Emergency Responses and Disaster Preparedness
Nerve Agent Exposure

Nerve agents (e.g., Sarin, VX) cause a cholinergic crisis via acetylcholinesterase inhibition.
SLUDGEM Syndrome
- Salivation, Lacrimation, Urination, Defecation, GI distress, Emesis, Miosis (pinpoint pupils).
- Excessive bronchial secretions lead to rapid airway obstruction.
- Monitor for bradycardia and muscle fasciculations.
Pharmacological Treatment
- Atropine: Primary drug for drying secretions and reversing bradycardia.
- Pralidoxime: Reactivates acetylcholinesterase.
- Benzodiazepines: Administer for seizure control.
- Aggressive airway management and suctioning are essential.
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