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Cardiac Arrest Due to Cyanide Intake.
Murat Seyit1, Atakan Yilmaz2, Mert Ozen2
1Emergency Medicine, Pamukkale University, Denizli, TUR.
Cureus
|March 1, 2021
Summary
Cyanide poisoning, often from intentional ingestion, is frequently fatal. Rapid diagnosis and treatment are crucial, with characteristic symptoms like a bitter almond odor and cherry red skin indicating toxicity.
Area of Science:
- Toxicology
- Emergency Medicine
- Clinical Case Study
Background:
- Suicidal attempts are a primary cause of cyanide intake, frequently leading to fatal outcomes.
- Cyanide poisoning can rapidly cause cardiac arrest or hypotension, yet antidotal therapy administration is not routine.
- Acute cyanide toxicity presents diagnostic challenges due to rapid hemodynamic and neurological dysfunction.
Observation:
- A patient ingested an unknown quantity of cyanide purchased online.
- The patient experienced collapse 10-15 minutes after ingestion, prompting Emergency Medical Services (EMS) notification.
- Acute cyanide poisoning presents with rapid hemodynamic and neurological dysfunction, making early diagnosis challenging.
Findings:
- The case highlights the critical need for rapid detection of cyanide poisoning.
- Key diagnostic signs of acute cyanide toxicity include a characteristic bitter almond odor and a cherry red skin appearance.
- Despite the severity, the promptness of antidotal therapy in this scenario remains a point of consideration.
Implications:
- This case underscores the dangers of online cyanide procurement and self-administration.
- Increased awareness of subtle diagnostic signs is vital for emergency responders and clinicians.
- Further research into optimizing the timing and administration of cyanide antidotes is warranted to improve patient outcomes.
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