If phosphides have been ingested, do not induce emesis. Phosphides will release phosphine in the stomach; therefore, watch for signs similar to those produced by phosphine inhalation. Administer a slurry of activated charcoal at 1 gm/kg (usual adult dose 60-90 g, child dose 25-50 g). A soda can and a straw may be of assistance when offering charcoal to a child.
Consider appropriate management of chemically contaminated children at the exposure site. Also, provide reassurance to the child during decontamination, especially if separation from a parent occurs. If possible, seek assistance from a child separation expert.