1. Atropinize the patient immediately and maintain full atropinization by repated doses of 2-4 mg. of atropine sulphate intravenously at 5 to 10 minutes interval. As much as 25 to 50 mg. of atropine may be required in a day. The need for further atropine administration is guided by the continuance of symptoms. Extent of salivatiion is a useful criterion for dose adjustment. 2. PAM is of not much value and should be avoided. 3. Artifical respiration may be given, if needed.