Document Information Content Entity Continuant Continuant Conference Poster Entity Entity Generically Dependent Continuant 2025-05-11T03:53:58 RDF description of Send-out acetaminophen levels: Poison Centers' perceptions of risk and liability and the community standard of care [poster] - http://repository.healthpartners.com/individual/document-rn7075 poster document-rn7075 <p>Background: Acetaminophen (APAP) toxicity is a diagnosis with a time-dependent intervention. Signs and symptoms of toxicity rarely manifest until after the window of maximally effective treatment. Diagnosis often relies solely on serum APAP concentration ([APAP]) assays, which are not universally available. In a 2009 survey of hospitals in 3 Midwestern states, only 50.6% (126/249) had access to real-time [APAP] assays. Little is known regarding Poison Center recommendations to providers without access to real-time APAP assays; less is known regarding perceived liability when recommending send-out [APAP] assays. Methods: A survey sent to the American Association of Poison Control Centers Managing Directors � listserv querying practices and opinions regarding APAP testing in undifferentiated overdose (OD) patients when a) intentional OD is suspected and b) intentional OD is suspected and [APAP] is a send-out test. Respondents described practices and perceived liability<br>regarding testing and empiric treatment of APAP toxicity in both cases.<br>Results: 41 responses resulted (by region):<br>16 (39.02%) Midwest<br>5 (12.20%) Northeast<br>13 (31.71%) South<br>7 (17.07%) West<br>40/41 respondents recommend [APAP] on undifferentiated OD patients; 33/41 recommend [APAP] when that test is a send-out (p 0.0156, 2-sided Sign test, Table 1). 3/41 respondents recommend empiric treatment of APAP toxicity without immediately available [APAP]. With a high index of suspicion or suggestive history, 10/41 would recommend empiric treatment. Nearly 22% perceive some degree of liability when recommending send-out [APAP] on undifferentiated intentional OD patients. Conclusions: Most respondents in this survey recommend [APAP] in undifferentiated intentional ODs; fewer recommend send-out assays. Management of potential APAP toxicity in the absence of real-time [APAP] testing is not uniform and largely depends on clinical history. Recommending “send-out� [APAP] assays carries at least some perceived legal risk.<p> Poisoning Send-out acetaminophen levels: Poison Centers' perceptions of risk and liability and the community standard of care [poster] Emergency Medicine Delivery of Health Care public 23168 2022-02-21T22:48:57.408-06:00 14294