Rockland Paramedics Add New Tool That Could Help Save Smoke Inhalation Victims

ROCKLAND COUNTY, NY — A new tool in ambulances could help save the lives of smoke inhalation victims.

Rockland Paramedic Services has added CYANOKIT to its advanced life support capabilities in Rockland County, the agency announced. The medication is used to treat suspected cyanide poisoning in victims of smoke inhalation from enclosed-space fires, allowing paramedics to begin treatment before a patient reaches a hospital.

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According to the agency, modern residential fires can expose victims to more than carbon monoxide. Synthetic materials often found in homes, including furniture, carpeting, insulation, plastics and electronics, can release hydrogen cyanide when they burn. Those trapped in enclosed-space fires can be exposed to both carbon monoxide and cyanide, which can quickly become deadly if untreated.

The organization said smoke inhalation accounts for most residential fire deaths in the United States. It also cited medical studies that found cyanide in about half of survivors rescued from enclosed-space fires and in nearly 60 percent of fire-related fatalities. Rockland Paramedic Services said firefighters working inside burning structures can also face dangerous cyanide exposure despite protective gear.

With 14 CYANOKITs placed throughout its fleet, Rockland Paramedic Services said the treatment will be available for residents and firefighters across the county. The agency described the move as part of its ongoing investment in advanced equipment, evidence-based treatments and paramedic training.

"Rockland Paramedic Services has always been committed to providing the highest level of emergency medical care possible to the residents of Rockland County," said Tim Egan, Executive Director of Rockland Paramedic Services. "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 contains hydroxocobalamin, a form of vitamin B12 that binds to cyanide and helps the body eliminate it through urine. Because there is no rapid field test for cyanide poisoning, specially trained paramedics evaluate symptoms, the fire environment and other clinical indicators to decide when the antidote is appropriate.

Rockland Paramedic Services works with Rockland County's volunteer ambulance corps and responds to medical emergencies throughout the county each day. The agency said the addition of CYANOKIT expands its clinical capabilities and brings another field treatment option directly to patients when time is critical.