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However, because it is inactive, the liver must expend cellular energy to strip away the cyanide molecule (decyanation) before the body can even begin to use it

This paper discusses the causes, recognition, and management of acute cyanide poisoning in the prehospital setting with emphasis on the emerging profile of hydroxocobalamin, an antidote that may have a risk:benefit ratio suitable for empiric, out-of-hospital treatment of the range of causes of cyanide poisoning

Trimix should typically be injected slowly into the corpus cavernosum of the penis