The Importance of Hydroxychobolamine in Large Burns

I don't think we should be necessarily liberal with hydroxychobolamine, but there are clearly certain indications where we should be reaching for it. Cardiac arrest is one of them. And then again, with that large burn in an enclosed area, we should be thinking about it as well. If you're seeing some kind of a disparate reading between your oxygen saturations and the patient, that's going to be another indication. The mechanism of action is that it directly binds cyanide. So it turns hydroxy chobolamine into cyanideochitochitochitichit ochitochinocine or carboxychymoglobin. It takes it out