A 38-year-old warehouse worker presents as triage level 1 after smoke inhalation from burning plastics. He is confused and hypotensive with severe

Question

A 38-year-old warehouse worker presents as triage level 1 after smoke inhalation from burning plastics. He is confused and hypotensive with severe lactic acidosis; carboxyhemoglobin is mildly elevated. Which of the following is the most important immediate intervention?

Accepted Answer

Hydroxocobalamin

Answer

Methylene blue

Answer

Fomepizole

Answer

N-acetylcysteine

Answer

Atropine and pralidoxime

Cyanide toxicity from smoke inhalation — ABEM Board MCQ

A 38-year-old warehouse worker presents as triage level 1 after smoke inhalation from burning plastics. He is confused and hypotensive with severe lactic acidosis; carboxyhemoglobin is mildly elevated. Which of the following is the most important immediate intervention?