Journal of Emergencies, Trauma and Shock (Jan 2023)

Emergency resuscitation extracorporeal membrane oxygenation (ER ECMO) in 60 saves life

  • Gowtham Vijayakumar,
  • Ajai Rangasamy,
  • Dhilipan Kumar,
  • Ramesh Varadharajan,
  • Gunaseelan Ramalingam

DOI
https://doi.org/10.4103/jets.jets_96_22
Journal volume & issue
Vol. 16, no. 2
pp. 66 – 67

Abstract

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Aluminum phosphide (ALP) is one of the most commonly used pesticides worldwide with high mortality rates primarily due to the production of phosphene gas which causes severe mitochondrial damage leading to refractory myocardial depression, refractory hypotension, severe metabolic acidosis, and acute respiratory distress syndrome.[1] There is no antidote for ALP poisoning and treatment remains mainly supportive. The available literature shows a favorable outcome with extracorporeal membrane oxygenation (ECMO) in severely intoxicated patients presenting early with cardiovascular collapse. In this study, we describe an adult male who presented to us with ALP poisoning following deliberate self-harm, was put on ECMO in the emergency room and had a good prognosis.

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