In 2008 the US Fire Administration updated suggested firefighter autopsy protocols to include blood draws for hydrogen cyanide. While this is a conversation nobody wants to have, it could possibly substantiate exposures. USFA Protocols 2008
In depth scientific review of hydrogen cyanide and it's physiological impact. The MSDS includes hydrogen cyanide as a byproduct in fires involving some nitrogen-containing polymers, often found in fibers used in fabrics, upholstery covers, and padding. (Tsuchiya and Sumi, 1977). Hydrogen Cyanide; MSDS; CAS Registry Number: 74-90-8
The most prolific research every conducted about the stress of firefighting which was conducted by Jim Brown, PhD. Unlike the majority of research which is conducted in controlled settings, this study was conducted on the fire ground and in the firehouse. View the full report.
https://firesmoke.org/wp-content/uploads/2018/04/2012-Inhalation-Sweedish-fire-deaths-and-cyanide-1992-2009.pdfBetween 60 and 80% of all deaths related to fire are attributed to toxic fumes. Carbon monoxide (CO) is commonly thought to be the major cause. However, hydrogen cyanide (HCN) is also formed. Still, the exact contribution of HCN to fire-related fatalities is unknown. The aim of the study was to investigate the impact of HCN in…
The following is the HCN medical SOG approved by the medical director of the Hillsborough County Fire Rescue Department. Hillsborough has been successfully administering the Cyanokit for several years and has many documented saves. Protocol