Fatalities are rare with carbamate poisoning. It is important that the person administering first aid knows the type of compounds that have been in use on the day when the poisoning occurs in case the poisoning is not due to carbamate but to something else. Recovery is usually rapid in carbamate poisoning. Observation may be all that is needed after exposure has been stopped by removing contaminated clothing and washing the skin. If the patient has collapsed, a single dose of atropine, 2 milligrams, should be given by a syringe or by auto-injection into the thigh or upper arm. This dosage of atropine should not harm the person. In rare cases of carbamate poisoning, if symptoms recur after a single dose of atropine, more atropine may be needed. Then one must ask whether exposure has really stopped or whether some other agent or medical condition is responsible for the patient's symptoms. Then different treatment may be needed.
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