vitals and need to be treated first, so atropine and then pralidoxime.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2493390/

important to note that organophosphates become irreversible at a certain point so pralidoxime does still need to be given early

You could give pralidoxime but you have to give it second (after atropine) because it temporarily worsens the cholinergic toxidrome (wet picture)

Pra li dox ime an tag M+N

Vitals and need to be treated first, so atropine and then pralidoxime.

RIP I’m not descrambling this link

Important note that organophosphate becomes irreversible at a certain point so pralidoxime does still need to be given early