| REVIEW ARTICLE |
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| Year : 2020 | Volume
: 16
| Issue : 3 | Page : 101-104 |
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Killer secretions: Organophosphorus poisoning: Practice eessentials and protocols
KP Amrithachandra1, TP Sreekrishnan2, KP Gireesh Kumar2
1 Amrita School of Medicine, AIMS, Kochi Kerala, India
2 Department of Emergency Medicine, AIMS, Kochi Kerala, India
Correspondence Address:
Dr. T P Sreekrishnan
Department of Emergency Medicine, AIMS, Kochi, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/AMJM.AMJM_19_20
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Organophosphorus pesticide self-poisoning is an important clinical problem in rural regions of the developing world and kills an estimated 200,000 people every year. Unintentional poisoning kills far fewer people but is a problem in places where highly toxic organophosphorus pesticides are available. Medical management is difficult, with case fatality generally more than 15%. However, consensus suggests that early resuscitation with atropine, oxygen, respiratory support, and fluids is needed to improve oxygen delivery to tissues. The role of oximes is not completely clear.
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