Management Guidelines of Organophosphorus Poisoning in Emergency Department

Abstract

Decontamination: Decontamination of the body by washing with soap and water is to be thorough and complete. A repeat stomach wash in every case is recommended to remove residual OP. Remove all clothing, hair accessories and place them in appropriate waste bags. Gastric lavages is indicated once patient is stabilized, calm enough to give consent and in unconscious intubated patient, which is recommended to be repeated after 2-3 hrs. Though it has been recommended only to be carried out within 1-2 hours of ingestion of OP elsewhere it has been started even after 12 hrs of ingestion and repeated thrice at an interval of 4 hrs.