The most common sources of carbon monoxide in deaths are fires, automobile exhaust, defective heaters, and incomplete combustion of burning products, such as charcoal briquets. Carbon monoxide is produced whenever organic materials are burned with an inadequate supply of oxygen necessary to produce complete combustion. Carbon monoxide produces tissue hypoxia by competing with oxygen for binding sites on the oxygen-carrying hemeproteins (hemoglobin, myoglobin, cytochrome c oxidase, cytochrome P-450). The affinity of carbon monoxide for hemeproteins varies from 30 to 500 times as much as oxygen, depending on the hemeproteins. For hemoglobin, it is from 250 to 300 times greater than that for oxygen. It is believed that carbon monoxide has a direct toxic effect at the cellular level by impairing mitochondrial respiration, caused by carbon monoxide’s binding to the cytochrome oxidase complex. The percent saturation of carbon monoxide is defined as the percentage of hemoglobin ...