Template:Paris Fire Brigade Protocol
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Paris Fire Brigade protocol recommend hydroxocobalamin administration patients who have had known smoke inhalation in an enclosed space with any of the following:[1][2]
- Altered mental status
- Soot in the nares or mouth
- Full arrest without full body burns incompatible with life. They found 50% ROSC in fire victims in full arrest when hydroxycobalamin was administered.
- ↑ Fortin JL, et al. Prehospital administration of Hydroxoco- balamin for smoke inhalation-associated cyanide poisoning: 8 years of experience in the Paris Fire Brigade. Clin Toxicol. 2006;44 Suppl 1:37-44. PMID: 16990192.
- ↑ Borron SW, et al. Prospective study of hydroxocobalamin for acute cyanide poisoning in smoke inhalation. Ann Emerg Med. 2007 Jun;49(6):794-801, e1-2. PMID: 17481777.