Cyanokit does not equal the Cyanide Antidote Kit (CAK) (Also known as the Lilly Kit… Pasadena Kit… etc…) that is currently being used by many receiving hospitals and some pre-hospital EMS/ALS providers.
As I’ve found out, many M.D.s don’t even realize this when you first talk to them about it. Cyanokit (hydroxocobalamin) is a new treatment, and the ONLY HCN/CN antidote approved by the FDA for empirical (suspected exposure) treatment. After you explain this, they get really interested…. even from a “Forestry Technician”… 26 Year Veteran EMT…. who knows what he’s talking about.
Cyanokit is a recently FDA approved (2006, 2009) antidote/treatment for both suspected and laboratory confirmed cyanide exposures. CAK, on the other hand, is for confirmed exposures only, and the nitrites in the kit ARE CONTRAINDICATED for use in the case of smoke inhalation, and have many significant side effects that often prevent their use.
For more info, please visit the Cyanide Poisoning Treatment Coalition for more detailed information.
For a complete explanation (be forewarned, it is meant for MDs, EMT-Ps, EMTs, and others with medical training), please visit the following presentation titled,
The Role of Cyanide in Smoke Inhalation: New Treatment for a Silent Killer (Slides with Audio)
http://cme.medscape.com/viewarticle/559851
It is hosted by MedscapeCME and registration is required… but it’s entirely free.
Presented by:
Marc Eckstein, M.D. (Medical Director, Los Angeles Fire Department), Donald Walsh, Ph.D., EMT-P (former EMS Chief, Chicago Fire Department), and Gregory Bogdan, Ph.D. (Medical Toxicology Coordinator, Rocky Mountain Poison & Drug Center).
After the HCN exposure incidents on the Station Fire (2009), a dedicated group of folks are working on the issue including the Cyanide Poisoning Treatment Coalition (CPTC), the Wildland Firefighter Foundation, and various folks who contribute here at RamblingChief.Com.
The Fire Department News Network (FDNNTV) will be doing a story about it soon and interviewing Shawn Longerich, Executive Director of the CPTC and Vicki Minor, Executive Director of the WFF.
Simple take home message: Cyanokit will save both firefighters and civilian lives on the fireground. Folks ARE working on it.
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