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Consider treating cyanide poisoning on speculation if your burn patient has: Altered mental status (not attributed to head injury) + soot in the mouth or nose (portents about a 60% chance of cyanide poisoning) Altered mental status (not attributed to head injury) + soot in the mouth or nose + unexplained hypotension (portents about an 80% chance of cyanide poisoning) Cyanide poisoning may present with non-specific symptoms similar to CO poisoning (nausea, vomiting, headache, confusion)

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The first vignette, starring Roberto Benigni and Steven Wright, each in his respective wired and tired persona, gets things off to a wobbly start

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