BEST EVIDENCE TOPIC REPORTS
BET 3. DO ROUTINE PARACETAMOL LEVELS NEED TO BE TAKEN IN ALL PATIENTS PRESENTING WITH OVERDOSE?
| The first 150 words of the full text of this article appear below. |
Report by: Tom Leckie, Consultant in Emergency Medicine
Institution: Royal Oldham Hospital, Oldham, UK
Checked by: Kerstin Hogg, Clinical Lecturer Emergency Medicine
Institution: Salford Royal Hospital, Salford, UK
In [alert cooperative adults who present following overdose] do [paracetamol levels] detect [unsuspected paracetamol overdoses requiring treatment]?
A 22-year-old woman attends the emergency department immediately following a deliberate ingestion of eight ibuprofen tablets. You have no reason to doubt her story of impulsive overdose taken with suicidal intent. You wonder whether her management should include 4-h paracetamol levels.
Medline 1950 to April Week 3 2009 via OVID interphase: ({[overdose.mp or exp overdose or deliberate self harm.mp. or exp self-injurious behaviour] AND [paracetamol.mp or acetaminophen.mp or exp acetaminophen] limit to "diagnosis(sensitivity)"} OR {[overdose.mp or exp overdose or deliberate self harm.mp. or exp self-injurious behaviour] AND [paracetamol.mp or acetaminophen.mp or exp acetaminophen] limit to "clinical prediction guides (sensitivity)"}) limit to adult and
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