A 31-year-old man exposed to agricultural insecticide arrives with copious secretions. Triage acuity is ESI 1; BP 98/56 mm Hg, HR 52/min, SpO2 84%.

Question

A 31-year-old man exposed to agricultural insecticide arrives with copious secretions. Triage acuity is ESI 1; BP 98/56 mm Hg, HR 52/min, SpO2 84%. He is wheezing with bronchorrhea and fasciculations. Decontamination has begun. Which of the following is the most important immediate intervention?

Accepted Answer

Give atropine until secretions dry and administer pralidoxime

Answer

Give physostigmine

Answer

Treat with beta-blockers

Answer

Give oral diphenhydramine alone

Answer

Administer flumazenil

Organophosphate treatment — ABEM Board MCQ

A 31-year-old man exposed to agricultural insecticide arrives with copious secretions. Triage acuity is ESI 1; BP 98/56 mm Hg, HR 52/min, SpO2 84%. He is wheezing with bronchorrhea and fasciculations. Decontamination has begun. Which of the following is the most important immediate intervention?