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Carbon monoxide poisoning remains a leading cause of accidental poisoning worldwide (both at home and at work), and it is also a cause of suicidal poisoning. Such poisoning can arise following prolonged exposure to low levels of CO or following brief exposure to high concentrations of the gas. In fact, despite exposure limits, high safety standards, and the availability of CO alarms, nearly 50,000 people in the United States visit the emergency department each year due to poisoning. Additionally, CO poisoning in the United States causes up to 500 deaths each year. Despite the widespread nature of this form of poisoning, known about for centuries and whose damage mechanisms have been recognized (or rather hypothesized about) since the 1800s, early recognition, especially of late complications, and treatment remain a medical challenge. A well-designed therapeutic diagnostic process is necessary so that indication for hyperbaric or normobaric therapy is correctly made and so that patients are followed up even after acute exposure to diagnose late complications early. Furthermore, it is necessary to consider that in the setting of emergency medicine, CO poisoning can be part of a differential diagnosis along with other more frequent conditions, making its recognition difficult. The last thirty years have been marked by a significant increase in knowledge regarding the toxicity of CO, as well as its functioning and its importance at physiological concentrations in mammalian systems. This review, taking into account the significant progress made in recent years, aims to reconsider the pathogenicity of CO, which is not trivially just poisonous to tissues. A revision of the paradigm, especially as regards treatment and sequelae, appears necessary, and new studies should focus on this new point of view. [ABSTRACT FROM AUTHOR]

Herein we provide a description of the atmospheric infrared sounder (AIRS) version 5 (v5) carbon monoxide (CO) retrieval algorithm and its validation with the DACOM in situ measurements during the INTEX-A and -B campaigns. All standard and support products in the AIRS v5 CO retrieval algorithm are documented. Building on prior publications, we describe the convolution of in situ measurements with the AIRS v5 CO averaging kernel and first-guess CO profile as required for proper validation. Validation is accomplished through comparison of AIRS CO retrievals with convolved in situ CO profiles acquired during the NASA Intercontinental Chemical Transport Experiments (INTEX) in 2004 and 2006. From 143 profiles in the northern mid-latitudes during these two experiments, we find AIRS v5 CO retrievals are biased high by 6%–10% between 900 and 300 hPa with a root-mean-square error of 8%–12%. No significant differences were found between validation using spiral profiles coincident with AIRS overpasses and in-transit profiles under the satellite track but up to 13 h off in time. Similarly, no significant differences in validation results were found for ocean versus land, day versus night, or with respect to retrieved cloud top pressure or cloud fraction. [ABSTRACT FROM AUTHOR]