You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospita…

Question

You are a medical student on placement in a rural general practice 90 minutes by road from the nearest hospital. A grandmother brings in her 2-year-old grandson, who was found on the bathroom floor 20 minutes ago holding her open dosette box. Several compartments have been emptied and she cannot say which of her tablets are missing. He is alert, playing on the floor, and his heart rate, respiratory rate and blood glucose are all normal. Which one of the following should be done first?

Accepted Answer

Telephone the Poisons Information Centre

Answer

Arrange urgent transfer to a paediatric emergency department

Answer

Give activated charcoal orally

Answer

Measure a serum paracetamol concentration

Answer

Telephone 000 for an ambulance

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