Ethanol toxicity - Revision history

Rossdonaldson1: /* See Also */

2025-07-30T22:09:37Z

See Also

← Older revision		Revision as of 22:09, 30 July 2025
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	*[[Beer Potomania Syndrome]]		*[[Beer Potomania Syndrome]]
	*[[Alcoholic ketoacidosis]]		*[[Alcoholic ketoacidosis]]
	*[[~~Alcohol~~ withdrawal]]		*[[Ethanol withdrawal]]
	*[[Alcohol withdrawal seizures]]		*[[Alcohol withdrawal seizures]]
	*[[Altered mental status]]		*[[Altered mental status]]

Cmb23: /* Evaluation */

2023-12-22T17:05:37Z

Evaluation

← Older revision		Revision as of 17:05, 22 December 2023
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	*Consider blood alcohol level (BAL) when a good history cannot be obtained or patient fails to improve as expected		*Consider blood alcohol level (BAL) when a good history cannot be obtained or patient fails to improve as expected
	**Correlates poorly with degree of intoxication<ref>Olson KN, Smith SW, Kloss JS, et al. Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol Alcohol. 2013 Jul-Aug;48(4):386-9. doi: 10.1093/alcalc/agt042.</ref>		**Correlates poorly with degree of intoxication<ref>Olson KN, Smith SW, Kloss JS, et al. Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol Alcohol. 2013 Jul-Aug;48(4):386-9. doi: 10.1093/alcalc/agt042.</ref>
			*Thiamine deficiency can cause an elevated lactic acid level, and IV thiamine should be administered (in addition to considering other etiologies including toxic alcohol ingestions) <ref> Wardi G, Brice J, Correia M, Liu D, Self M, Tainter C. Demystifying Lactate in the Emergency Department. Ann Emerg Med. 2020 Feb;75(2):287-298. doi: 10.1016/j.annemergmed.2019.06.027. Epub 2019 Aug 29. Erratum in: Ann Emerg Med. 2020 Apr;75(4):557. PMID: 31474479. </ref>
	*Maintain low threshold for imaging in intoxicated patient with signs of trauma		*Maintain low threshold for imaging in intoxicated patient with signs of trauma

Rossdonaldson1: /* See Also */

2023-10-18T22:07:24Z

See Also

← Older revision		Revision as of 22:07, 18 October 2023
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	*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]		*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]
	*[[Sedative/Hypnotic]]		*[[Sedative/Hypnotic]]
	*[[In-Training Exam Review]]

	==References==		==References==

Cmb23: /* Other Features (if malnourished) */

2023-10-08T19:53:48Z

Other Features (if malnourished)

← Older revision		Revision as of 19:53, 8 October 2023
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	*[[Coma]]		*[[Coma]]

	===Other Features ~~(if malnourished)~~===		===Other Features===
	*[[Hypoglycemia]]		*[[Hypoglycemia]], particularly in young children due to gluconeogenesis inhibition by ethanol metabolism
	*[[Alcoholic ketoacidosis\|Ketoacidosis]]		*[[Alcoholic ketoacidosis\|Ketoacidosis]]
	*[[Lactic acidosis]]		*[[Lactic acidosis]]

Blsimpso: /* Background */

2021-07-20T03:58:31Z

Background

← Older revision		Revision as of 03:58, 20 July 2021
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	==Background==		==Background==
			*Alcohol (ethanol) is a CNS depressant that can cause respiratory depression, coma, or death when consumed rapidly or in large quantities.
	*Rate of ETOH elimination is 15-30mg/dL/hr (depending on degree of chronic alcohol intake)		*Rate of ETOH elimination is 15-30mg/dL/hr (depending on degree of chronic alcohol intake)
			*Ethanol is involved in 30-50% of all traumatic injuries in the US<ref>American College of Surgeons Committee on Trauma. Statement on insurance, alcohol-related injuries, and trauma centers. Bull Am Coll Surg. 2006;91(9):29-30.</ref>

	==Clinical Features==		==Clinical Features==

Elcatracho: /* Evaluation */

2021-03-09T20:28:27Z

Evaluation

← Older revision		Revision as of 20:28, 9 March 2021
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	**Correlates poorly with degree of intoxication<ref>Olson KN, Smith SW, Kloss JS, et al. Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol Alcohol. 2013 Jul-Aug;48(4):386-9. doi: 10.1093/alcalc/agt042.</ref>		**Correlates poorly with degree of intoxication<ref>Olson KN, Smith SW, Kloss JS, et al. Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol Alcohol. 2013 Jul-Aug;48(4):386-9. doi: 10.1093/alcalc/agt042.</ref>
	*Maintain low threshold for imaging in intoxicated patient with signs of trauma		*Maintain low threshold for imaging in intoxicated patient with signs of trauma

			{{Toxic Alcohols Anion/Osmolar Gaps}}

	==Management==		==Management==

Elcatracho: /* See Also */

2021-03-09T20:26:39Z

See Also

← Older revision		Revision as of 20:26, 9 March 2021
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	==See Also==		==See Also==
			*[[Toxic alcohols]]
	*[[Beer Potomania Syndrome]]		*[[Beer Potomania Syndrome]]
	*[[Alcoholic ketoacidosis]]		*[[Alcoholic ketoacidosis]]

Elcatracho: /* See Also */

2021-02-20T18:53:55Z

See Also

← Older revision		Revision as of 18:53, 20 February 2021
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	*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]		*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]
	*[[Sedative/Hypnotic]]		*[[Sedative/Hypnotic]]
			*[[In-Training Exam Review]]

	==References==		==References==

Rossdonaldson1: /* Clinical Features */

2019-11-16T14:42:57Z

Clinical Features

← Older revision		Revision as of 14:42, 16 November 2019
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	==Clinical Features==		==Clinical Features==
			[[File:The Alcohol Flushing Response.png\|thumb\|Alcohol flushing reaction: before (left) and after (right) drinking alcohol.]]
	===Classic Features===		===Classic Features===
	*Diminished fine motor control		*Diminished fine motor control

Beren85: /* Evaluation */

2019-09-01T11:31:37Z

Evaluation

← Older revision		Revision as of 11:31, 1 September 2019
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	==Evaluation==		==Evaluation==
	''Clinical diagnosis. No specific workup required, but the following may be considered based on clinical picture/gestalt:''		''Clinical diagnosis. No specific workup required when there is clear evidence of alcohol intake, but the following may be considered based on clinical picture/gestalt:''
	*Fingerstick glucose (recommended as minimum workup in all patients with [[AMS]])		*Fingerstick glucose (recommended as minimum workup in all patients with [[AMS]])
	*Consider blood alcohol level (BAL)		*Consider blood alcohol level (BAL) when a good history cannot be obtained or patient fails to improve as expected
	**Correlates poorly with degree of intoxication<ref>Olson KN, Smith SW, Kloss JS, et al. Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol Alcohol. 2013 Jul-Aug;48(4):386-9. doi: 10.1093/alcalc/agt042.</ref>		**Correlates poorly with degree of intoxication<ref>Olson KN, Smith SW, Kloss JS, et al. Relationship between blood alcohol concentration and observable symptoms of intoxication in patients presenting to an emergency department. Alcohol Alcohol. 2013 Jul-Aug;48(4):386-9. doi: 10.1093/alcalc/agt042.</ref>
	*Maintain low threshold for imaging in intoxicated patient with signs of trauma		*Maintain low threshold for imaging in intoxicated patient with signs of trauma