In this section
Poisoning - acute guidelines for initial management Coma Afebrile seizures ResuscitationPoisoning - CamphorPoisoning - Essential Oil
For 24 hour advice, contact the Victorian Poisons Information Centre on 13 11 26
Was exposure intentional or accidental?
Type of compound
Duration of exposure in inhalation
Co-ingestants (eg paracetamol)
Asymptomatic children with small ingestions do not usually require investigation.
For children with more significant ingestions, or who are symptomatic:
For all children with deliberate poisoning, perform further screening for co-ingestants (See
Acute poisoning - guidelines for initial management):
Standard procedures and supportive care
Activated charcoal is specifically contraindicated in hydrocarbon poisoning as they do not bind hydrocarbons and increase the risk of hydrocarbon aspiration
Ongoing care and monitoring
Asymptomatic children with normal vital signs should be observed for 6 hours post exposure before discharge
Patients with milder respiratory or CNS symptoms should be admitted for a longer period of observation +/- supportive care
Admission should be considered for all adolescent patients with an intentional overdose.
Consult Contact Victorian Poisons Information Centre 13 11 26 for advice
Patients with CNS depression / seizures or dysrhythmia should be managed in a paediatric intensive care unit
For emergency advice and paediatric or neonatal ICU transfers, call the Paediatric Infant Perinatal Emergency Retrieval (PIPER) Service: 1300 137 650.
No respiratory symptoms (cough, dyspnoea, wheeze)
Normal observations including pulse oximetry
Period of observation as above
For deliberate ingestion a risk assessment should indicate that the patient is at low risk of further self harm in the discharge setting
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
Recreational poisoning: Referral to YoDAA, Victoria's Youth Drug and Alcohol Advice service: 1800 458 685
Last updated June 2017