Page 204 - ATP-P 11th Ed

5. Although additional doses of pralidoxime are contraindicated, additional 2–4mg doses
of atropine can be administered until secretion related dyspnea subsides
®
6. Additional diazepam (Valium ) can be administered as indicated for seizures
7. Ensure adequate oxygenation
8. Pulse oximetry is essential!
9. Be prepared to intubate and ventilate the patient!
10. If available cardiac monitoring is beneficial for the identification of possible
dysrhythmias
SECTION 2 Disposition

1. Urgent evacuation even if the patient appears stable.
2. They must be evaluated for permanent neurological effects.
3. Sustained atropine and pralidoxime will be given as indicated at higher care
echelon.

194 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 195