Acute cyanide ingestion (50mg of hydrogen cyanide or 200mg of potassium cyanide) or inhalation of hydrogen cyanide gas can be rapidly lethal.
In some parts of Europe it is common for the fire brigade to carry the cynokit and treat empirically if there is suspicion for cyanide toxicity. Cyanide is produced from melting plastics and those enclosed in house fires are at considerable risk. However, the most likely situation in your emergency department will be a house fire. Throughout history there have also been some popular examples including the mass suicide at Jonestown and Heaven’s gate, it was also commonly used by the Nazi’s including Hitler.
Cyanide toxicity is usually reserved for the spy movies whereby the villain will bite down on a capsule of cyanide and instantly froth at the mouth and die.
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