Atropine or hyoscine in treatment of acute organophosphate poisoning?

The abdominal wall was infiltrated with lignocaine and incised in the mid-line. 3 litres of semisolid food was removed from the stomach and exploration revealed gross gaseous distension of small and large bowel, with infarction of the small bowel, and gas bubbles in the mesenteric veins. The ischaemic bowel was decompressed and packed with hot towels without any improvement and the patient died 1 h after surgery had been abandoned. Necropsy revealed extensive haemorrhage into the submucosal layers of the stomach and small intestine, and the stomach wall was torn. The whole bowel was invaded by Clostridium perfringens. There was also melanosis coli, a condition often associated with purgation. The main cause of death was probably septicaemia, but the massive abdominal distension, diaphragmatic splinting, and high