1. Cyanide Poisoning AGHABIKLOOEI Fellowship of Medical Toxicology
Iran University of Medical sciences

4. Sources Plants Fire (smoke inhalation Tox) Factory Incidents
Terrorism & War
Suicidal
Fluid/ White powder (KCN)

6. CO & CN are twins
Inhalation of HCN at a concentration of 270 ppm (approximately 0.3 mg HCN per liter) will be immediately fatal.
The signs & symptoms of CN & CO poisoning can be hard to distinguish.

11. Acute poisoning from poorly soluble salts, like Na cyanide, may not manifest or become life-threatening until several hours after exposure.
Pts who may have ingested cyanide should be admitted for a 24 hr observation period.
Pts should be re-evaluated 7-10 days after discharge from the hospital.

26. KEY INFO Speed is critical.
If antidote has been administered in the field ?
Begin treatment protocol immediately for symptomatic victim.
Avoid mouth-to-mouth resuscitation (regardless of route of exposure).