They suggested that specific assay and treatment for cyanide poisoning is rarely necessary in the treatment of victims of smoke and fire. 3 In the review of Barillo and others, 4 detoxification of cyanide can occur without specific antidotes with the use of aggressive supportive care. Since cyanide can be both produced and degraded in blood and tissue, interpreting blood levels can be difficult. 2 However, the assessment of blood cyanide concentrations in fire victims has potential error because the toxic effects of cyanide on fire victims cannot be evaluated based solely on the concentration in blood. ![]() 1 Cyanide poisoning has been related to cause mortality and morbidity in a fire-ground environment. ![]() Lonati and colleagues pointed out the potential role of hydrogen cyanide in fire smoke inhalation.
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