Does anyone routinely measure blood lactate levels in patients involved in fires where smoke inhalation may have happened in the absence of any signs to suggest Cyanide poisoning? Lactate is part of the investigation on the Toxbase site (" If lactate concentration > 10 mmol/L in absence of significant burns and after correct of hypotension consider the possibility of cyanide poisoning." sic)
And do you always measure CO levels in everyone involved in a house fire?
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