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Hi all,
2.5yo healthy child found with open tylenol bottle, 1 pill on floor, ingestion uncertain. Event 1.5 hours prior to ER evaluation, patient very active, no distress, no emesis or evident abdominal pain, neuro intact, VS normal.
Questions:
1 - Any value in a 2 hour acetaminophen level?  
2 - If 2 hour acetaminophen level = 0 is that a reliable predictor of no ingestion and safe to discharge?
Poison Control says no, must get 4 hour level.
Can't find any literature to support 2 hour level (quick lit search).
Input appreciated.  Happy Valentines Day 
Kathey Goetz

Kathleen Goetz, MD
Medical Director, Swedish Pediatric Emergency Services
Swedish FH ED
747 Broadway
Seattle, WA  98122-4307
Ofc: 206-386-3313   FH ED: 206-386-2573   Fax: 206-386-2577   Cell: 253-370-7571

 
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From: Pediatric Emergency Medicine Discussion List [[log in to unmask]] on behalf of Itai Shavit [[log in to unmask]]
Sent: Friday, February 13, 2015 12:54 AM
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Subject: PEM-Database Studies update - Feb 13, 2015

PEM-Database Studies update - Feb 13, 2015


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