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