EM Cases · Cyanide poisoning
Smoke-inhalation cyanide — the fire-survivor resus station
ACEM Fellowship OSCE resus station testing empirical hydroxocobalamin, airway for inhalation injury, and avoidance of the nitrite kit.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
An unconscious patient pulled from an enclosed house fire with high lactate and mixed CO exposure.
Station brief
Format. Clinical-management (resus) station, 11 minutes.
References3ShowHide
- [1]Baud FJ, Barriot P, Toffis V, et al. Elevated blood cyanide concentrations in victims of smoke inhalation. New England Journal of Medicine, 1991.PMID 1944484
- [3]Borron SW, et al. Prospective study of hydroxocobalamin for acute cyanide poisoning in smoke inhalation. Annals of Emergency Medicine, 2007.PMID 17481777
- [4]Reade MC, et al. Management of cyanide poisoning. Emergency Medicine Australasia, 2012.PMID 22672162