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Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2011

Open Access 01-12-2011 | Review

Cyanide intoxication as part of smoke inhalation - a review on diagnosis and treatment from the emergency perspective

Authors: Pia Lawson-Smith, Erik C Jansen, Ole Hyldegaard

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2011

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Abstract

This paper reviews the current literature on smoke inhalation injuries with special attention to the effects of hydrogen cyanide. It is assumed that cyanide poisoning is still an overlooked diagnosis in fire victims. Treatment against cyanide poisoning in the emergency setting should be given based on the clinical diagnosis only. Oxygen in combination with a recommended antidote should be given immediately, the first to reduce cellular hypoxia and the second to eliminate cyanide. A specific antidote is hydroxycobalamin, which can be given iv. and has few side effects.
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Metadata
Title
Cyanide intoxication as part of smoke inhalation - a review on diagnosis and treatment from the emergency perspective
Authors
Pia Lawson-Smith
Erik C Jansen
Ole Hyldegaard
Publication date
01-12-2011
Publisher
BioMed Central
DOI
https://doi.org/10.1186/1757-7241-19-14

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