TY  - JOUR
PY  - 2013//
TI  - Cyanide poisoning by fire smoke inhalation: an European expert consensus
JO  - European journal of emergency medicine
A1  - Anseeuw, Kurt
A1  - Delvau, Nicolas
A1  - Burillo-Putze, Guillermo
A1  - De Iaco, Fabio
A1  - Geldner, Götz
A1  - Holmström, Peter
A1  - Lambert, Yves
A1  - Sabbe, Marc
SP  - 2
EP  - 9
VL  - 20
IS  - 1
N2  - 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>
LA  - en
SN  - 0969-9546
UR  - http://dx.doi.org/10.1097/MEJ.0b013e328357170b
ID  - ref1
ER  -