The document discusses pesticide poisoning and organophosphate poisoning. It summarizes that the Forensic Science Laboratory confirmed the presence of the organophosphate monocrotophos in samples from a midday meal, indicating pesticide contamination of the food. It then provides background on common pesticides including organophosphates and carbamates. It notes that poisons and medicines can be the same substance given with different intents. Common reasons for pesticide exposure include mislabeling, misreading labels, mistaken chemical identification, uninformed self-medication, and attempted suicide. Symptoms of organophosphate poisoning are also summarized.

1. Dr .Anand.M.Tiwari
Head of dept. ICU wanowarie
Critical care medicine,and emergency
physician
Ruby hall clinic

2. Times of India
 Confirming the presence
of poisonous pesticides
in the midday meal, the
Forensic Science
Laboratory (FSL) said the
contaminated food
contained
monocrotophos, an
organophosphate
insecticide, after experts
examined samples of oil
from the container, food
remains on the platter
and remains of food
items in the utensils.

4. Pesticide regulations
?

5. introduction
Organophosphate-diazinon, chlopyriphos, malathion
Carbamate-aldicarb, carbaryl, propoxur
nerve gases (sarin, soman, tabun, VX)

6. Poisons and medicines are often the same substance
given with different intents.
--Peter Latham (1865)

7. Reasons---
product mislabeling; label misreading; mistaken
identification of unlabeled chemicals; uninformed
self-medication;
attempted suicide (deliberate self-harm) is the most
common reason for intentional exposure

8. Tokyo subway incidenceIn the Monday morning rush hour of
March 20, five cult members boarded
different subway trains converging on
central Tokyo.
Four of them each carried two plastic
bags loaded with sarin, and the fifth had
three bags.
At nearly the same moment, they each
dropped the bags to the floor of the jam-
packed train and punctured them with a
specially sharpened umbrella tip. The
cultists then quickly stepped
off the trains as they pulled into the next
station. Getaway drivers were waiting
outside the station for each of them.

10. 10

11. O .P . Poisoning
Highly lipid soluble
Commonly available poison
Manifestations due to….M, N,CNS actions
“Death due to respiratory failure”

12. Cholinergic------
SLUDGE-M
Nicotinic--
fasciculation
Central effects
Confusion
Seizures,coma

13. 1-4 DAYS
Fention
Malthion
Diaznion
trichorofan

15. Management---

16. Decontamination
atropine
OXIMES
Life support
Ventilator support
FASTHUG
Control of seizures

18. Oximes
Have
NULL
effect or
possible
harm

19. Review mcq-
All of the following are signs of acetylcholinesterase
inhibitor toxicity EXCEPT
(A) miosis
(B) salivation
(C) diarrhea
(D) muscle fasciculations
(E) anhydrosis

20. Match the following
Poisoning Antidote
Paracetamol
OPIOIDS
ASPIRIN(SALICYLATE)
METHANOL
TRICYCLIC ANTIDEPRESSANT
CYANIDE
Amyl nitrate ,sodium nitrite,
Sodium thiosulphite
FAD
BICARBONATES
NALOXONE
NAC
FOMEPIZOLE
EHTANOL

21. Thank you
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dranandtiwari@gmail.com
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