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FIRST AID MEASUI2ES(continued) <br />• into lip of the resuscitator mask for 15 seconds, then take away <br />for fifteen seconds. Repeat 5-6 times. If necessary, use afresh <br />ampoule every 3 minutes until the patient regains consciousness <br />(usually 1-4 ampoules). Administer oxygen continuously. Guard <br />against the ampoule entering the patient's mouth. <br />4. If not breathing, give oxygen and amyl nitrite immediately by <br />means of a positive pressure resuscitator (artificial respiration). <br />Administer amyl nitrite as discussed in #3 and continue to give <br />oxygen simultaneously to aid recovery. If massive exposure <br />occurred, consider keeping the first one or two ampoules in the <br />lip of the resuscitator mask continuously. Guard against the <br />ampoule entering the patient's mouth. <br />INHALATION <br />If consciousness is impaired, oxygen and amyl nitrite should be <br />administered as indicated under First Aid Procedure. Carry the <br />patient to an uncontaminated atmosphere. Keep the patient warm <br />and calm. Call a physician. <br />SKIN CONTACT <br />If consciousness is impaired, oxygen and amyl nitrite should be <br />administered as indicated under First Aid Procedure. Immediately <br />filush with large quantities of water for up to 5 minutes after <br />contact or suspected contact, and completely remove all <br />• contaminated clothing (including shoes or boots). Flushing with <br />water for up to 5 minutes is generally sufficient to effectively <br />remove cyanide from the patient's skin. Call a physician. <br />EYE CONTACT <br />Immediately flush the eyes with large quantities of water for up <br />to 5 minutes while holding the eyelids apart. Do not try to <br />neutralize with "acids" or "alkalis". Eye contact will require <br />further evaluation and possibly treatment. Continue rinsing the <br />eye during transport to the hospital. See a physician. Oxygen <br />and amyl nitrite should be used as indicated above. <br />INGESTION <br />If the patient is conscious, immediately have patient spit and <br />rinse mouth with water .then give patient activated charcoal <br />slurry. If consciousness is impaired, or the patient is <br />unconscious, immediately administer oxygen and amyl nitrite as <br />discussed in the First Aid Procedure Section. Never give anything <br />by mouth to an unconscious person. Give patient activated <br />charcoal slurry ONLY when consciousness is regained. DO NOT give <br />Syrup of Ipecac or other emetics since they will induce vomiting <br />which could interfere with resuscitator use. Continue to give <br />oxygen. Call a physician. <br />(Continued) <br />• <br />1252CR Page 6 <br />