Key investigations

Key investigations for carbon monoxide poisoning are:

  • blood gas analysis, including carboxyhaemoglobin fraction
  • electrocardiogram (ECG)
  • serum troponin concentration
  • serum electrolyte, urea and creatinine concentrations
  • blood lactate concentration
  • blood glucose concentration
  • radiological investigations—computed tomography (CT) scan or magnetic resonance imaging (MRI) of the brain in patients with either acute or delayed onset of neurological signs
  • bedside echocardiography in severe poisoning, particularly if there is ECG or laboratory evidence of myocardial injury.