From: "B. Rayfield" <barryrayfield**At_Symbol_Here**NC.RR.COM>
Subject: Re: [DCHAS-L] First aid for Chemical exposures
Date: April 20, 2012 9:57:06 AM EDT
Reply-To: DCHAS-L <DCHAS-L**At_Symbol_Here**MED.CORNELL.EDU>
Message-ID: <wvrok2m7gaqhg318xiylq247.1334930226871**At_Symbol_Here**>

The 1968 publication is slightly out of date on this topic, according to our local county medical director and several different occupational physicians, properly trained first responders or EMT basics can help administer the amyl nitrite inhalant ONLY to a HCN exposure victim, the injectable sodium nitrite/thiosulfate portions of the kit go to the ER with the victim for administration by a licensed physician.

Guidance has to be given by the local medical director whenever these kits are obtained, if an ER is very close by, the kit may be kept there to insure it is not tampered with, plus these require a prescription, you can't just call up EMS and order one over the phone.


Ben Ruekberg <bruekberg**At_Symbol_Here**CHM.URI.EDU> wrote:

Re: cyanide poisoning kit


According to Sandler, S. R. and Karo, W., Organic Functional Group Preparations (NewYork, Academic Press, 1968) p. 455 such kits are (or at least were) illegal in allor most states and administration of antidotes (other than self-administrationat one’s own risk), by other than a physician, could have serious civiland criminal consequences.


I don’t know if things have changed,but it does give one pause.


Thank you,




From: DCHAS-LDiscussion List [mailto:dchas-l**At_Symbol_Here**MED.CORNELL.EDU] On Behalf Of Raymond Ng
Sent: Wednesday, April 18, 20121:14 PM
Subject: Re: [DCHAS-L] First aidfor Chemical exposures


On the subject of first aid, what are your thoughts on having a cyanidepoisoning kit on hand (amyl nitrite)?



On Wed, Apr 18, 2012 at 7:45 AM, Harry Elston <helston**At_Symbol_Here**> wrote:

So areany number of us on this list,  George.

However.I do not believe that one would need specific training for FIRST AID beyondwhat you find in open source literature.   Anything beyond rinse and EMS (and perhaps Ca gluconate for HF)  getsdangerously close to TREATMENT, which is beyond the scope of most.
Regarding calcium gluconate on HF,  I believe that one will find that as afirst aid measure in the Honeywell HF reference booklet.

It isrecognized that there are other washes available (e.g.  Diphoterine, Hexafluorine) that are gaining traction, especially outside the US.  Alan Hall can speak morecogently about that than I can.   The peer-reviewed case studiesusing these solutions is mounting in a positive direction.

A coupleof take home messages for first aid:

1.  Water and lots of it.
2.   Don't be a chemist on someone else's skin or eyes.  Or yourown for that matter.
3.   Leave TREATMENT to the pros.  Think standard of care here.

Get yourEHS group to run some exposure drills and honestly critique the outcome if youwant some fun! You "can" hire it out,  but everyone still needsto be involved for it to be meaningful.


sent frommy Samsung Captivate

On Apr 18, 2012 7:15 AM, "george wahl" <ghw917**At_Symbol_Here**> wrote:

Jim Kaufman would give you excellent training!


George Wahl



On Apr 17, 2012, at 9:21 AM, Humphrey, Karalyn J. wrote:

My department chair wants to have a training thatspecifically addresses first aid for chemical exposures.  Does anyone knowof someone who might be certified/qualified to come and lead such a training?




Dr. Karalyn (Karen)Humphrey


LaboratoryCoordinator, Department Safety Officer & Part-Time Lecturer

BaylorUniversity Department of Chemistry & Biochemistry

Office: BSBE.111

Phone:  254-710-2002

“Vast worlds lie within the hollows of each atom, multifarious asthe motes in a sunbeam.”  ~Yoga Vasishtha





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