NAVMED P-5010-8 - Navy Medicine - U.S. Navy

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CHAPTER 8. MEDICAL ENTOMOLOGY AND PEST CONTROL TECHNOLOGY THIS PAGE INTENTIONALLY LEFT BLANK 8-24 9 Nov 2004
8-25 CHAPTER 8. NAVY ENTOMOLOGY AND PEST CONTROL TECHNOLOGY 8-26 SECTION V. FIRST AID AND EMERGENCY TREATMENT FOR PESTICIDE EXPOSURE Article Subject Page 8-25 General Procedures ......................................................................................................8-25 8-26 First Aid For Pesticide Contamination.........................................................................8-25 8-27 First Aid For Internal Poisoning From Pesticides ........................................................8-26 8-28 First Aid For Poisoning By Fumigants ........................................................................8-26 8-29 Organophosphorus Pesticide Poisoning and Suggestions For Treatment ....................8-26 8-30 Carbamate Pesticide Poisoning and Suggestions For Treatment .................................8-27 8-31 Organochlorine Pesticide Poisoning and Suggestions For Treatment .........................8-27 8-25. General Procedures a. Strict adherence to basic principles in rendering first aid to victims of pesticide contamination and poisoning may avert disfigurement, compromise of health, and possibly loss of life. A chart, Emergency Medical Treatment for Acute Pesticide Poisoning, available from any DVECC or NAVENPVNTMEDU, should be posted in conspicuous places where pesticides are stored, issued, mixed, or handled and in emergency rooms of medical treatment facilities. b. Decontamination is extremely important in pesticide poisoning and should be done as quickly as possible. When properly accomplished according to the nature of exposure, decontamination terminates exposure and, thereby, limits the dose. c. It is important that the pesticide container, a sample of the remaining residue, and a readable label or the names of the chemical constituents be saved for use by the medical officer. d. Supportive therapy does not counteract the specific toxic action of the pesticide, but assists in maintaining vital body functions. The purpose of supportive therapy is to keep the patient alive until specific antidotes can be given and take effect, or until the body has sufficient time to metabolize and detoxify the poison. Supportive therapy includes the following: (1) Cardiopulmonary resuscitation. (2) Artificial respiration (mouth to mouth if oral intake of the pesticide is not involved). (3) Maintenance of a free airway. (4) Oxygen therapy for cyanosis. (5) Postural drainage. e. A nation-wide network of poison control centers (PCC) has been established in conjunction with the Public Health Service (PHS). These centers are usually located in local hospitals and are geographically located to be available by telephone from almost every part of the country. Their staff members are specially trained for the treatment of poison cases. When requiring information and assistance, dial the number given for the PCC in the nearest city. Also, ask the operator for the name of the person who is in charge. This will eliminate unnecessary delay and possible misunderstanding. 8-26. First Aid For Pesticide Contamination a. Eye Contamination (1) Holding the lids apart, wash the eye for 5 minutes with a gentle stream of running water. (2) Do not use chemical antidotes because they may increase the extent of injury. 9 Nov 2004 8-25
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NAVMED P-5010-8 - Navy Medicine - U.S. Navy

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