Please see below the updated 2021 Royal College of Emergency Medicine (RCEM) and National Poisons Information Service (NPIS) guideline for the stocking of antidotes by Emergency Departments in the UK which replaces the 2017 guideline. These guidelines are also available on TOXBASE and the RCEM Clinical Guidelines website.
The main changes since the 2017 guideline are:
Antidotes form an important component of the management of the poisoned patient and it is important that they are available in a timely fashion to ensure optimum care of these patients. A 2018/19 audit of UK antidote stocks showed that less than half of hospitals are fully compliant with stocking recommendations for Category A and B antidotes. We would urge you to work with your pharmacy department to ensure that you implement this guideline focusing particularly on stocking of Category A and B antidotes.
See related documentation below:
RCEM NPIS Antidote Letter | RCEM NPIS Antidote Guideline List | RCEM NPIS Antidote Guideline Appendix 1 | See the Toxicology tab on the Clinical Guidelines page