While the majority of specialist clinicians have the complete diagnostic toolkit, many of the more unusual disorders and their diagnostic features are less clear to the general internist and primary care/family medicine physician. [books.google.de]

One of the child's physicians consulted the medical toxicologist at Poison Control to discuss the child's care and to ask how long the atropine and pralidoxime should be continued. [poison.org]

Darragh O'Carroll, MD, is an emergency physician in Hawaii. [tonic.vice.com]

Training : It has been claimed 11 that if paramedics had been allowed to maintain an airway with an endotracheal tube or to use a laryngeal mask airway without physician oversight more patients might have survived in the Tokyo incident. [cryptome.org]

If the patient/victim’s condition can be evaluated within 30 minutes after ingestion, in a hospital setting, consider gastric lavage. Gastric contents should be considered potentially hazardous and should be quickly isolated. [cdc.gov]

Intubation may be necessary in cases of respiratory distress due to laryngospasm, bronchospasm, bronchorrhea, or seizures. Immediate aggressive use of atropine may eliminate the need for intubation. [openanesthesia.org]

Nerve agents cause death via respiratory failure, which in turn is caused by increased airway resistance (bronchorrhea, bronchoconstriction), respiratory muscle paralysis, and most importantly, loss of central respiratory drive. [10] Two chemical properties [emedicine.medscape.com]

Atropine : If bronchorrhea develops, atropine (2 mg in an adult; 20 microgram/kg in a child) should be administered intravenously every 5–10 minutes until secretions are minimal and the patient is atropinized (dry skin and sinus tachycardia). [cryptome.org]

cramps; epigastric and substernal tightness with “heartburn” and eructation; diarrhoea; tenesmus; involuntary defecation Increased/excessive sweating Increased/excessive salivation Increased/excessive lacrimation Bradycardia Slight miosis, occasionally [emro.who.int]

Atropine also blocks other effects of poisoning, such as nausea, vomiting, abdominal cramping, low heart rate, and sweating. Atropine, however, does not prevent or reverse paralysis. [emedicinehealth.com]

Symptoms of nerve agent poisoning include: Neuromuscular Effects Autonomic Nervous System Effects Central Nervous System Effects Twitching Weakness Paralysis Respiratory failure Reduced Vision Small pupil size Drooling Sweating Diarrhea Nausea Abdominal [faculty.washington.edu]

[…] a low or moderate dose of tabun by inhalation, ingestion (swallowing), or skin absorption may experience some or all of the following symptoms within seconds to hours of exposure: Runny nose Watery eyes Small, pinpoint pupils Eye pain Blurred vision Drooling [nationalterroralert.com]

[…] of tabun by inhalation, ingestion (swallowing), or skin absorption may experience some or all of the following symptoms within seconds to hours of exposure: Abnormally low or high blood pressure Blurred vision Chest tightness Confusion Cough Diarrhea Drooling [emergency.cdc.gov]

It was a dramatic poison: Dilute solutions destroyed insect food pests and also caused vomiting, shortness of breath, pupil dilation, drooling, sweating, diarrhea, and death in apes and other mammals. [cen.acs.org]

Atropine sulfate blocks the muscarinic effects of acetylcholine that cause bronchorrhoea, hypersalivation, bronchoconstriction and bradycardia, thereby reducing these effects. [emro.who.int]

Excessive acetylcholine corroborates what has been reported and seen in the videos taken just after the attack, including uncontrolled salivation that will cause "foaming at the mouth," vomiting, tearing, involuntary defecation and urination, tiny pinpoint [tonic.vice.com]

The many challenges confronting healthcare systems include: Operation at near-capacity much of the time, with severely limited ability to absorb the increasing burdens of potential public health issues Serious neglect of the public health system for many [books.google.de]