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MediumEmergencyParacetamol poisoningau-amcau-acem

A 22-year-old woman presents to the emergency department 3 hours after ingesting 15 g of paracetamol in a deliberate overdose. She is well on examination. Serum paracetamol concentration at 4 hours post-ingestion falls above the treatment line on the Australian nomogram. According to current guidelines, what is the most appropriate management?

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