Cyanide Exposure in Firefighting: An Epidemiological Perspective

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Author(s): Alanna Cummiskey, Grace Oliver, Collin Grota, Pollyanna Esaghoolian, Meghan Schmidt, Destinee O’Shea, Paul Misasi

Project Description : Hydrogen cyanide (HCN), a toxic byproduct of burning nitrogen-containing materials, poses a significant risk to firefighters, especially during overhaul when self-contained breathing apparatus (SCBA) use declines. Despite its dangers, cyanide exposure is under-monitored, and standardized detection and treatment protocols are lacking. This literature review examines epidemiological trends, diagnostic challenges, and the role of biomarkers in assessing cyanide exposure in firefighters. The review was developed in partnership with a local fire department to better understand and manage these risks.

Additional Informational : Presented to Derby, Wichita and Sedgwick County firefighters on September 17, 2025 Presented to Butler County firefighters on October 16, 2025

Media: Cyanide Exposure in Firefighting: An Epidemiological Perspective

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