⚠ Emergency protocol

Pesticide
Exposure

Comprehensive emergency response guide for rapid recognition, decontamination, treatment support and prevention.

Quick reference

Act first. Identify second.

When symptoms are severe, call emergency services immediately.

Emergency contact911 / Poison Control
First actionRemove from exposure
Critical informationProduct name and label
Time sensitiveAct within minutes
⚑

Immediate Response Protocol

Remove from the exposure sourceMove the person away from contamination to fresh air. Ventilate the area only if it is safe to do so.
Call emergency servicesCall 911 for severe symptoms. Contact Poison Control at 1-800-222-1222 in the United States. Keep the product container available.
Remove contaminated clothingUse gloves when available. Cut clothing off when pulling it over the head could spread contamination. Isolate clothing in a bag.
Decontaminate skinRinse with copious cool or lukewarm water for at least 15–20 minutes. Use mild soap when appropriate; avoid aggressive scrubbing.
Irrigate eye exposureFlush immediately with lukewarm water for at least 15 minutes. Remove contact lenses when easily possible.
Manage ingestion safelyDo not induce vomiting unless Poison Control or a clinician specifically instructs you to do so. Do not give anything by mouth to an unconscious person.
Do not
  • Induce vomiting without professional instruction
  • Give oral fluids to an unconscious or poorly protected patient
  • Delay emergency care while searching for information
  • Expose rescuers without appropriate protection

Information to collect

  • Product and manufacturer
  • EPA registration number
  • Active ingredients
  • Time, route and estimated amount
  • Age, weight and current symptoms
  • Photograph or bring the label safely
🩺

Symptoms and Timing

🚨 Severe β€” call 911

  • Difficulty breathing or blue lips
  • Chest pain
  • Seizures
  • Loss of consciousness
  • Severe confusion or weakness
  • Pinpoint pupils with secretions

⚠ Prompt evaluation

  • Excessive sweating or salivation
  • Blurred vision
  • Muscle twitching
  • Abdominal cramping or diarrhea
  • Persistent vomiting
  • Palpitations or abnormal heart rate

Symptom timeline by exposure type

ClassTypical onsetKey features
OrganophosphatesMinutes to hoursCholinergic syndrome: secretions, bronchospasm, vomiting/diarrhea, miosis, weakness
CarbamatesOften within hoursSimilar cholinergic findings; duration may be shorter
PyrethroidsMinutes to hoursParesthesia, burning/tingling, nausea; seizures in severe cases
Organochlorines30 minutes to hoursTremor, agitation, dysrhythmia or seizures
Anticoagulant rodenticidesDelayedBruising or bleeding; laboratory abnormalities may precede symptoms

Symptoms depend on the agent, formulation, dose, route and patient factors. Some toxic effects are delayedβ€”when uncertain, contact Poison Control.

πŸ’Š

Medical Treatment Overview

Decontamination

  • Remove contaminated clothing
  • Copious skin/eye irrigation
  • Activated charcoal only in selected cases with an appropriate airway
  • Gastrointestinal decontamination guided by toxicology/Poison Control

Supportive care

  • Airway and oxygenation support
  • IV access and fluids when indicated
  • Cardiac and respiratory monitoring
  • Benzodiazepines for toxicologic seizures when appropriate

Agent-specific therapy

  • Atropine: severe muscarinic cholinergic toxicity
  • Pralidoxime: selected organophosphate poisoning
  • Vitamin K: anticoagulant rodenticide toxicity
  • Methylene blue: clinically significant methemoglobinemia

Hospital evaluation

  • Serial vital signs and examination
  • ECG and targeted laboratory testing
  • Cholinesterase testing when clinically useful
  • Observation duration based on agent and trajectory
Important

Home care should not replace professional evaluation after a significant exposure. Treatment varies substantially by active ingredient and formulation; consult Poison Control or a medical toxicologist.

πŸ§ͺ

Common Pesticide Classes

πŸ› Insecticides

Organophosphates

Examples include malathion and chlorpyrifos. Acetylcholinesterase inhibition causes cholinergic toxicity.

Carbamates

Carbaryl and aldicarb can produce similar but often shorter-lived findings.

Pyrethroids

Permethrin and cypermethrin often cause irritation or paresthesia; severe toxicity is less common.

🌿 Herbicides

Glyphosate formulations

May cause GI, eye, skin and respiratory irritation; severe ingestion can cause systemic toxicity.

2,4-D

Can produce neuromuscular and metabolic toxicity after significant exposure.

Paraquat

Highly toxic when ingested and associated with corrosive injury and progressive pulmonary toxicity.

πŸ„ Fungicides

Copper products

May cause GI irritation and organ injury in significant exposure.

Sulfur products

Often irritant; toxicity depends on formulation.

Triazoles

Usually low-to-moderate acute toxicity, with product-specific considerations.

πŸ€ Rodenticides

Anticoagulants

Warfarin-type and long-acting agents cause delayed coagulopathy treatable with vitamin K.

Bromethalin

Neurotoxic; no specific antidote.

Zinc phosphide

Releases phosphine gas; protect staff from secondary exposure and involve toxicology early.

Label information matters: retain the product label and Safety Data Sheet. The formulation may be as clinically important as the active ingredient.
πŸ›‘

Prevention Best Practices

Personal protective equipment

  • Chemical-resistant gloves and boots
  • Long sleeves/coveralls
  • Goggles or face shield
  • Label-specified respirator
  • Chemical-resistant head protection for overhead work

Safe handling

  • Read and follow the label
  • Use adequate ventilation
  • No eating, drinking or smoking during handling
  • Keep products in original containers
  • Measure accurately and manage spills promptly

Storage

  • Locked and inaccessible to children/pets
  • Separate from food, feed and water
  • Containers sealed, upright and labeled
  • Away from heat and incompatible chemicals
  • Post appropriate warnings

Disposal and cleanup

  • Follow label and local hazardous-waste rules
  • Never pour into drains or waterways
  • Clean equipment appropriately
  • Wash work clothing separately
  • Shower and change after application

Higher-risk conditions

Agricultural workConfined spacesHot weatherWind and spray driftChildrenPregnancyOlder adultsRespiratory disease

Use integrated pest management where feasible. Maintain applicator certification and document the product, date, amount and location of each application.

πŸ“ž

Emergency Contacts and Resources

Keep accessible

  • Product labels and SDS documents
  • Application records
  • Applicator license
  • Emergency response plan
  • Eyewash/safety-shower locations
  • Local emergency contacts

Prepare before use: establish emergency procedures, identify decontamination supplies and ensure every worker knows how to summon help.

Emergency Briefcase Β· Educational guide only; follow product labeling, Poison Control and local clinical protocols.