The lead of the article states that " The symptoms reported match those of tabun, a known anticholinesterase poison belonging to a family of organophosphate nerve poisons ".
13.
Alpha adrenergic agonists are recommended in addition to intravenous fluids to combat hypotension; anticholinesterase agents " have been proposed as a treatment option but have not been tested adequately ".
14.
Neostigmine methylsulfate, an anticholinesterase agent, has been used to target ChAT . In particular, use of neostigmine methylsulfate has been shown to have positive effects against congenital myasthenic syndrome.
15.
The following precautions should be kept in mind in the treatment of anticholinesterase poisoning, although they do not bear directly on the use of pralidoxime : since barbiturates are potentiated by the anticholinesterases, they should be used cautiously in the treatment of convulsions; morphine, theophylline, aminophylline, succinylcholine, reserpine, and phenothiazine-type tranquilizers should be avoided in patients with organophosphate poisoning.
16.
During tests of chemical agents and other compounds at Carroll Island, Maryland, from July 1, 1964 to December 31, 1971 nearly 6-1 / 2 tons of chemicals were disseminated on the test area including 4, 600 pounds of irritants, 655 pounds of anticholinesterase compounds such as the nerve gasses Sarin and VX, and 263 pounds of incapacitants such as LSD . Simulant agents, incendiaries, decontaminating compounds, signaling and screening smokes, mustard, and herbicides were also released as well as riot control gasses.
