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don't be surprised with the answer....as much as it takes to stop the appearance of the symptoms. This can be >15-20 mg of atropine and 2-6 doses of 2Pam. Remember, the 2Pam gets the neurotransmitter/enzyme back in action that is neurtalized by the chem agent and the atropine stops the symptoms that occur with loss of the neurotransmitter but doesn't restore it.
Give and give until symptoms improved (atropine), looks like CDC recommends 3 doses of 600mg each for 2Pam (600mg/injector) for severe symptoms
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
Last edited by swatsurgeon; 02-13-2006 at 15:21.
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