Massive paracetamol overdoses that result in high paracetamol concentrations more than double the paracetamol nomogram line should be managed with an increased dose of acetylcysteine. 3.

9 points), lactate 4 mmol/l (RFS, 13 points), and norepinephrine treatment (RFS, 12 points). His total score was approximately 179.5 points, and the risk of in-hospital mortality was 78%. Figure 2.