The SAM in the title refers to a Surface to Air Missile. The SA-14 Strela is a Russian made, man-portable SAM.
When Timor Ambok (George Takei in a dual role) ingests the cyanide pill in the hospital, he dies within seconds. Actually, ingestion of a lethal dose of cyanide salt causes death within minutes. However, exposure to a lethal dose of cyanide gas will result in death in mere seconds.
The scene where Ambok (George TakeI in a dual role) is hit by the car, it is not Takei but stuntman Beau Van Den Ecker.