Acute phosphine poisoning on board a bulk carrier: analysis of factors leading to a fatal case

Journal of Occupational Medicine and Toxicology
Brice LoddéJean-Dominique Dewitte

Abstract

To determine accidental factors, clinical presentation and medical care in cases of seafarers presenting phosphine poisoning symptoms on board a bulk carrier. To consider primary prevention of this pathology, which can have extremely severe consequences. To analyse circumstances resulting in toxic exposure to phosphine in the sea transport sector. To obtain information from medical reports regarding the seafarer's rescue. To identify the causes of this accidental poisoning and how to establish an early, appropriate diagnosis thus avoiding other cases. In February 2008, on board a bulk carrier with a cargo of peas, a 56-year-old seafarer with intense abdominal and chest pains, associated with dizziness, was rescued by helicopter 80 miles away from the coast. Despite being admitted rapidly to hospital, his heart rate decreased associated with respiratory distress. He lost consciousness and convulsed. He finally died of pulmonary oedema, major metabolic acidosis and acute multi organ failure. The following day, the captain issued a rescue call from the same vessel for a 41-year-old man also with abdominal pain, vomiting and dizziness. The ECG only revealed type 1 Brugada syndrome. Then 11 other seafarers were evacuated for observa...Continue Reading

References

Sep 1, 1988·Toxicology Letters·U K MisraM M Lal
Jul 1, 1988·Human Toxicology·U K MisraB Bhargwa
Jul 11, 1980·JAMA : the Journal of the American Medical Association·R WilsonP L Landrigan
Mar 25, 2000·Journal of Analytical Toxicology·F AngerJ P Anger
May 1, 2001·Journal of Toxicology. Clinical Toxicology·H L Hansen, G Pedersen
Oct 22, 2002·Lancet·Michael EddlestonLidwien Smit
Nov 29, 2007·The American Journal of Forensic Medicine and Pathology·Jayanthi YadavV K Yadav
Dec 25, 2007·BMC Public Health·David GunnellFlemming Konradsen
Feb 26, 2008·Forensic Science International : Synergy·F MusshoffB Madea
May 16, 2008·Human & Experimental Toxicology·S ShadniaM Abdollahi
Mar 13, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Alex T Proudfoot
Oct 1, 2010·Indian Journal of Anaesthesia·Ashu Mathai, Madhurita Singh Bhanu
May 25, 2011·Journal of Applied Toxicology : JAT·R AnandKiran Dip Gill
Jul 19, 2011·Forensic Science International : Synergy·Gurvinder Singh BumbrahGurvinder Singh Sodhi
Sep 3, 2011·Journal of Emergencies, Trauma, and Shock·Mohan GurjarKalpana Sharma
Sep 20, 2011·Pediatric Emergency Care·Tara J LemoineDonald D Vernon
Nov 15, 2012·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Hiva TehraniMohammad Abdollahi
Apr 2, 2013·Journal of Agromedicine·Michael O'MalleyLouise Mehler

❮ Previous
Next ❯

Citations

Nov 1, 2015·Pacing and Clinical Electrophysiology : PACE·Mukund A PrabhuJayaprakash Shenthar
Nov 1, 2015·Pacing and Clinical Electrophysiology : PACE·Byron H GottschalkAdrian Baranchuk
Jun 16, 2015·Journal of Occupational Medicine and Toxicology·Xaver BaurJorgen R Jepsen
Sep 13, 2019·Critical Care : the Official Journal of the Critical Care Forum·Brice LoddéErwan L'Her
Apr 2, 2020·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Asgar EbadollahiFranco Palla
Jan 31, 2019·Veterinary Medicine and Science·Issa A MurainaAliyu A Atiku
Aug 25, 2021·Chemical Research in Toxicology·Matthew A HartogHeidi M Hoard-Fruchey

❮ Previous
Next ❯

Methods Mentioned

BETA
sedation

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Related Papers

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
J L Pérez NaveroP Pérez Jorge
The Journal of the Association of Physicians of India
S N ChughV Prakash
European Journal of Anaesthesiology
D MemişS Hekimoglu
Journal of the Indian Medical Association
G C SepahaP G Raman
© 2021 Meta ULC. All rights reserved