Q: An extremely vasculopath patient (almost impossible to obtain central line) presented to ER with organophosphate poisoning. Till Vascular team access vessel what could be an alternate route of Atropine in its symptomatic treatment?

Answer: Sublingual

Rajpal S, Ali R, Bhatnagar A, Bhandari SK, Mittal G. Clinical and bioavailability studies of sublingually administered atropine sulfate. Am J Emerg Med. Feb 2010;28(2):143-50.