Rockland Paramedic Services added 14 Cyanokits to treat suspected cyanide poisoning in fire victims and firefighters

ROCKLAND COUNTY, N.Y. — Rockland Paramedic Services has expanded its advanced life support capabilities by adding Cyanokit, an antidote used to treat suspected cyanide poisoning in smoke inhalation patients from enclosed-space fires.

The addition allows paramedics to begin treatment at the scene before patients reach the hospital, improving prehospital care for Rockland County residents and firefighters.

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Rockland Paramedic Services said the addition of Cyanokit is part of its continued investment in advanced equipment, evidence-based treatment and paramedic training. The agency said the new capability strengthens its prehospital care for Rockland County residents and firefighters.

Smoke inhalation causes most residential fire deaths, and studies have linked cyanide poisoning to many enclosed-space fire injuries and fatalities.

Firefighters can be exposed to dangerous levels of cyanide during structure fires, making rapid treatment critical. Rockland Paramedic Services has equipped its fleet with 14 Cyanokits to make the antidote readily available for residents and firefighters.

“Rockland Paramedic Services has always been committed to providing the highest level of emergency medical care possible to the residents of Rockland County,” Executive Director Tim Egan said. “Adding Cyanokit to our advanced life support program is another example of that commitment. Our paramedics continually train on the latest lifesaving techniques and technologies so they are prepared to provide the most advanced care possible when seconds count. This investment further strengthens our ability to deliver critical treatment in the field and improve outcomes for the people we serve.”

Cyanokit uses hydroxocobalamin, a form of vitamin B12 that binds to cyanide so it can be eliminated from the body. Because there is no rapid field test for cyanide poisoning, trained paramedics rely on symptoms, fire conditions and clinical indicators to decide when to administer it.

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