Cholinergic poisoning: protect the team, then clear the air
Educational use only. Not clinically reviewed46-year-old man for calm contamination, airway, secretion, neuromuscular-risk, antidote-boundary, reassessment, and handoff practice. About 6 simulated minutes.
What you will practise
- Reconcile product, route, secondary contamination, secretions, breathing, weakness, CNS, and the whole patient.
- Recognize the muscarinic, nicotinic, and CNS pattern without mnemonic- or cholinesterase-only closure.
- Activate PPE, decontamination, airway, resuscitation, toxicology, and safety ownership.
- Review supplied respiratory, neuromuscular, CNS, exposure, cholinesterase, and airway evidence.
- Record bounded qualified antidote, airway, seizure, and surveillance intent, then review a strict later report.
- Hand off recurrent secretions, bronchospasm, weakness, intermediate syndrome, exposure, seizure, and active risk.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- American Heart Association. Part 10: Adult and Pediatric Special Circumstances of Resuscitation. Section 21.12, life-threatening organophosphate or carbamate poisoning. Consulted 2026-08-26.
- US Environmental Protection Agency. Recognition and Management of Pesticide Poisonings. Sixth edition, Chapter 5, Organophosphates. 2013.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.