“…Unfortunately, it is extremely hard to identify ingested pesticides at the early stage of emergency care, as labeled containers of the offending agents are not always available and toxidromes are at times confusing, if not misleading (Aardema et al, 2008). Despite the fact that most pesticides exist in blood samples are sensitively and accurately detected by GC‐MS‐MS or LC‐MS‐MS in current practice (Cazorla‐Reyes et al, 2011; Dulaurent et al, 2010; Frías et al, 2004), technical‐demanding and time‐consuming sample pretreatment, such as solvent extraction, filtration, concentration, fractionation, and derivatization, are mandatory to eschew matrix effect due to other predominant biological compounds in the specimen (Buchweitz et al, 2013; Dujaković et al, 2010; Rotenberg et al, 1995). As a consequence, it takes hours for these traditional means to identify the pesticides and such turnaround time is too long to be useful for guiding critical care in the emergency department.…”