UPDATED guidelines around management of paracetamol poisoning have been published in an article commissioned by the Medical Journal of Australia but not peer reviewed.
Paracetamol is the leading pharmaceutical agent responsible for calls to Poisons Information Centres in Australia and New Zealand, with both deliberate and accidental exposures.
This is the third edition of the guidelines and identifies significant recent changes for indications for administration of activated charcoal, the management of patients taking large or massive overdoses, modified-release and supratherapeutic ingestions as well as paediatric liquid paracetamol ingestion.
Most paediatric exposure is accidental with paracetamol readily ingested in its sweetened liquid forms designed to entice a child's palette.
A series of flow charts define the recommended processes.
Visit mja.com.au for access.
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