Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pharmaceutical Poisoning: Treatment Strategies01:26

Pharmaceutical Poisoning: Treatment Strategies

Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...
Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is slower than the...
Pharmaceutical Poisoning: Potential Scenarios01:26

Pharmaceutical Poisoning: Potential Scenarios

Pharmaceutical poisoning can occur through various channels, impacting an estimated 2 million hospitalized patients in the U.S. annually with serious adverse drug responses. These scenarios encompass both therapeutic uses, such as drug toxicity, where even standard dosages can lead to severe central nervous system depression, and non-therapeutic exposures, including accidental ingestion by children, and environmental and occupational exposures.Unintentional poisonings often involve exploratory...
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
Drug Toxicity: Dose-Dependent Reactions01:24

Drug Toxicity: Dose-Dependent Reactions

Drug toxicities can be stratified into pharmacological, pathological, or genotoxic based on their mechanisms. The incidence and severity of these toxicities generally increase with the drug's concentration in the body and exposure time.Pharmacological toxicity is evident when the therapeutic effects of drugs overshoot into adverse reactions in a predictable, dose-dependent manner. Central nervous system (CNS) depression from barbiturates is a classic example, with effects escalating from...
Drug Toxicity: Overview01:00

Drug Toxicity: Overview

Drug toxicity quantifies the harm a compound causes to an organism, varying by dose and potentially impacting whole systems or specific organs like the liver. Toxic reactions may arise from venomous insect or spider bites, with effects ranging from mild symptoms to severe outcomes such as brain damage or death. Common forms of acute poisoning include ethanol intoxication and overdose of pain or fever medications, with substances like GHB and heroin being particularly lethal at doses close to...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

How Reliable Are Official Annual Suicide Numbers in Sri Lanka?

Crisis·2026
Same author

Seeing the similarities: Applying a coherent lens to harmful products as drivers of suicide.

PLOS global public health·2026
Same author

Clinical and Laboratory Profile of Paraquat Poisoning: A Toxicological Crisis in Bangladesh.

The American journal of tropical medicine and hygiene·2026
Same author

Ambulance services' use of poison information in Great Britain - a retrospective records analysis of calls and TOXBASE<sup>®</sup> accesses.

Clinical toxicology (Philadelphia, Pa.)·2026
Same author

Missed opportunities in methanol poisoning: a qualitative exploration of the socio-material practices of health professionals responding to acute methanol poisoning in Bangladesh.

BMJ open·2026
Same author

Unlocking clinical narratives: how natural language processing and artificial intelligence can address data deficits and mitigate health inequities in urgent and emergency care.

Emergency medicine journal : EMJ·2026

Related Experiment Video

Updated: Jun 23, 2026

Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen
09:44

Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen

Published on: November 27, 2019

Paracetamol (acetaminophen) poisoning.

Nick Buckley1, Michael Eddleston

  • 1Canberra Hospital, Canberra, Australia.

BMJ Clinical Evidence
|May 20, 2009
PubMed
Summary
This summary is machine-generated.

Paracetamol overdose can cause severe liver damage, but treatments exist. This review evaluates interventions for acute paracetamol poisoning, assessing their effectiveness and safety.

More Related Videos

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube
06:12

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube

Published on: April 28, 2020

Related Experiment Videos

Last Updated: Jun 23, 2026

Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen
09:44

Generation of a Rat Model of Acute Liver Failure by Combining 70% Partial Hepatectomy and Acetaminophen

Published on: November 27, 2019

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube
06:12

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube

Published on: April 28, 2020

Area of Science:

  • Toxicology
  • Pharmacology
  • Evidence-Based Medicine

Background:

  • Paracetamol overdose is a significant cause of liver damage, with severe hepatotoxicity occurring in at least half of untreated individuals exceeding UK treatment levels.
  • While mortality is low (0.4%), prompt treatment is crucial to prevent liver injury.

Purpose of the Study:

  • To systematically review the effects of various treatments for acute paracetamol poisoning.
  • To evaluate the effectiveness and safety of interventions for paracetamol overdose.

Main Methods:

  • Systematic review of 24 studies, including systematic reviews, RCTs, and observational studies.
  • Searched major databases (Medline, Embase, Cochrane Library) up to March 2006.
  • Included harms alerts from regulatory agencies (FDA, MHRA) and performed GRADE evaluation.

Main Results:

  • Evaluated interventions include activated charcoal, gastric lavage, ipecacuanha, liver transplant, methionine, and N-acetylcysteine.
  • Evidence quality for interventions was assessed using the GRADE system.

Conclusions:

  • This systematic review synthesizes evidence on interventions for acute paracetamol poisoning.
  • Information on the effectiveness and safety of key treatments is presented.