Cyanide decontamination measures

Solid cyanide compounds will persist until decontamination measures are carried out. All cyanide compounds are slowly inactivated in... 

Skin Contact Wash skin at once to remove cyanide while removing all contaminated clothing including shoes do not delay Skin absorption can take place from cyanide dust, solutions, or hydrogen cyanide vapor. Absorption is slower than with inhalation, often measured in minutes rather than seconds (AC or HCN is absorbed much faster than metal cyanides from solutions such as sodium, potassium or copper cyanide solutions). After going though decontamination on the victim(s), watch him or her for at least one to two hours, if possible, since absorbed cyanide can continue to work into the blood stream. As a final note, wash clothing before reuse, and destroy contaminated shoes. 

In asymptomatic patients, activated charcoal and observation may be all that is necessary. In the unlikely event that patients exposed to hydrangea develop symptoms consistent with cyanide poisoning, ignore gastric decontamination procedures until life-support measures have been instituted. Cyanide antidote kit administration may be necessary. 

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