%0 Journal Article
%T Cyanide poisoning by fire smoke inhalation: an European expert consensus
%J European journal of emergency medicine
%D 2013
%A Anseeuw, Kurt
%A Delvau, Nicolas
%A Burillo-Putze, Guillermo
%A De Iaco, Fabio
%A Geldner, Götz
%A Holmström, Peter
%A Lambert, Yves
%A Sabbe, Marc
%V 20
%N 1
%P 2-9
%X Smoke inhalation is a common cause of cyanide poisoning during fires, resulting in injury and even death. In many cases of smoke inhalation, cyanide has increasingly been recognized as a significant toxicant. The diagnosis of cyanide poisoning remains very difficult, and failure to recognize it may result in inadequate or inappropriate treatment. Findings suggesting cyanide toxicity include the following: (a) a history of enclosed-space fire; (b) any alteration in the level of consciousness; (c) any cardiovascular changes (particularly inexplicable hypotension); and (d) elevated plasma lactate. The feasibility and safety of empiric treatment with hydroxocobalamin for fire smoke victims have been reported in the literature. On the basis of a literature review and a panel discussion, a group of European experts has proposed emergency management protocols for cyanide toxicity in fire smoke victims.<p /> <p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 0969-9546
%U http://dx.doi.org/10.1097/MEJ.0b013e328357170b