Plasma AchE, serum electrolytes, arterial blood gas (ABGs), serum troponin level and coagulation studies were not done due to unavailability of diagnostic kits and rural location of health facility. Patient was from a poor economic background and did not have any insurance plan, his attendants could not afford tertiary care for him and requested us to treat in our setting despite the consequences. His vitals were stable over time with his PR of 83/min, BP of 122/72 mmHg, Temp. of 99°F and SaO₂ of 98% with 2L O₂/min after 6 hours. He showed improvement in symptoms with no further signs of intoxication over 12 hours. Atropine dose was titrated as per his clinical response and signs of atropinization. His chest cleared of crepitations, and ECG showed normal sinus rhythm. Boluses of 1L of RL and 1L of 5% dextrose water (D/W) were attached over a period of 12 hours. His complete blood count (CBC), liver function tests (LFTs), renal function tests (RFTs), all were within normal limits.