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Theres currently no diagnostic test to confirm CN poisoning in the field within the limited window for initiating potentially lifesaving intervention.2,3 In addition, CN poisoning can be difficult to differentiate with carbon monoxide (CO) poisoning due to common signs and symptoms.2 Because CN poisoning prevents cells from using oxygen (O2), signs and symptoms of CN poisoning also mimic those of O2 deprivation.[v] Cyanide poisoning may result from inhalation, ingestion, or dermal exposure and should be suspected in smoke inhalation victims if theyre exposed to fire or smoke in an enclosed area, present with soot around the mouth, nose, or back of mouth or have an altered mental status

The first 2 weeks might bring dramatic relief followed by a period where progress seems to stall

A few commenters recommended increased clarity in warning notices provided to noncompliant hospitals

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