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

8-26 CHAPTER 8. NAVY ENTOMOLOGY AND PEST CONTROL TECHNOLOGY 8-29
b. Skin Contamination
(1) Flood the skin with water.
(2) Direct a stream of water onto the
contaminated area while removing the patient's
clothing.
(3) Do not use chemical antidotes.
8-27. First Aid For Internal Poisoning From
Pesticides
In the event of internal pesticide poisoning,
render first aid as follows:
a. When possible obtain immediate, onthe-spot
services of a physician. If this is not
possible, administer the antidote recommended
on the label of the pesticide container, then rush
the victim to the nearest medical facility. Never
attempt to administer an oral antidote to an
unconscious victim.
b. In the event no specific antidote is
recommended on the label of the pesticide
container, administer the treatment as
recommended on the "Emergency Medical
Treatment for Acute Pesticide Poisoning Chart"
until the services of a physician are available.
c. If the victim is cold, cover him/her with
a light blanket. To avoid burns, hot objects
should not be used to warm the patient.
d. In the event the victim stops breathing
or breathing becomes difficult, administer the
appropriate artificial respiration.
8-28. First Aid For Poisoning By Fumigants
In the event of poisoning by toxic gases, render
first aid as follows:
a. Quickly move the victim to a source of
fresh air (outdoors if possible).
c. Remove contaminated clothing, but keep
the patient warm.
d. If the prompt services of a physician
are not available, administer the antidote
recommended on the label of the fumigant
container.
e. In the event the victim stops breathing, or
if breathing becomes difficult, administer mouthto-mouth
artificial respiration.
8-29. Organophosphorus Pesticide Poisoning
and Suggestions For Treatment
Organophosphorus pesticides cause irreversible
cholinesterase inhibition. Examples include:
chlorpyrifos, diazinon, dichlorvos, malathion, and
naled.
a. Signs and Symptoms
(1) Mild. Headache, dizziness, weakness,
anxiety, pupillary contraction, blurred vision, and
nausea.
(2) Moderate. Nausea, salivation, lacrimation,
abdominal cramps, diarrhea, vomiting,
sweating, slow pulse, muscular tremors, and
respiratory compromise.
(3) Severe. Respiratory difficulty,
pinpoint and non-reactive pupils, pulmonary
edema, cyanosis, loss of sphincter control, muscle
spasms, convulsion, coma, and eventual death due
to respiratory failure.
b. Antidote
(1) Adults. After cyanosis is overcome,
give 2 to 4 mg of atropine sulfate intravenously
(IV). Repeat doses at 5 to 10 minute intervals
until signs of atropinization appear. Maintain
treatment for 24 hours or longer if necessary. A
total of 25 to 50 mg or more may be necessary
during the first day.
b. Call a physician promptly, or rush the
victim to the nearest medical facility.
8-26
9 Nov 2004