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If, after risk assessment, it is deemed safe to discharge a patient from hospital, but ongoing mental health or drug and alcohol needs are identified, the adolescent should be linked with appropriate services (see links below for services in the State of Victoria).Assessment of other drug and alcohol use should also be undertaken.Prior to discharge, adolescents who present with deliberate ingestions need a risk assessment regarding the likelihood of further ingestions or other attempts to self-harm.Consider consultation with local paediatric team whenĪdmission should be considered for all children and young people with an intentional overdose.Ĭonsult Victorian Poisons Information Centre 13 11 26 for advice Consider transfer whenĬhildren requiring escalation of care beyond the comfort of the hospital and local paediatric team.įor emergency advice and paediatric or neonatal ICU transfers, see Retrieval ServicesĪssessing risk and connecting to community services Management of individual conditions can be found under the Opioids (heroin, morphine, methadone, fentanyl, oxycodone)Ĭough syrups with codeine derivates (dihydrocodeine, pholcodine) Withdrawal from ethanol /sedatives-hypnotics

Selective serotonin reuptake inhibitors Tramadol Nicotine, caffeine, cold and flu medications beta agonist (eg phenylephrine) Sodium bicarbonate (tricyclic antidepressants)Īntiemetic agents (eg domperidone, droperidol, metoclopramide, promethazine) Sedating antihistamines (eg promethazine, doxylamine, cyproheptadine, pheniramine, alimemazine) Toxic syndrome or toxidrome recognition is important for rapid detection of the suspected cause and helps focus the differential diagnosis to those few chemicals which have similar toxic effectsįor 24 hour advice, contact the Poisons Information Centre 13 11 26 Common Toxic Syndromes/Toxidromes.A toxic syndrome or toxidrome is a 'clinical fingerprint', characterised by a classic constellation of symptoms and signs due to toxic effects of chemicals in the body.Poisoning – acute guidelines for initial management Resuscitation Recreational drug use and overdose Key points

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