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The role of hydrogen cyanide and carbon monoxide in fire casualties: A prospective study

✍ Scribed by Per Lundquist; Lennart Rammer; Bo Sörbo

Publisher
Elsevier Science
Year
1989
Tongue
English
Weight
396 KB
Volume
43
Category
Article
ISSN
0379-0738

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✦ Synopsis

Determinations of blood cyanide and carboxyhemoglobin concentrations were performed in 18 victims found dead in buildings after fires during a 2-year period. The results indicated that 50% of the victims had been exposed to toxic levels of hydrogen cyanide and 90% to toxic levels of carbon monoxide. Lethal concentrations of carbon monoxide were found in 83% of the victims. In one case a lethal blood cyanide but a non-toxic blood carboxyhemoglobin value was found. It is concluded that carbon monoxide appears to be more important than hydrogen cyanide as a toxic agent in the fire atmosphere, but cyanide poisoning without carbon monoxide poisoning may, under certain circumstances, be the cause of death in fire victims.

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