Acetaminophen (Paracetamol) is one of the most commonly used drugs available in tablet and liquid form both over the counter and on prescription all over the world. The commonly available strength in liquid are 120 mg/5 ml and 250 mg/5 ml. In hectic world, even with advanced technology still accidental poisoning in children is common and current management facilities makes to increase survival rate and reduce fatality. We reported case of child with accidental ingestion of paracetamol 30ml (250mg /5ml) with clinical signs of vomiting and abdominal pain. The line of management given as per guidelines saved the life of child and instructed to come for follow-up after 14 days. The pediatric nurse and health workers should emphasis in providing adequate information related to child care, first aid management and safety makes to prevent childhood mortalities. Keywords: Paracetamol; Accident; Ingestion; Poisoning; Child care.