Welcome to the RPH Toxicology page.  Here you will find all things relating to the RPH Toxicology team, our current research projects and our educational program.

We will also enter in weekly cases of interest for you to work through.  These are here to help you learn the general approach to toxicology and the specific management of certain toxicological conditions.  We always use the “R RSI DEAD” approach so make sure you are familiar with this.

We have also added links to helpful toxicology resources for your information.

Click on the links below for specific toxicology pearls and guidelines, or to work through individual cases:

Toxicology Links

Toxicology Cases

Education and Research 2016


Staggered Paracetamol Overdose

STEM: A 16yr old female presented to the emergency department at 0100 after taking an overdose of paracetamol.  She is normally fit and well with no past medical history.  She is alert and looks well, with normal vital signs.  She has taken

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Delayed Massive Paracetamol Overdose

STEM: A 26 year old male presented to ED at 0730 with abdominal pain and vomiting.  He took 100 tablets of 500mg paracetamol at 2230 the night before.  He is normally fit and well, drinks regular alcohol and uses meth

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Repeated Supratherapeutic Paracetamol Ingestion

STEM: A 30yr old female presented with some epigastric pain.  She has been taking paracetamol for a painful foot for the last 3 days.  In the last 48 hours she has taken 14g of paracetamol, 9g were within the last

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Paracetamol Cases

Staggered Paracetamol Overdose Delayed Paracetamol and Polypharmacy Overdose

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Approach to the Poisoned Patient

Below is a systematic approach to the poisoned patient derived from the Toxicology Handbook.           Download RRSIDEAD Graphic (PDF)

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