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Dike fire control water for later disposal do not scatter the material. Use water spray or fog do not use straight streams. Move containers from the fire area if it is possible to do so without risk to personnel.
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Note: Most foams will react with the agent and release corrosive/toxic gases.Water-sensitive: Potassium cyanide releases highly flammable and toxic hydrogen cyanide gas on contact with water or damp air and in a fire.The agent itself does not burn, but it may decompose upon heating to produce corrosive and/or toxic fumes.Escape mask, face shield, coveralls, long underwear, a hard hat worn under the chemical-resistant suit, and chemical-resistant disposable boot-covers worn over the chemical-resistant suit are optional items.A NIOSH-certified CBRN PAPR with a loose-fitting face-piece, hood, or helmet and a filter or a combination organic vapor, acid gas, and particulate cartridge/filter combination or a continuous flow respirator for air levels greater than AEGL-1.A NIOSH-certified CBRN tight-fitting APR with a canister-type gas mask or CBRN PAPR for air levels greater than AEGL-2.This level is appropriate when decontaminating patient/victims. Select when the contaminant and concentration of the contaminant are known and the respiratory protection criteria factors for using Air Purifying Respirators (APR) or Powered Air Purifying Respirators (PAPR) are met. Coveralls, long underwear, a hard hat worn under the chemical-resistant suit, and chemical-resistant disposable boot-covers worn over the chemical-resistant suit are optional items.Chemical-resistant boots with a steel toe and shank.A hooded chemical-resistant suit that provides protection against CBRN agents.A NIOSH-certified CBRN full-face-piece SCBA operated in a pressure-demand mode or a pressure-demand supplied air hose respirator with an auxiliary escape bottle.It differs from Level A in that it incorporates a non-encapsulating, splash-protective, chemical-resistant splash suit that provides Level A protection against liquids but is not airtight. This is the minimum protection for workers in danger of exposure to unknown chemical hazards or levels above the IDLH or greater than AEGL-2.
#CYANIDE ANTIDOTE KIT COST SKIN#
Therapeutic abortion may be indicated in the presence of fetal demise following obstetric evaluation and stabilization of the mother.Select when the highest level of respiratory protection is necessary but a lesser level of skin protection is required.
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Administer hydroxocobalamin or sodium thiosulphate and sodium nitrite if the diagnosis is strongly suspected. Management of cyanide toxicity involves air way control, ventilation and 100% oxygen, crystalloids and vasopressor, as needed for hypertension, Sodium bicarbonate is titrated according to arterial blood gas (ABG) and serum bicarbonate level decontaminate the patient with removal of clothing /skin flushing and/or activated charcoal (1g/kg), as appropriate in alert patients or after endotracheal intubation in an unconscious patient through a nasogastric tube after gastric lavage. Clinical features include: initial bradycardia and hypertension, then transient tachypnea, cherry red skin, sooth in the mouth, normal or dilated pupils, diaphoresis, altered mental status, mydriasis, ataxia, generalized convulsions and coma.
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Cyanide toxicity occurs when cyanide attaches itself to ubiquitous metalloenzymes, rendering cytochrome oxidase inactive, thereby uncoupling mitochondrial oxidase phosphorylation and inhibiting cellular respiration, even in the presence of adequate oxygen stores, consequently affecting tissues (brain and heart) with the highest oxygen requirement. Historically, cyanide has been used as a chemical warfare agent, and it could potentially be an agent for a terrorist attack. Although, a rare form of poisoning, smoke inhalation, suicidal ingestion, industrial exposure, treatment with sodium nitroprusside, long term consumption of cyanide containing foods like apricot, poorly processed cassava, and apple seeds are possible sources of cyanide poisoning. Cyanide toxicity occurs when a living organism is exposed to a compound that produces cyanide ion (CN-) when dissolved in water.
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