A case of fatal aluminium phosphide poisoning that forced the evacuation of the emergency department of a Sydney teaching hospital highlights the importance of hospitals being able to safely manage hazardous materials incidents.

Aluminium phosphide (ALP) is widely used as a fumigant pesticide. In case of ALP poisoning, it is responsible for myocardial dysfunction, related to toxic myocarditis, and hemodynamic disorders. We report a case of a 28-year-old female who had intentionally ingested ALP and was admitted with cardiogenic shock. The transthoracic echocardiography (TTE) at the time of admission showed severe globa...

a 40-year-old male patient with suicidal ingestion of one tablet of aluminium phosphide was referred to the department of toxicology emergency of baharloo hospital, tehran, iran. the garlic odor was smelled from the patient and abdominal pain and continuous vomiting as well as agitation and heartburn were the first signs and symptoms. systolic and diastolic blood pressures at the arrival time w...

Legal Medicine Research Center, Legal Medicine Organization, Tehran1, Ayatollah Taleghani Hospital, Urmia University of Medical Sciences, Urmia2, Alzahra Hospital, Isfahan University of Medical Sciences, Isfahan3, Department of Pediatrics, Children’s Medical Center, Pediatric Center of Excellence, Tehran University of Medical Sciences, Tehran4, Iran Marashi SM, et al. ALUMINIUM PHOSPHIDE POISON...

We report a case of aluminium phosphide poisoning that presented to us with refractory myocardial depression. This patient developed worsening circulatory failure that did not respond to inotropic or vasopressor support and intra-aortic balloon counterpulsation. She went on to develop progressive metabolic acidosis, renal failure and died within 48 hours of admission to the intensive care unit.

1. Mirakbari SM. Hot charcoal vomitus in aluminum phosphide poisoning ‐ A case report of internal thermal reaction in aluminum phosphide poisoning and review of literature. Indian J Anaesth 2015;59:433‐6. 2. Mirakbari SM. Proposal for a new mechanism of action for aluminum phosphide (ALP) for causing local injuries in ALP poisoning: Should treatment strategies be modified? Hum Exp Toxicol 2016;...

This paper reports the case of a family in which three children were presented at Emergency Room (ER) with poisoning after the use of a pesticide at home. Initially, the cases were managed as routine cases of organophosphorus poisoning; however, the death of two children made the health team members realise that the poison's effects were delayed and devastating. Later, the compound was identifi...