Providers should wear appropriate PPE during decontamination.
Neoprene or nitrile gloves and gown (latex and vinyl are ineffective)
Dispose of all clothes in biohazard container
Wash patient with soap and water
Neoprene or nitrile gloves and gown (latex and vinyl are ineffective)
IVF, O2, Monitor
Aggressive airway management is of utmost importance.
Intubation often needed due to significant  respiratory secretions / bronchospasm.
Use nondepolarizing agent (Rocuronium or Vecuronium)
Succinylcholine is absolutely contraindicated
Benzodiazepines for seizures
Intubation often needed due to significant  respiratory secretions / bronchospasm.
Use nondepolarizing agent (Rocuronium or Vecuronium)
Succinylcholine is absolutely contraindicated
Dosing with atropine and pralidoxime are time dependent and provides ability to reverse symptoms while awaiting agent metabolism
For exposure to nerve agents, manufactured IM autoinjectors are available for rapid administration:
Mark 1
Contains 2 separate cartridges: atropine 2 mg + 2-PAM 600 mg
Being phased out with newer kits
DuoDote
Single autoinjector containing both medications
Same doses as Mark 1: atropine 2 mg + 2-PAM 600 mg
Mark 1
Contains 2 separate cartridges: atropine 2 mg + 2-PAM 600 mg
Being phased out with newer kits
DuoDote
Single autoinjector containing both medications
Same doses as Mark 1: atropine 2 mg + 2-PAM 600 mg
Contains 2 separate cartridges: atropine 2 mg + 2-PAM 600 mg
Being phased out with newer kits
Single autoinjector containing both medications
Same doses as Mark 1: atropine 2 mg + 2-PAM 600 mg
Organophosphate toxicity
Carbamate toxicity
Salicylate toxicity
Mushroom toxicity, especially:
Chlorate toxicity
Amanita muscaria
Thallium toxicity
Inocybe