix":"","institution":"Penn Medicine, Division of Hyperbaric Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"Hamilton","name_suffix":"","institution":"Drexel University College of Medicine, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2019-12-17T22:54:19+02:00","date_accepted":"2019-12-17T22:54:19+02:00","date_published":"2019-12-17T22:56:05+02:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/759/galley/514/download/"}]}