Sanjeev Pratap
Department of Emergency Medicine Kauvery Hospital, Trichy, India.
Title: Phosphorous poisoning: An Indian experience
Biography
Biography: Sanjeev Pratap
Abstract
Statement of the Problem:
Ratol paste is an easily available cheap rodenticide which is contains 3% yellow phosphorus. It’s easy availability over the counter has led to its use for deliberate self-harm. Accidental poisoning in children have also been reported. It is a general protoplasmic poison with high mortality rate. No specific antidote is available and treatment is mainly supportive. There is paucity of published literature on its management and treatment varies from centre to centre.
Methodology:
A retrospective audit of patients presenting to a tertiary hospital with history of Ratol paste poisoning was done. The laboratory investigations and treatment given were analysed to derive treatment recommendations.
Findings:
The leading cause of death is due to fulminant hepatic failure. Multi-system involvement is common. Presentation to hospital is often delayed due to early asymptomatic phase. Early initiation of supportive treatment helps in preventing hepatic encephalopathy and reduces mortality and duration of hospitalisation.
Conclusions:
In the absence of a specific antidote, early initiation of supportive management and close clinical monitoring is the way forward in its treatment.