What is the management for zinc phosphide (rat poison) ingestion?

In cases of zinc phosphide ingestion, immediate medical attention is crucial. The first step involves removing the individual from the source of exposure and providing supportive care. Gastric lavage may be considered if the patient presents early after ingestion, although its effectiveness is debated. Administration of activated charcoal can help reduce absorption of the toxin. Supportive care for symptoms such as vomiting, diarrhea, and abdominal pain is also essential. There is no specific antidote for zinc phosphide poisoning, so treatment focuses on managing symptoms and preventing further complications. In severe cases, hospitalization may be necessary for close monitoring and intensive care. Second-line interventions may include the use of medications to manage specific symptoms, such as anti-emetics for nausea and vomiting, and fluid replacement to prevent dehydration. Given the potential for severe morbidity and mortality associated with zinc phosphide ingestion, it is critical to err on the side of caution and seek immediate medical help if exposure is suspected.