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ER-Rx: An ER + ICU Podcast - Episode 20- Cyanide: toxicology and antidotes

Episode 20- Cyanide: toxicology and antidotes

ER-Rx: An ER + ICU Podcast

08/25/20 • 9 min

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In this Mini Grand Rounds episode, we discuss cyanide toxicology and management, including antidotes.
References:
Holstege CP, Isom GE, Kirk MA. Cyanide and hydrogen sulfide. Goldfrank’s Toxicologic Emergencies 9th edition: 1678-1688. McGraw-Hill; New York: 2011

Cyanide. Hennepin Regional Poison Center Treatment Guidelines. Minnesota Poison Control System. Accessed 11/20/2017

Lawson-Smith P, Jansen EC, Hyldegaard O. Cyanide intoxication as part of smoke inhalation- a review on diagnosis and treatment from the emergency perspective. Scand J of Trauma, Resus, and Emerg Med. 2011; 19: 14

Hall AH, Saiers J, Baud Frederic. Which cyanide antidote? Crit Rev in Tox. 2009; 39(7): 541-552

Disclaimer:
The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

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Disclaimer:

The information contained within the ER-Rx podcast episodes, errxpodcast.com, and the @errxpodcast Instagram page is for informational/ educational purposes only, is not meant to replace professional medical judgement, and does not constitute a provider-patient relationship between you and the authors. Information contained herein may be accidentally inaccurate, incomplete, or outdated, and users are to use caution, seek medical advice from a licensed physician, and consult available resources prior to any medical decision making. The contributors of the ER-Rx podcast are not affiliated with, nor do they speak on behalf of, any medical institutions, educational facilities, or other healthcare programs.

08/25/20 • 9 min

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ER-Rx: An ER + ICU Podcast - Episode 20- Cyanide: toxicology and antidotes

Transcript

Hello and welcome to Episode 20 of ER-Rx. This week, we have our first toxicology-related discussion and we will take a few minutes to discuss what cyanide does and which antidotes are available for patient management.
Cyanide toxicity is most commonly associated with smoke inhalation, but it can also occur in laboratory accidents, suicide attempts, and criminal activity. Cyanide exists as an inorganic salt (CN-) and also commonly as sodium cyanide (NaCN) and potassium cyanide (KCN). Sodiu

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