title: Organophosphate poisoning.
abstract: Stay safe! Certain scenes and scenarios invite a greater degree of caution. Wear protective gear (Level B for decon) and make sure the patient is hazmat-naked prior to decontamination. Use tincture of green soap or household dishwashing soap to decontaminate your patient. Maintain the patient's airway using oral/nasal airways; intubate if indicated. Give high-flow oxygen by nonrebreather oxygen mask or, if intubated, with a bagh-valve mask. Treat for shock by maintaining the patient's body temperature, keeping them supine if they will tolerate it, and gaining i.v. access. Administer oxygen, atropine, pralidoxime chloride and diazepam as required. Notify the ED and transport rapidly. If it is a terrorist incident, get your patient and get out.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Gerald
mesh_terms: D003666:Decontamination; D004632:Emergency Medical Services / Q000592:standards*; D004638:Emergency Treatment; D006801:Humans; D007306:Insecticides / Q000737:chemistry / Q000506:poisoning*; D009937:Organizational Objectives; D009943:Organophosphorus Compounds; D011041:Poisoning / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D011634:Public Health; D014481:United States
chemical_list: D007306:Insecticides; D009943:Organophosphorus Compounds