Emergency center from rural hospital

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Question: Eight year old flown into emergency center from rural hospital. he was helpping his father out on a farm. The sketchy history obtained was that the child developed nausea and vomiting, had profuse sweating, and begain to foam at the mouth before he became weak, confused, and had a seizure. 15 minutes ater his arrival at the emergency center the nurse who was caring for him began to complain of nausea and vomiting, blurred vision, and increased lacrimation. What is diagnosis and most important next step?

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