Patient Care Resources

_{Please be advised that the Poison Centre will be transitioning to a new electronic medical record (EMR) system beginning November 2. During this transition period, we kindly ask for your patience and understanding as our team becomes familiar with the new system and workflows.}

Poison Centre Consultation Form for Health-Care Professionals (updated)

• Poison Centre Consultation Form (PDF) 

Acetaminophen

Risk Assessment

• Rumack-Matthew Nomogram

IV Acetylcysteine (NAC)

• Dosing 

  • April 1, 2026 protocol (NEW)

• Preparation

  • Refer to Shared Health Manitoba Preparation Standards

• Monitoring & Discontinuation 

  • Recommended Bloodwork 
  • NAC Stopping Criteria 

• Adverse Effects 

  • NAAR Management (Non-Allergic Anaphylactoid Reaction) 

• Other Management Resources

  • Oral Acetylcysteine (NAC)
  • Fomepizole

Antidote Stocking Recommendations

• Guidelines for Stocking Emergency Antidotes (PDF)

ASA Urine Alkalinization

• Urine Alkalinization For Enhanced Elimination of Salicylates (PDF)

Beta-Blocker Treatment Algorithm

• Treatment Recommendations for Beta-Blocker Toxicity (PDF)

Calcium Channel Algorithm

• Treatment Recommendations for Calcium Channel Blocker Toxicity (PDF)

Cannabis 

• Pediatric Cannabis Resource Sheet

Cholinergic Overdose Treatment

• Treatment Recommendations for Cholinergic Toxidrome (PDF)

Deferoxamine

• Deferoxamine - Iron Chelation agent (PDF)

High Dose Insulin

• High-Dose Insulin Euglycemia Therapy/Hyperinsulinemia-Euglycemia Therapy (PDF)

Lipid Rescue Therapy

• Intralipid/Lipid Rescue Therapy (PDF)

Lithium

• Algorithm For Lithium Intoxication (PDF)

Medetomidine in the Unregulated Opioid Supply

• Medetomidine in the Unregulated Opioid Supply (PDF)

Methemoglobinemia

• Emergency Treatment of Methemoglobinemia

Physostigmine Salicylate For Anticholinergic Toxicity

• Alternative To Physostigmine (PDF)
• Physostigmine Salicylate (PDF)

QRS Widening

• Drug-induced QRS Widening Treatment (PDF)

QT Prologation

• Drug-induced QT Prolongation Treatment (PDF)

Radiation Emergencies

• PPE for Health Care Providers in a Radiation Emergency (PDF)
• Hospital Decontamination of Contaminated Patients in a Radiation Emergency (PDF)
• How to Perform a Radiation Survey (PDF)
• Acute Radiation Syndrome (PDF)

Toxic Alcohols

• Toxic Alcohol Treatment (PDF)

Treatment of Toxic Seizures-Agitation

• Treatment of Toxic Seizures/Agitations (PDF)

Tricyclic Antidepressants Treatment Approach

• Tricyclic Antidepressants Treatment Approach (PDF)

Whole Bowel Irrigation Protocol

• Whole Bowel Irrigation (PDF)