① Immediately evacuate the patient from the toxic environment and take off the contaminated clothes. Rinse the contaminated skin thoroughly with soapy water or 1% ~ 5% sodium bicarbonate solution, and then rinse it with clean water. Eye pollution can be immediately washed with 2% sodium bicarbonate solution or normal saline.
② Early gastric lavage in patients with oral poisoning. Warm water, normal saline, 2% sodium bicarbonate (contraindication of trichlorfon poisoning) or 1: 5000 potassium permanganate (contraindication of parathion poisoning) can be used for gastric lavage until the washed liquid is tasteless and the color is the same as that of the washing liquid. Then inject 600mL of 30% magnesium sulfate (forbidden for coma patients) to remove the poison that has not been absorbed in the intestine.
(2) Use special effects to detoxify
① Atropine: an anti-acetylcholine drug, which can relieve smooth muscle spasm, inhibit gland secretion, keep respiratory tract unobstructed, and eliminate and alleviate brucine and central nervous system symptoms. Dosage should vary according to the severity of the disease. Early use of atropine. Sufficient and keep enough time as the principle.
② Cholinesterase resuscitator: Sodium nitroprusside and pralidoxime are commonly used, which has a significant effect on relieving nicotine-like symptoms.
(3) Prevention of complications
Acute organophosphorus pesticide poisoning is critical and often leads to death due to three major complications: pulmonary edema, cerebral edema and respiratory failure. Therefore, in the rescue, we should closely observe the changes of the condition and deal with the symptoms in time.
Give oxygen to patients with dyspnea and cyanosis. People with consciousness disorder take supine position, with their heads tilted to one side, to prevent people from inhaling pneumonia by mistake. Some infected people receive antibiotic treatment.