Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
Resuscitation workflow
Airway threat
Copious secretions
Bronchospasm
Hypoventilation
Breathing failure
SpO2 target 94% to 98%
ETCO2 trend for ventilation adequacy
Circulatory instability
Hypotension
Bradycardia
Neurologic instability
Seizure activity
Coma
Immediate antidote readiness
Atropine bedside
Oxime bedside
Benzodiazepine bedside
Decontamination and safety
Scene and staff safety
PPE escalation
Gloves
Gown
Eye protection
Respiratory protection for ongoing off gassing concern
Secondary contamination prevention
Contaminated clothing removal
Bag and seal belongings
Skin decontamination
Soap and water wash
Repeat wash if oily residue persists
Ocular decontamination
Irrigation until symptom resolution
pH normalization if available
GI decontamination
Activated charcoal within 1 hour for protected airway and significant ingestion
Avoid charcoal in uncontrolled emesis or unprotected airway
Key clinical decision points
Toxidrome recognition
Cholinergic syndrome pattern
Bronchorrhea
Bronchospasm
Bradycardia
Miosis
Diaphoresis
Fasciculations
Organophosphate vs carbamate implications
Oxime benefit strongest with organophosphate
Carbamate inhibition often reversible and shorter duration
Early airway control triggers
Persistent hypoxia despite suction and atropine
Refractory bronchospasm
Recurrent seizures
Worsening hypercapnia
Consult triggers
Poison center early involvement
ICU activation for any respiratory failure or atropine infusion need
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.