A 15-year-old boy lived on a farm was presented to the ED with a 1-day history of vomiting, diarrhea, and altered sensorium. Examination He was drowsy and had tachypnea and hypotension. Lung auscultation revealed diffuse crepitations Pupils were reactive, equal in size, and mildly constricted No neurological deficit was observed Total blood investigation indicated: mild anemia, high WBC count, low plasma levels of cholinesterase. Later the patient admitted that he had ingested an insecticide solution (which contained 2,2-dichlorovinyl dimethyl phosphate) with suicidal intent owing to poor performance at school.
The cholinergic symptoms and tongue fasciculations suggested a diagnosis of organophosphate poisoning. How would you manage this patient? *This case is from Docplexus editorial team for educative purpose only. Source: The New England Journal Of Medicine
