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The following should be undertaken: (a) Trained personnel (wearing appropriate protective clothing and breathing apparatus if hydrogen cyanide or liquid cyanide preparations are involved) should * terminate further exposure * commence artificial ventilation with 100% oxygen a * administer 0.2-0.4 ml amyl nitrite via Ambu bag (b) A physician (if immediately present on the scene) should * terminate further exposure * artificial ventilation with 100% oxygen a * administer 0.2-0.4 ml amyl nitrite via Ambu bag In cases of unequivocal moderate to severe poisoning, the above procedure should be followed by 50 ml of 25% sodium thiosulfate solution (12.5 g) i.v

Chemistry and clotting studies evaluate how well your organs, specifically the liver and kidneys, are functioning, as organ failure can often lead to GI bleeding