Paul Ryley
14 Sept 2018 · Coroner Emma Brown · Birmingham and Solihull
The coroner's concerns
1. lack of clear guidance for re-presentations
“The Toxbase Guidelines for Paracetamol overdose (which compromise of a general guidance sheet and then several sheets specific to the period since ingestion) were considered and it was identified that they do not expressly state whether or not they apply only to an initial attendance and do not set out any steps to be followed when a patient re-presents within a short time of an initial attendance for a Paracetamol overdose.”