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Carbofos poisoning; Compound 4049 poisoning; Cythion poisoning; Fosfothion poisoning; Mercaptothion poisoning
Call poison control for appropriate treatment information. If malathion is on skin, wash area thoroughly for at least 15 minutes.
Discard all contaminated clothing as hazardous waste through the appropriate agencies. Wear protective gloves when touching contaminated clothing.
Determine the following information:
The National Poison Control Center (1-800-222-1222) can be called from anywhere in the United States. This national hotline number will let you talk to experts in poisoning. They will give you further instructions.
This is a free and confidential service. All local poison control centers in the United States use this national number. You should call if you have any questions about poisoning or poison prevention. It does NOT need to be an emergency. You can call for any reason, 24 hours a day, 7 days a week.
Take the container with you to the hospital, if possible.
The health care provider will measure and monitor the patient's vital signs, including temperature, pulse, breathing rate, and blood pressure. Blood and urine tests will be done. The patient may receive:
Patients who continue to improve over the first 4 to 6 hours (after receiving medical treatment) usually recover. Prolonged treatment often is needed to reverse the poisoning, including intensive care hospitalization and long-term therapy. Some toxicity may persist for weeks or months, or even longer.
Toxicological Profile for Malathion. Atlanta, GA: Department of Health and Human Services, Public Health Service. Agency for Toxic Substances and Disease Registry (ATSDR); 2003.
Robey WC III, Meggs WJ. Insecticides, herbicides, rodenticides. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. New York, NY: McGraw-Hill; 2004:chap 182.
Aaron CK. Pesticides. In: Marx J, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 6th ed. St Philadelphia, Pa: Mosby Elsevier; 2006:chap 161.
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