Cyanide Poisoning in Victims of Fire: Analysis of 364 Cases and Review of the Literature
作者:
David Barillo,
Robert Goode,
Victor Eseh,,
期刊:
Journal of Burn Care & Rehabilitation
(OVID Available online 1994)
卷期:
Volume 15,
issue 1
页码: 46-57
ISSN:0273-8481
年代: 1994
出版商: OVID
数据来源: OVID
摘要:
3 mg/L) in 31 cases. For victims with cyanide levels above 3 mg/L the mean carboxyhemoglobin level was 62.5%. Cyanide poisoning is infrequent in fire fatalities, and when present it is associated with significant carboxyhemoglobinemia. Cyanide can be both produced and degraded in blood and tissue, making interpretation of blood levels difficult. In survivors of fire, detoxification of cyanide can occur without specific antidotes with the use of aggressive supportive care. Specific assay and treatment for cyanide poisoning is rarely necessary in the treatment of victims of smoke and fire.
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