Decontamination

Gastrointestinal decontamination is unlikely to be effective because organophosphates and carbamates are rapidly absorbed and distributed. Nevertheless, aspiration of gastric contents via a nasogastric or orogastric tube may be indicated if the ingested organophosphate has been prepared in an aromatic or halogenated hydrocarbon solvent.

If skin decontamination is required, immediately remove and dispose of all contaminated clothing, and shower or bathe the patient with soapy water; however, this should not take priority over resuscitation and atropinisation. Chemical, biological and radiation precautions are not required for organophosphate and carbamate poisonings. Staff performing skin decontamination should use universal precautions (gloves, gowns, eye protection).