A 52-year-old woman was brought to a community hospital by emergency medical services after being pulled from a multistory house fire. Initial treatment included one dose of Cyanokit (5 g, hydroxocobalamin) before she was med-flighted to our institution at approximately 07:50 AM. Initial evaluation included a plasma basic metabolic panel (BMP), coagulation studies, arterial blood gas (BGAS) panel, and point-of-care (POC) whole blood glucose measurements.