How do you recognize and respond to shock in a pesticide exposure situation?

• A. The victim's skin will be pale, moist, cold and clammy; eyes vacant; pupils dilated; breathing shallow and irregular; pulse weak, rapid or irregular; unless vomiting, place on back and elevate feet above the heart; keep warm, quiet; give reassurance.
• B. Shout loudly and push them upright.
• C. Offer coffee and candy.
• D. Place on stomach and rub the chest.

Answer: (A)

Recognizing shock means noticing when the body is not delivering enough blood to vital organs after a pesticide exposure. The signs described—pale, moist, cold skin; eyes appearing vacant; pupils dilated; breathing that is shallow or irregular; and a weak, fast, or irregular pulse—are classic indicators that the body's circulation is failing to meet tissue needs. If you see these signs or if the person seems faint or unresponsive, take action quickly.

The recommended first aid is to lay the person on their back to help blood flow toward the heart and brain, and to raise the legs slightly (unless there are injuries to the back, neck, or legs or if elevating the legs causes discomfort). This position improves venous return and helps maintain circulation. Keep the person warm and calm, since agitation or chilling can worsen shock. Do not give anything by mouth if there’s any chance of vomiting, and monitor breathing closely. If vomiting occurs, turn the person onto their side so they don’t choke on it. Seek medical help urgently because shock from pesticide exposure can progress rapidly and needs professional treatment.

Options that suggest shouting, pushing the person upright, giving coffee or candy, or lying on the stomach while rubbing the chest do not address the medical need and can worsen the situation.