We present a compilation of spectroscopic observations of the sgB[e] star CI Cam. This includes data from before, during, and after its 1998 outburst. The object shows a rich emission line spectrum originating from circumstellar material, rendering it difficult to determine the nature of either star involved or the cause of the outburst. We collate pre-outburst data to determine the state of the system before this occurred and provide a baseline for comparison with later data. During the outburst all lines become stronger, and hydrogen and helium lines become significantly broader and asymmetric. After the outburst, spectral changes persist for at least three years, with FeII and [NII] lines still a factor of ~2 above the pre-outburst level and HeI, HeII, and NII lines suppressed by a factor of 2-10. We find that the spectral properties of CI Cam are similar to other sgB[e] stars and therefore suggest that the geometry of the circumstellar material is similar to that proposed for the other objects: a two component outflow, with a fast, hot, rarefied polar wind indistinguishable from that of a normal supergiant and a dense, cooler equatorial outflow with a much lower velocity. We suggest that CI Cam is among the hotter members of the class and is viewed nearly pole-on. The nature of the compact object and the mechanism for the outburst remain uncertain, although it is likely that the compact object is a black hole or neutron star, and that the outburst was precipitated by its passage through the equatorial material. We suggest that this prompted a burst of supercritical accretion resulting in ejection of much of the material, which was later seen as an expanding radio remnant. [Abbreviated]
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