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“ Cyanide Poisoning: An Old Enemy with New Risks” By Mary Jo Koschel, MSN,CFRN,  NREMT-P PVH EMS Paramedic Clinical Coordinator North Colorado Med Evac, Flight Nurse
A notorious poison used repeatedly throughout the centuries…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cyanide and Fire Smoke ,[object Object],[object Object]
Case in point….. ,[object Object],[object Object]
Mechanism of Cyanide Poisoning ,[object Object],[object Object]
 
Routes of exposure…. ,[object Object],[object Object],[object Object]
Symptoms of Acute Cyanide Poisoning ,[object Object],[object Object]
So why aren’t we tripping over all the dead bodies from cyanide poisoning???
Factors effecting symptomolgy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early symptoms ,[object Object],[object Object],[object Object],[object Object]
Severe cyanide poisoning is manifested by hypotension, seizures, coma, respiratory depression, cardiovascular collapse and cardio respiratory arrest……not very specific……so when do we treat for cyanide poisoning?
Presumptive diagnosis…. ,[object Object],[object Object],[object Object],[object Object]
Management options
Remove from exposure… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cyanide Antidote Kit- ,[object Object],[object Object],[object Object],CH3>CHCH2CH2ONO CH3  Amyl nitrite
Cyanide Antidote Kit not generally recommended in smoke-inhalation victims… ,[object Object],[object Object],[object Object]
Introducing Hydroxocobalamin This is the future of Cyanide Exposure Treatment
Properties of Hydroxocobalamin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical course post-poisoning… ,[object Object],[object Object],[object Object],[object Object]
Monthly Points To Ponder (MPTP)… ,[object Object],[object Object],[object Object],[object Object]
Scenario… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Scenario continued… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object]

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Cyanide Poisoning

  • 1. “ Cyanide Poisoning: An Old Enemy with New Risks” By Mary Jo Koschel, MSN,CFRN, NREMT-P PVH EMS Paramedic Clinical Coordinator North Colorado Med Evac, Flight Nurse
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.  
  • 7.
  • 8.
  • 9. So why aren’t we tripping over all the dead bodies from cyanide poisoning???
  • 10.
  • 11.
  • 12. Severe cyanide poisoning is manifested by hypotension, seizures, coma, respiratory depression, cardiovascular collapse and cardio respiratory arrest……not very specific……so when do we treat for cyanide poisoning?
  • 13.
  • 15.
  • 16.
  • 17.
  • 18. Introducing Hydroxocobalamin This is the future of Cyanide Exposure Treatment
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.