@article{ref1,
title="The impact of nationally distributed guidelines on the management of paracetamol poisoning in accident and emergency departments. National Poison Information Service",
journal="Journal of accident and emergency medicine",
year="1998",
author="Bialas, M. C. and Evans, R. J. and Hutchings, A. D. and Alldridge, G. and Routledge, P. A.",
volume="15",
number="1",
pages="13-17",
abstract="OBJECTIVE: To assess the impact of the treatment guidelines on the management of paracetamol self poisoning in accident and emergency (A&E) departments. METHODS: 24 A&E departments in Wales and England provided details of their management of paracetamol poisoning before and after the distribution of national treatment guidelines to all A&E departments in the United Kingdom. RESULTS: Significant increases were seen in the availability of formal written policies, the display of treatment nomograms, the recommendation to treat beyond 16 hours after ingestion, and to use a lower line on the treatment nomogram for patients at special risk of paracetamol induced liver damage. CONCLUSIONS: Regularly updated guidelines in the management of paracetamol poisoning should be displayed in A&E departments so that medical and nursing personnel have access to the best current information on the treatment of poisoning with this frequently used drug.<p /><p>Language: en</p>",
language="en",
issn="1351-0622",
doi="",
url="http://dx.doi.org/"
}