Cyanide exposure and poisoning: Relative risk of cyanide exposure and advanced life support prehospital provider knowledge, attitudes, andpractices in the United States
Eyerman, J. (2005). Cyanide exposure and poisoning: Relative risk of cyanide exposure and advanced life support prehospital provider knowledge, attitudes, and practices in the United States. In First Yale new Haven International Congress on Disaster Medicine and Emergency Management, New Haven, CT. Sept 12-13,.
Objective: This study sought to assess the knowledge,
attitudes, and practices of Advanced Life Support (ALS)
prehospital providers in the context of their relative risk
of cyanide exposure.
Methods: This study was a retrospective survey of the
knowledge, attitudes, and practices of ALS prehospital
providers in the context of their relative risk of cyanide
exposure. A topic-specific, multi-mode survey tool was
developed, based on the results of two previous studies of
cyanide poisoning-related practices of emergency physicians
and hospital laboratories. Survey participants were
contacted, screened, and recruited through mail and telephone,
and asked to complete the survey on paper, the
Internet, or by telephone. A post-completion incentive
was provided to respondents and a series of call-backs
were used to maximize response rates. Survey participants were stratified by their relative risk of cyanide
exposure of fire prevalence, cyanide-related industries,
and transportation systems using data acquired by
Geographic Information Systems.
Results: More than 800 ALS providers were identified
for inclusion in this study. The results of this study will
be reported during the presentation.
Conclusion: The results of this study suggests the need
for additional research and possible modifications in the
practices and procedures for treating cyanide exposure
due to smoke inhalation in the prehospital setting.