Organophosphates are commonly found in pesticides and insecticides, which are often stored in tool sheds. NREMT training emphasizes recognition of cholinergic toxidrome, frequently summarized by the mnemonic SLUDGE (Salivation, Lacrimation, Urination, Defecation, Gastrointestinal distress, Emesis).
Option C is correct because the patient’s symptoms—drooling, tearing, abdominal pain, and runny nose—are hallmark signs of organophosphate poisoning.
Option A (naphthalene) primarily causes hemolysis and neurologic symptoms.
Option B (hydrogen sulfide) causes respiratory distress and altered mental status, not secretions.
Option D causes chemical pneumonitis, not cholinergic symptoms.
NREMT stresses early identification of toxic exposures, scene safety, decontamination awareness, and rapid transport for definitive care.
