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Spotlight: Do you know what is in the farmers shed? When agrichemicals result in poisoning

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Thursday, June 25, 2026
5:27 PM - 5:47 PM
Mossman

Details

Abstract Agrichemical poisoning presents a distinctive clinical challenge for rural practitioners, where intensive agricultural activity increases the likelihood of both occupational and incidental exposure. Although overall case numbers are modest compared with pharmaceutical poisonings, the clinical severity of pesticide toxicity—particularly from organophosphates, carbamates, and certain herbicides—demands rapid recognition and decisive management. Rural clinicians frequently encounter patients with non-specific early symptoms such as headache, dizziness, GI upset, or respiratory irritation which can obscure the diagnosis without a high index of suspicion. This presentation focuses on the clinical syndromes most relevant to rural practice. We will outline a practical approach, especially in environments where exposure may be unrecognised or under reported. Management principles—airway protection, decontamination, antidote therapy, and supportive care—are reviewed with an emphasis on resource limited rural settings. Biography Dr Mark Little is an emergency physician & clinical toxicologist based in Cairns. He has published widely on envenomation, especially due to marine creatures, disaster medicine and toxicology. Mark is a national leader of Australia’s medical assistance team and teaches on a number of courses on humanitarian assistance, toxicology and toxinology.


Speaker

Agenda Item Image
Dr Mark Little
Emergency Physician & Clinical Toxicologist
Cairns Hospital and NSW Poisons Information Service

Spotlight: Do you know what is in the farmers shed? When agrichemicals result in poisoning

Abstract

Agrichemical poisoning presents a distinctive clinical challenge for rural practitioners, where intensive agricultural activity increases the likelihood of both occupational and incidental exposure. Although overall case numbers are modest compared with pharmaceutical poisonings, the clinical severity of pesticide toxicity—particularly from organophosphates, carbamates, and certain herbicides—demands rapid recognition and decisive management. Rural clinicians frequently encounter patients with non-specific early symptoms such as headache, dizziness, GI upset, or respiratory irritation which can obscure the diagnosis without a high index of suspicion.
This presentation focuses on the clinical syndromes most relevant to rural practice. We will outline a practical approach, especially in environments where exposure may be unrecognised or under reported. Management principles—airway protection, decontamination, antidote therapy, and supportive care—are reviewed with an emphasis on resource limited rural settings.

Biography

Dr Mark Little is an emergency physician & clinical toxicologist based in Cairns. He has published widely on envenomation, especially due to marine creatures, disaster medicine and toxicology. Mark is a national leader of Australia’s medical assistance team and teaches on a number of courses on humanitarian assistance, toxicology and toxinology.

Host

RDAQ2026


Presenter

Agenda Item Image
Mark Little
Emergency Physician & Clinical Toxicologist
Cairns Hospital and NSW Poisons Information Service

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