Organophosphate Poisoning
Paramedic Concerns
consider proper PPE
dangerous for all persons
high mortality rate
Less commonly seen
Types of OPP
Nerve Gas
Herbicides
Pesticides
Treatments
For Moderate and Severe
Monitor ECG
Treat any arrhythmias
Intubate and ventilate
Severe Respiratory Distress or Apnoea
Diazepam
Repeat as required
Pediatric 1-5mg IV
Adult 5-10mg IV
Pralidoxime
Infuse 8-10mg/kg/hr
Adult 30 mg/kg IV over 4 mins
Give Atropine ASAP
Pediatric 20 mcg/kg IV
Adult Dose 0.6-4.0 mg IV
Establish IV access
For Mild Symptoms
0.5% tropicamide eye drops
Consider Atropine 0.6-4mg IV
Wash down
Remove Clothing
Maintain Airway
Types of OPP and Symptoms
Severe OPP
Death
Coma
Collapse, respiratory depression or arrest
Cardiac arrhythmias
Copious excess secretions
Conculsions
Confusion and agitation
Pinpoint pupils
Moderate OPP
Vomiting, diarrhoea, urination
Difficulty breathing
Drooling, excess phlegm, bronchorrhoea, bronchospams
Coughing, wheezing, sneezing
Dizziness, disorientation
Pinpoint pupils, conjunctival injection
Mild Acute Poisoning (Sheep dip flu)
Mild muscle weakness
Nausea
Headache
Excess saliva
Runny nose and eyes
Painful. blurred vison
Small or pinpoint pupils
