| خلاصه مقاله | Abstract: Introduction: Aluminum phosphide, which is known as rice tablets, is used for agricultural purposes and pest control. Aluminum phosphide poisoning is one of the important concerns of public health in different regions and it is a common suicide cause of poisoning among adults, the highest rate of poisoning is in the age group of 21-25 years old with the majority of men. Using it at a younger age is a warning for the society to take this issue more seriously. Case report: The 12-year-old girl along with her friend went to the emergency room on foot and stated that they had consumed a rice pill about 30 minutes ago and complained of nausea and vomiting. They do not have a history of specific diseases. Immediately, both patients underwent cardiac monitoring. Venipuncture was performed and arterial gas analysis tests (PH=6.5/pco2=70/Hco3=9.4) and routine tests were sent. The test results were normal for one client who stated that he had not taken any medication. According to the results of the 12-year-old girl's tests, sodium bicarbonate infusion was started for the aforementioned. The patient was intubated due to severe respiratory acidosis. After a short period of time, the patient became bradycardic, HR=45, resuscitation started and the patient died after 45 minutes of resuscitation. Discussion and conclusion: aluminum phosphide poisoning is very dangerous and fatal. Strict laws should be put in place to limit easy access to aluminum phosphide tablets. Children and teenagers should be informed about the dangerous and deadly side effects of aluminum phosphide and also avoid keeping rice tablets at home to repel pests. At the macro level, proper planning should be done to inform the society and prevent the use of lethal substances.
Keywords: rice tablets, aluminum phosphide, poisoning, suicide, adolescent |