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The 1968 publication is slightly out of date on this topic, according to our local county medical director and several different occupational physicians, properly trained first responders or EMT basics can help administer the amyl nitrite inhalant ONLY to a HCN exposure victim, the injectable sodium nitrite/thiosulfate portions of the kit go to the ER with the victim for administration by a licensed physician.
Guidance has to be given by the local medical director whenever these kits are obtained, if an ER is very close by, the kit may be kept there to insure it is not tampered with, plus these require a prescription, you can't just call up EMS and order one over the phone.
Barry
Ben Ruekberg <bruekberg**At_Symbol_Here**CHM.URI.EDU> wrote:
Re: cyanide poisoning kit
According to Sandler, S. R. and Karo, W.,
I don’t know if things have changed,but it does give one pause.
Thank you,
Ben
From: DCHAS-LDiscussion List [mailto:dchas-l**At_Symbol_Here**MED.CORNELL.EDU] On Behalf Of Raymond Ng
Sent: Wednesday, April 18, 20121:14 PM
To: DCHAS-L**At_Symbol_Here**MED.CORNELL.EDU
Subject: Re: [DCHAS-L] First aidfor Chemical exposures
On the subject of first aid, what are your thoughts on having a cyanidepoisoning kit on hand (amyl nitrite)?
Ray
On Wed, Apr 18, 2012 at 7:45 AM, Harry Elston <
So areany number of us on this list, George.
However.I do not believe that one would need specific training for FIRST AID beyondwhat you find in open source literature. Anything beyond rinse and
Regarding calcium gluconate on HF, I believe that one will find that as afirst aid measure in the Honeywell HF reference booklet.
It isrecognized that there are other washes available (e.g. Diphoterine, Hexafluorine) that are gaining traction, especially outside the
A coupleof take home messages for first aid:
1. Water and lots of it.
2. Don't be a chemist on someone else's skin or eyes. Or yourown for that matter.
3. Leave TREATMENT to the pros. Think standard of care here.
Get yourEHS group to run some exposure drills and honestly critique the outcome if youwant some fun! You "can" hire it out, but everyone still needsto be involved for it to be meaningful.
H
sent frommy Samsung Captivate
On Apr 18, 2012 7:15 AM, "george wahl" <
Jim Kaufman would give you excellent training!
George Wahl
On Apr 17, 2012, at 9:21 AM, Humphrey, Karalyn J. wrote:
My department chair wants to have a training thatspecifically addresses first aid for chemical exposures. Does anyone knowof someone who might be certified/qualified to come and lead such a training?
Thanks,
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