possible role of ecmo in multiorgan failure and prolonged cpr: aluminum phosphide poisoning

Introduction: aluminum phosphide (alp) is one of the most common causes of poisoning. also, it is commonly used to attempt suicide. extracorporeal membrane oxygenation (ecmo) is a therapeutic method that supports the function of the heart and lungs, giving body enough time for detoxification and organ function improvement; therefore, management of the problem using ecmo is critical in these patients and increases the survival chance. moreover, the impact of covid-19 on the treatment course during the covid-19 pandemic and the patients' involvement and contact with the virus is a critical issue with unknown consequences. case presentation: the patient was an 18-year-old girl who was hospitalized due to the poisoning aluminum phosphate. the ecmo was connected to the patient during cpr. then, the patient was transported to a specialized healthcare facility. at the time of arrival, the ef (ejection fraction) was less than 5%. during the course of poisoning, the patient developed ards, fulminant hepatitis, massive gastrointestinal and vaginal bleeding, and septicemia. the ecmo was weaned on day 5 when the ef was reported 55%. in the following, the general and pulmonary conditions of the patient exacerbated when she was suspected of having covid-19. the necessary therapeutic measures were done and finally, the patient was discharged after 45 days. conclusion: ecmo is a useful therapeutic procedure in alp poisoned patients. in case of careful management, it can be used in multiple organ involvement and prolonged pcr. considering the covid-19 pandemic, it is very important to notice the chance of covid-19 infection in icu during treatment