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Organophosphate poisoning — ABEM Board MCQ

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ModerateToxicologyOrganophosphate poisoningABEM Board

A 29-year-old farmworker arrives after pesticide exposure with vomiting and dyspnea. Triage acuity is ESI 1; BP 102/60 mm Hg, HR 48/min, SpO2 86%. He has pinpoint pupils, bronchorrhea, wheezing, diaphoresis, and muscle fasciculations. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Decontaminate safely and treat with atropine plus pralidoxime

Organophosphate poisoning requires staff protection, decontamination, atropine titrated to secretions, and pralidoxime.

Reference: CDC/NIOSH organophosphate emergency guidance