Date: Thu, 18 Mar 2010 07:23:44 -0400
Reply-To: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
Sender: DCHAS-L Discussion List <DCHAS-L**At_Symbol_Here**LIST.UVM.EDU>
From: Ben Ruekberg <bruekberg**At_Symbol_Here**CHM.URI.EDU>
Subject: Re: Laboratory medical oversight, re:cyanides
In-Reply-To: <778727f91003171906y7ddc99d4u7769170491ba59e2**At_Symbol_Here**>

Sandler and Karo (Organic Functional Group Preparations, 1968, p.455) suggest that there are likely legal problems with administering antidotes.  Deichmann and Gerarde (Toxicology of Drugs and Chemicals, p.191 mention thiosulfate as an antidote (or part of one).  They also mention sodium tetrathionate.  I hope this is helpful.

From: DCHAS-L Discussion List [mailto:DCHAS-L**At_Symbol_Here**LIST.UVM.EDU] On Behalf Of Jim Tung
Sent: Wednesday, March 17, 2010 10:07 PM
To: DCHAS-L**At_Symbol_Here**LIST.UVM.EDU
Subject: Re: [DCHAS-L] Laboratory medical oversight

Does anyone have an opinion or experience with kits for people working with cyanides? My understanding is that some people have had difficulty obtaining amyl nitrite (?) kits. 

On Wed, Mar 17, 2010 at 7:46 AM, List Moderator <ecgrants**At_Symbol_Here**> wrote:

From: Andrew Gross <gross.drew**At_Symbol_Here**>

Date: March 17, 2010 8:28:26 AM EDT

Subject: Re: [DCHAS-L] Laboratory medical oversight

In the fire service, our trucks carry medical kits for the rare

instance we may not have an ambulance supporting our efforts.  Our

trucks are also checked daily for working equipment.  When the

inspection is done, the person initials a calandar.  The daily checks

calls for the person checking to acknowledge the medical kit.  One day

I realized no one checks inside of the kit.  I opened it, replaced all

of the expired stuff (50%ish) and on the calendar I marked off the day

that the next item is to expire so someone knows to actually open the

bag up and look.

If you haven't realized where I was going, you should assign people to

check you fume hoods daily or weekly.  To be honest, your working with

stuff that requires atropine, you should do that anyway.  Check the

flow, cleanliness, all the equipment inside works, the door seals etc.

On the calendar that the inspector will have to initial, mark the day

that the drugs will have to be replaced and not just looked at with a

smile and say...its there.


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