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![]() Available treatments for cyanide poisoning such as hydroxocobalamin (Cyanokit®) and the combination of sodium nitrite with sodium thiosulfate (Nithiodote®) are administered by intravenous injection, which is not practical for treating a large number of cyanide-poisoned victims in the pre-hospital setting. ![]() Thus, cyanide exposure can occur under a variety of situations and mass casualties are possible. It can be made relatively easily, and terrorists could poison food or medicines or detonate a cyanide bomb in an enclosed space ( 4 5). Cyanide is a highly toxic chemical used in a wide variety of industries, and is generated in industrial and residential fires ( 1- 3).
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