Bialas M C, Evans R J, Hutchings A D, Alldridge G, Routledge P A
Welsh National Poisons Unit, Llandough Hospital, Cardiff, UK.
J Accid Emerg Med. 1998 Jan;15(1):13-7. doi: 10.1136/emj.15.1.13.
To assess the impact of the treatment guidelines on the management of paracetamol self poisoning in accident and emergency (A&E) departments.
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.
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.
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.
评估治疗指南对急症室扑热息痛自服中毒处理的影响。
威尔士和英格兰的24个急症室提供了在向英国所有急症室分发国家治疗指南前后其扑热息痛中毒处理的详细情况。
在正式书面政策的可得性、治疗图谱的展示、摄入后16小时以上治疗的建议以及对扑热息痛诱发肝损伤特殊风险患者使用治疗图谱上较低界限方面均有显著增加。
急症室应展示定期更新的扑热息痛中毒处理指南，以便医护人员能够获取关于这种常用药物中毒治疗的最新最佳信息。
