The police officer reports that he drove up to the vehicle when he arrived and saw some odd notes taped on the driver’s side window. As you do a scan of the entire scene, you notice someone on the ground next to the passenger side of the vehicle. It appears as if someone was in the vehicle for a while.

You arrive on location to find the vehicle parked in an unusual manner, with cigarette butts and other debris on the ground next to the driver’s door. Dispatch informs you that they’ve also requested the fire department and a hazmat team to respond. And there’s an odd odor emanating from the vehicle. Moments later, dispatch tells you that additional 9-1-1 callers and first arriving police officers report a vehicle “parked at an odd angle and not running” behind the shopping center. While responding, you receive additional information: The caller reports a second patient who’s lying on the ground next to the vehicle, coughing forcefully and thrashing around. You’re dispatched to the rear of a suburban shopping center for an unresponsive person inside a vehicle. > Determine the treatment for cyanide poisoning and other inhalation injuries. > Recognize the injuries caused by the inhalation of toxic chemicals. > Identify the four mechanisms of toxic inhalation. Phosgene: Toxic, colorless gas causing severe pulmonary edema by destruction of alveolar tissue.

Ischemia: Poor blood supply to an organ or part, often marked by pain. Symptoms include cyanosis, tachycardia and altered levels of consciousness. Asphyxiant: Any gas capable of causing death due to oxygen displacement.

Cyanide antidote kit contains