In this section
Poisoning – acute guidelines for initial management Resuscitation
For 24 hour advice contact, the Victorian Poisons Information Centre on 13 11 26
Camphor is highly toxic. While it is readily absorbed from the skin most toxic exposure is from ingestion.
Common substances containing camphor include:
The Victorian Poisons Information Centre does not recommend the use of camphor, as it has no proven health benefits, and is unsafe in houses. (See: Parent information sheet from Victorian Poisons Information centre link below)
All patients with deliberate self-poisoning or significant accidental ingestion
Any symptomatic patient
Children who have ingested more than 30 mg/kg.
Any patient whose developmental age is inconsistent with accidental poisoning as non-accidental poisoning should be considered.
Intentional overdose or accidental ingestion
Consider co-ingestants eg paracetamol
Often a characteristic odour is present
Neurologic complications are common. Acute seizures usually occur within 90 minutes of ingestion. They may be preceded by muscle fasciculation, confusion, delirium, hallucinations, and restlessness.
Respiratory depression is common, often following seizure
GIT: oral/epigastric burning, nausea, vomiting
CVS: case reports of cardiomyopathy and prolonged QRS and QTc
Paracetamol level in all intentional overdoses
ECG and CXR if symptomatic
Standard procedures and supportive care
Wash contaminated areas of skin and remove patient's clothes if indicated.
Charcoal is not recommended.
Observe for 4 hours & discharge if no symptoms develop.
Needs urgent medical assessment.
Enhance elimination – ineffective
Antidote – Nil
Admission should be considered for all adolescent patients with an intentional overdose, especially if there are
Consult Contact Victorian Poisons Information Centre 131126 for advice
Patient requiring respiratory support
For emergency advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650.
Accidental ingestion: Parent information sheet from Victorian Poisons Information centre on the prevention of poisoning
Intentional self –harm: Referral to local mental health services eg Orygen Youth Health: 1800 888 320
Last Updated June 2017