You ever think about what it would be like If the clouds were gone and you could see light?
If the door was open would you take flight
Or just close the curtains up and stay inside?
Take a walk with me, take a risk with me
I'm scared too and it gets so tempting
When you're so empty, to disown everything you hold
Dearly, when you know
Clearly, you've been so buried, in your own
Fairy tale, the soul's tearing bunch of holes in me
I relate to it, but in case you been thinking no one does
Here's a great theory
Throw a hail Mary, let your mind fly
To the sunrise, could be so scary
Make your faith vary, feel the pain glaring
But the weight carried ain't in vain hear me (hear me)

The parents of a 9-year-old girl bring their daughter to the ed. for the last 12 hours, the child has suffered severe nausea and vomiting, as well as diarrhoea and abdominal cramps. further discussion with the child indicates that she suffers from blurred vision and headache. the parents originally were worried about bringing the child to the ed because they feared deportation since the family are illegal immigrants employed to pick strawberries on a nearby farm. on direct questionning, the parents admit that the child was assisting with spraying crops with pesticides the previous day. none of the family members was wearing any protecting clothing. her bp is 88/48 mmhg, pulse is 90/min, rr 33/min, temp 38 c. the child appears sweaty and confused. auscultation of the lungs reveals a diffuse wheeze bilaterally. pupils are miotic and the child has diffuse muscle weakness. which of the following interventions is the most appropriate treatment? - atropine- charcoal- glucagon- naloxone- exposure: consider organophosphate poisoning, which inhibits cholinesterase and results in accumulation of ach in both muscarinic and nicotinic sites. pralidoxime activates achatropine competes with ach only at muscarinic receptors, but will not reverse nicotinic effectscharcoal = gastric decontaminationglucagon = reverse beta-blocker overdosenaloxone = reverse effects of opioids